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Affordable Care Act

Posted December 12th, 2017 in Producers, Employers, Individuals
We haven’t even gotten through the 2018 open enrollment season yet, but the Centers for Medicare and Medicaid Services (CMS) has already proposed rules that would impact health insurance markets for 2019. Each year, CMS issues a Notice of Benefit and Payment Parameters which explains various rules, inflation adjustments and other changes that will occur with the implementation of the Affordable Care Act (ACA).
Posted December 1st, 2017 in Producers, Employers
Bipartisan efforts (yes, you read that right) are underway to repeal the Cadillac Tax imposed by the Affordable Care Act (ACA). A letter signed by 140 bipartisan members of the House of Representatives (House) urges a repeal this year. Efforts are being led by Congressman Joe Courtney (D-CT-2) and Mike Kelly (R-PA-3). 
 
Posted November 22nd, 2017 in Producers, Employers

The Internal Revenue Service (IRS) has updated its Questions and Answers website in regards to the Employer Mandate, and it appears they have started to send initial notices to employers who are subject to a penalty for the 2015 year (generally, this will be employers with 100 or more employees since transition relief was available in 2015 to employers with 50-99 employees).

Posted November 7th, 2017 in Producers, Employers

The Employer Mandate guidelines state that coverage is affordable when an employee has to pay no more than 9.5% of their household income (inflation-adjusted to 9.56% for the 2018 plan year) for self-only coverage which is offered, but which employers know the household income of an employee? As a result, there are three alternative methods that an employer can rely upon when determining if the coverage they offer is affordable. These methods are explained below and some general examples on how to apply each method have also been provided. Assume in each example that the employer has a calendar plan year for 2018.

Posted September 21st, 2017 in Producers, Employers, Individuals
The so-called Individual Mandate has been considered a widely unpopular provision of the Affordable Care Act (ACA) which most Republicans want to repeal and even several Democrats want to change. As members of Congress talk about the various ways the ACA could be modified or improved, options to change the Individual Mandate are being explored.  
 
Posted September 5th, 2017 in Producers, Employers, Individuals
No, this article is not about the potential of the age rating ratio changing from 3:1 to 5:1. It’s about a different change that is actually going to happen in the individual and small group markets in 2018.
 
First, what is the age rating ratio? 
 
Posted August 8th, 2017 in Producers, Employers, Individuals
We all know that efforts by the Republican party to repeal and replace the Affordable Care Act (ACA) have failed up to this point. It’s unknown what healthcare legislation, if any, will ever get through both chambers of Congress and into the hands of President Donald Trump to sign into law. That will remain a mystery for the foreseeable future, but passing a law isn’t the only way the ACA can be altered. There is also regulatory action that can occur. 
 
Posted July 28th, 2017 in Producers, Employers, Individuals
Well, after several months of debate, it appears you can keep your Obamacare plan and everything else that comes along with the Affordable Care Act (ACA). 
 
On Tuesday, the Senate voted favorably on a motion to proceed with the debate over a repeal and/or replacement of the ACA. This was a significant procedural step necessary to pass a bill in the Senate. 
 
Posted July 24th, 2017 in Producers, Employers, Individuals
Senate Republicans may vote as early as Tuesday on a bill that would repeal and replace key parts of the Affordable Care Act (ACA), but there are still a couple of unknowns. 
 
Posted May 30th, 2017 in Producers, Employers, Individuals

Unless or until the Affordable Care Act (ACA) is repealed, the Individual and Employer Mandates remain intact, and earlier this month the Internal Revenue Service (IRS) issued some regulatory guidance pertaining to the two mandates for 2018.