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individual mandate

Posted December 26th, 2017 in Individuals, Producers, Employers

The Tax Cuts and Jobs Act, also known as the Tax Act, was signed into law on December 22, 2017. The Tax Act makes several changes to the existing tax code, including the repeal of the Individual Mandate (kind of, sort of). The Individual Mandate was not literally repealed by the Tax Act, but the penalty for failing to have minimum essential coverage (e.g., health insurance) has been reduced to $0 starting on January 1, 2019. This is effectively the equivalent of repeal; however, the Individual Mandate will still be applicable for the 2017 and 2018 tax years. This change to the Individual Mandate has spurred numerous questions and/or speculations, including:

Posted November 1st, 2017 in Producers, Employers, Individuals
As you may have heard, the Trump administration discontinued funding for the cost-sharing reduction subsidies (CSR subsidies). Critics of this move believe it will create instability in the Exchange and individual marketplaces. Political efforts to restore the CSR subsidies are underway, but it appears Republican leadership has some demands as part of those restoration efforts.
Posted September 26th, 2017 in Producers, Employers, Individuals

Spoiler Alert: The answer is no.

Senators Lindsey Graham (R-SC) and Bill Cassidy (R-LA) have been spearheading efforts to repeal and replace substantial parts of the Affordable Care Act (ACA). While there are many changes that the so-called “Graham-Cassidy” bill would make to the ACA, there are really three main themes that stand out:
 
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 June 13th, 2017 in Producers, Employers, Individuals
Under the Obama administration, the Department of Health and Human Services (HHS) issued regulatory guidance which shortened the maximum duration of Short-Term Medical (STM) insurance plans to less than 3 months (90 days). This was fully implemented as of April 1, 2017. 
 
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.

Posted May 23rd, 2017 in Producers, Employers, Individuals
One of the major issues at hand is whether the Trump administration will continue funding the cost-sharing reduction subsidies (CSRs), which are available to people who purchase coverage on the Health Insurance Marketplace. If the CSR subsidy funding is eliminated, there will be a great deal of volatility added to the individual health insurance market, and here’s why. 
 
Posted May 9th, 2017 in Producers, Employers, Individuals
Democrats could literally be heard singing “Na, Na, Na, Na, Hey, Hey, Goodbye” after House Republicans passed the American Health Care Act (ACA), a bill that aims to repeal and replace much of the Affordable Care Act (ACA). Why the heck would Democrats be singing this song since Republicans are one step closer to getting rid of their signature law? It turns out they were taunting House Republicans who they think won’t get reelected now that they voted to pass the AHCA.
 
Posted February 21st, 2017 in Producers, Employers, Uncategorized
Here are three big things that occurred with health care/ health insurance last week:
 
1. Proposed Rules to Stabilize Exchanges and the Individual Market
Posted February 16th, 2017 in Producers, Employers, Individuals

Approximately 12.2 million people signed up for coverage through federal and state-run Exchanges during the 2017 open enrollment period which ended on January 31st.