Affordable Care Act, Employer Group Health Plans

IRS, Treasury Department Issue Proposed Rules Governing Minimum Value, Affordability, and Wellness Programs

by Alden J. Bianchi | Mintz Levin - Employment, Labor & Benefits on 5/17/2013

A key policy goal of the Patient Protection and Affordable Care Act (the “Act”) is the expansion of health insurance coverage to all Americans. The concepts of “minimum value” and its correlate “actuarial value” speak to the...more

Affordable Care Act: Employers Must Soon Provide Marketplace Notices to Employees

by J. S. Christie, Andrew Elbon, B. David Joffe, Jack Levy, Gordon Earle Nichols, Laura Schiele Robinson, Jay Turner | Bradley Arant Boult Cummings LLP on 5/15/2013

Employers have until October 1, 2013, to provide notice to current employees of coverage options available through the Health Insurance Marketplace established under the Affordable Care Act. On May 8, 2013, the U.S....more

Strategic Implementation of Employer Shared Responsibility Rules & 2014 Planning Considerations

by Shumaker, Loop & Kendrick, LLP on 5/14/2013

In This Presentation: •Welcome •Overview of the Employer Shared Responsibility Rules - Impact on Corporate Structure - Time Line Examples to Demonstrate Application of Measurement, Administrative & Stability...more

DOL Releases Guidance on Employer Notices about Exchange Availability

by Jean C. Hemphill, Robert Kaplan | Ballard Spahr LLP on 5/10/2013

The U.S. Department of Labor (DOL) has published guidance on the notice that most employers must provide to their employees by October 1, 2013, about the insurance that will be available through health care marketplaces known...more

Treasury Proposes Minimum Value Rules for Health Plans

by Kurt Anderson, Brian M. Pinheiro | Ballard Spahr LLP on 5/9/2013

The U.S. Department of the Treasury has published proposed regulations that provide guidance on how an employer may determine whether its group health plan provides “minimum value.”...more

Employer Responsibility – Will You Pay or Play?

by Kathryn Paradise, David L. Woodard | Poyner Spruill LLP on 5/7/2013

Starting in 2014, provisions of the Patient Protection and Affordable Care Act become effective known as “Pay or Play” or “Employer Shared Responsibility.” Large employers will be faced with the decision whether to offer...more

Health Care Reform Implementation Update - May 6, 2013

by Mark Alderman | Cozen O'Connor on 5/7/2013

Last week the Centers for Medicare & Medicaid Services (CMS) issued new proposed regulations on FY 2014 payment updates and regulatory policy changes for inpatient and long term care hospitals, skilled nursing facilitates,...more

Staffing Industry Compliance with the Employer Shared Responsibility (aka “Pay-or-Play”) Provisions of the Affordable Care Act:...

by Alden J. Bianchi | Mintz Levin - Employment, Labor & Benefits on 5/3/2013

Under the Patient Protection and Affordable Care Act (the “Act”), the federal government, state governments, insurers, employers, and individuals all share responsibility to make affordable health insurance coverage widely...more

Benefits Update, No. 2, May 2013: Healthcare Reform: To Play Or Pay – That Is The Question

by Callan G. Carter | Fisher & Phillips LLP on 5/3/2013

Probably the most important mandate for employers is the “play or pay” mandate, also known as the employer-shared responsibility, which will require large employers (those with the equivalent of 50 or more full-time...more

Agencies Issue New FAQs Regarding Implementation of ACA

by James R. Napoli | Proskauer - ERISA Practice Center on 5/1/2013

The US Departments of Labor, Health and Human Services (HHS), and the Treasury (the “Agencies”) jointly issued yesterday a document entitled “FAQs about the Affordable Care Act Implementation Part XV” (“FAQs”) addressing four...more

The ACA’s Effects on the Employer Insurance Market

by Joel Ario, David Herbst | Manatt, Phelps & Phillips, LLP on 4/30/2013

Will Employers Face a Surge in Enrollment? Employers start by asking one big question. Are they currently excluding a significant number of employees to whom they now will need to offer coverage? For many, the answer...more

More Guidance Issued on Summaries of Benefits and Coverage

by Robert Kaplan, Edward I. Leeds | Ballard Spahr LLP on 4/26/2013

The U.S. Department of Labor has issued a set of frequently asked questions, together with a new template, for the Summary of Benefits and Coverage (SBC) that applies to group health plans and individual health insurance. The...more

Healthcare Law -- Apr 22, 2013

by Manatt, Phelps & Phillips, LLP on 4/22/2013

In This Issue: The ACA’s Effects on the Employer Insurance Market; Using the Premium Assistance Option to Purchase Coverage for Medicaid Beneficiaries in the Exchange: A Review of the Legal, Policy and Operational Issues; and...more

New Affordable Care Act Fees Impact Group Health Plans in 2013 and 2014

by Deborah Bracy, Susan Whittaker Hughes, John McGowan, Jennifer Mills | BakerHostetler on 4/16/2013

On July 31, 2013, the first of various fees will be due that are imposed by the Affordable Care Act on self-insured group health plans and/or issuers of insured health policies providing accident and health coverage. Beyond...more

On the Manifold Meanings of "Affordability" According to the Patient Protection and Affordable Care Act

by Alden J. Bianchi | Mintz Levin - Employment, Labor & Benefits on 4/12/2013

The core policy goals of the Patient Protection and Affordable Care Act (the “Act”)—on which there is near universal consensus—are threefold: expand health care coverage; increase the quality of medical outcomes, and reduce...more

Health Care Reform: Decisions and a Changing World for Employers

by Wesley Roberts, Michael Sheridan | Butler, Snow, O'Mara, Stevens and Cannada,... on 4/11/2013

Having cleared the hurdles of a Supreme Court decision and the 2010 and 2012 national elections, health care reform mandated by the Patient Protection and Affordable Care Act (“PPACA” or the “Act”) is closing in fast on key...more

Controlling the “Play or Pay Penalty” under Healthcare Reform

by Lori Oliphant | Winstead PC on 4/11/2013

Proposed rules issued under the Affordable Care Act clarify the determination of “large employer” status and the calculation of the penalty for controlled groups of employers. This guidance confirms that the penalty is...more

Money And Trinkets Provided For Wellness

by Aimee Dreiss, Vicki M. Nielsen | Ogletree, Deakins, Nash, Smoak & Stewart,... on 4/10/2013

More and more employers and insurance companies are providing incentives and rewards to employees and their covered dependents to encourage participation in wellness programs—programs designed to improve an individual’s...more

Higher Insurance Premiums For Smokers And The Obese

by Cynthia A. Augello | Cullen and Dykman LLP on 4/9/2013

The perils of smoking and obesity have long been the topic of conversation in doctors’ offices and between nagging family members. However, employers are jumping on the bandwagon by imposing higher health insurance premiums...more

Proposed Regulations Released On The 90-Day Waiting Period Limitation Under The ACA

by Tracy Morley | XpertHR - Partnered with LexisNexis on 4/5/2013

On March 18, 2013, the US Departments of Health and Human Services, Labor and Treasury jointly released proposed regulations implementing the 90-day waiting period limitation under the Affordable Care Act. Under the proposed...more

Are You Considering Conditioning A Job Offer On An Agreement That The Applicant's Disabled Dependent Won't Enroll In The Health...

by Beth Alcalde | Akerman Senterfitt on 4/3/2013

Traditional employment laws often interact with traditional employee benefit laws. One such example is the Americans with Disabilities Act (ADA)'s impact on employer-sponsored group health plans. As group health plan costs...more

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Patient Protection and Affordable Care Act (PPACA) › Employer Group Health Plans