ACA

Posted November 15th, 2016 in Producers, Employers, Individuals
Several Republican political leaders indicated their efforts to repeal the Affordable Care Act (ACA) would end if Hillary Clinton were elected as President, but the exact opposite happened. Donald Trump has been elected to serve as the 45th President of the United States and is set to take office on January 20, 2017. Trump has said on numerous occasions that the very first thing he’ll do is repeal “Obamacare.” Could this actually happen?
 
Posted November 10th, 2016 in Producers, Employers

People who have access to affordable coverage from their employer are ineligible to receive subsidies through the Health Insurance Marketplace, also known as the Exchange. For 2017, coverage is considered affordable if the employee’s share of premium for self-only coverage is 9.69% or less of their household modified adjusted gross income.

Posted October 28th, 2016 in Producers, Employers

New service keeps you on track!

The world of ERISA, HIPAA, COBRA and general health care compliance is increasingly complex for businesses. Flexible Benefit Service Corporation (Flex) wants to make sure nothing falls through the cracks.

Flex now offers Compliancedashboard® - a turnkey solution to help you make sense of your compliance obligations and minimize your risk. This simple, web-based compliance system gives your organization the information you need, when you need it.

Posted September 26th, 2016 in Producers, Employers, Individuals
The cornerstone of the Affordable Care Act (ACA) is arguably the Health Insurance Marketplaces, also referred to as the Exchanges. Effective 2014, previously uninsurable individuals could start enrolling in a health insurance plan without regard to their medical history, and people who had trouble affording coverage could receive subsidies to reduce their out-of-pocket costs and/or premiums if certain requirements could be met.  
 
Posted September 13th, 2016 in Producers, Employers
Today, September 13, 2016,  marks the three-year anniversary of the release date for IRS Notice 2013-54, which ironically occurred on Friday the 13th. A few years back, benefits industry leaders thought employers could be deterred from adopting Health Reimbursement Arrangements (HRAs) since much of the guidance made changes to the types of HRAs that could be offered. Below is a snapshot of the (now) permissible types of HRAs.
Posted September 6th, 2016 in Producers, Employers, Individuals

The Affordable Care Act (ACA) continues to evolve. Here are 10 changes expected to take effect in 2017. 

Posted August 29th, 2016 in Producers, Employers, Individuals
In 2013 and 2014 the word “exchange” was being used everywhere in the health insurance industry. Now, just a couple of years later, that term isn’t being used as frequently as it was just a couple years prior. Why? For one, the federal government decided the phrase “health insurance marketplace” or “marketplace” was what they would start calling their exchange. The media and general public also seem to associate the word “Obamacare” as being synonymous with the government-run exchanges. Additionally, private exchanges are not experiencing the growth rates that many had projected.
Posted July 28th, 2016 in Producers, Employers, Individuals
There has been a lot of shake up in the recent weeks and months as it relates to health insurance options available in the individual marketplace. UnitedHealthcare (UHC) announced it would only offer individual plan options in three states next year. Humana also announced they would be limiting the number of states it offers individual plans in next year. More recently, three additional CO-OPs in Connecticut, Illinois and Oregon announced their closures by the end of the year.
 
Posted July 7th, 2016 in Producers, Employers, Individuals
It should be pretty clear by now that two of the biggest provisions of the Affordable Care Act (ACA) are the Individual and Employer Mandates. The Individual Mandate requires all Americans to have a health insurance plan or pay a penalty, unless an exemption applies. Factors that may influence the amount of the Individual Mandate penalty include household size and income. The Employer Mandate requires employers with 50 or more employees to offer health insurance coverage to at least 95% of its full-time employees or risk penalties.
Posted July 1st, 2016 in Producers, Employers
The Department of Health and Human Services (HHS) recently issued a final rule which effectively implements Section 1557 of the Affordable Care Act (ACA). The new rule prohibits certain discriminatory acts from occurring for health programs or activities that are administered by HHS, including plans that are sold on federal and state Marketplaces. 
 

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