Pay or Play, Affordable Care Act

U.S. Department Of Labor Issues Model Notices Of Health Insurance Options

by Michael N. Morea | Cole Schotz on 5/22/2013

By October 1, 2013, most employers will be required to provide their current employees and new hires with notices of health insurance options. The notice is required to, among other things, inform employees of the existence...more

The Employer's Playbook for ACA Compliance: Are You In The 2014 "Pay Or Play" Game?

by Dan S. Brandenburg, Sarah Lockwood Church, Joanne G. Jacobson, Paul Kasicky, Joni Landy, Kevin Wiggins | Saul Ewing LLP on 5/22/2013

For better or worse, the ACA or Health Care Reform is still with us. If you do not want to end up in the penalty box in 2014, you must know whether you are subject to the employer shared responsibility provisions of the ACA...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

Who is a Large Employer Under Obamacare?

by Steven Saraisky | Cole Schotz on 5/10/2013

Among other things, the Patient Protection and Affordable Care Act (the “Act”), commonly referred to as Obamacare, requires “large employers” to provide qualified health coverage for all of their full-time employees, or pay...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

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

The Affordable Care Act’s “Play-Or-Pay” Mandate: Who Is A Full-Time Employee For Purposes Of The Employer Shared Responsibility...

by Margret Warrick Truax | Perkins Coie on 4/23/2013

Recently, we published a Client Update explaining how the Play-or-Pay mandate, or Employer Shared Responsibility provision, under the Affordable Care Act (ACA) generally works. To summarize, we described how an employer...more

Play or Pay and Minimum Essential Coverage: What, When and How (Much)?

by George Kasper, Ira Reifer | Pullman & Comley, LLC on 4/19/2013

Beginning in 2014, the Affordable Care Act’s employer shared responsibility rules, the so called “play or pay” rules, impose penalties on an employer with more than 50 “full-time equivalent” employees (a large employer) if...more

ACA Guidance on 90-Day Waiting Periods and Certificates of Creditable Coverage

by Amy Gordon, Megan Mardy, Jamie Weyeneth | McDermott Will & Emery on 4/12/2013

Recently issued Affordable Care Act guidance clarifies the prohibition on waiting periods in excess of 90 days and eliminates the requirement to issue HIPAA group health plan certificates of creditable coverage after December...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

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

Monthly Benefits Update - March 2013

by Daniel R. Salemi | Franczek Radelet P.C. on 4/1/2013

Health Care Reform: Agencies Issue Proposed Regulations on 90-Day Waiting Period Limitation - On March 21, the IRS, DOL, and Department of Health and Human Services issued proposed regulations on the 90-day waiting...more

Agencies Propose Regulations on the 90-Day Waiting Period Requirement

by Edward I. Leeds, Brian M. Pinheiro | Ballard Spahr LLP on 3/20/2013

The U.S. Departments of Health and Human Services, Labor, and Treasury have released a joint set of proposed regulations implementing the requirement in the Patient Protection and Affordable Care Act that group health plans...more

New Employer Shared Responsibility Penalty Guidance: Timely Employer Action Needed

by Jessica Carter, David Glaser, Meridith Bogart Krell, Bernard O'Hare, Bruce Wolff | Patterson Belknap Webb & Tyler LLP on 3/20/2013

In This Alert: - A. What Is The Employer Shared Responsibility Penalty? - What Is The “Failure To Offer Coverage Penalty”? - How Is The “Failure To Offer Coverage Penalty” Calculated? - What Is...more

I’m An Applicable Large Employer – To Whom Must I Offer Health Coverage In Order To Avoid Pay Or Play Penalties?

by Jewelie Grape | Leonard, Street and Deinard - Employee... on 3/12/2013

Beginning in 2014, the employer shared responsibility mandate of the Patient Protection and Affordable Care Act requires applicable large employers (those employing on average at least 50 full-time equivalent employees on...more

Countdown to 2014: Prepare for the Affordable Care Act Now

by Karen Aframe, Steve Gerlach | Bernstein Shur on 3/11/2013

Originally published in New Hampshire Business Review on March 8, 2013. The Affordable Care Act is the most important piece of employee benefits legislation since the passage of ERISA in 1974. And in the past few...more

Employers and The Affordable Care Act: What Lies Ahead

by Roberta Watson | Trenam Kemker on 3/6/2013

As the Legislature decides whether Florida will implement certain provisions of the Affordable Care Act (ACA), businesses of all sizes are grappling with the impact of the law and the choices they must make. Employers in...more

Health Care Reform Update - What employers should be doing now.

by Craig Day | Lane Powell PC - Labor & Employment Law on 2/28/2013

Although many of the provisions of the Patient Protection and Affordable Care Act (PPACA) were already in effect, the pace of change has quickened since the Supreme Court upheld the law in June of 2012. The law is composed of...more

Affordable Care Act: Preparing for 2014

by Steve Gerlach | Bernstein Shur on 2/26/2013

President Obama’s re-election confirmed that the Affordable Care Act will continue to be rolled out, and that its “pay-or-play” rules will become effective on January 1, 2014. These provisions require public and private...more

California Weighs In on Essential Health Benefits for Group Health Plans and Insurers

by Timothy G. Verrall | Ogletree, Deakins, Nash, Smoak & Stewart,... on 2/22/2013

As a reminder of the significant role that states will play in implementing the provisions of the Affordable Care Act (ACA), we wanted to highlight some recent legislative developments in California that will be of interest...more

Employers Need to Plan Now for the Next Phase of Health Care Reform

by Michael Hart, Lynne Shore Wakefield, Emily Zimmer | K&L Gates LLP on 2/22/2013

Although most employers have implemented the initial phases of Health Care Reform as they became effective over the past couple years, many of them have taken a “wait-and-see” approach to the next phase of Health Care Reform....more

Employers Subject To The Play Or Pay Penalties Under Health Care Reform

by Joanne Hanson Pearson | Pierce Atwood LLP on 2/15/2013

Beginning in 2014, large employers are subject to one of two “shared responsibility” penalties under the Patient Protection and Affordable Care Act (“ACA”), commonly known as the play or pay penalties. The Internal Revenue...more

The Affordable Care Act’s “Play Or Pay” Mandate: How It Works

by H. Vicky Chen, Margret Warrick Truax | Perkins Coie on 2/13/2013

The Affordable Care Act added the so-called “Play or Pay” mandate or “Employer Shared Responsibility” provisions to the Internal Revenue Code (the Code). Starting in 2014, certain employers may be subject to a penalty tax,...more

Mortgage Banking Update - Febuary 06, 2013

by Richard J. Andreano, Jr., Keith R. Fisher, Stefanie Jackman, Barbara S. Mishkin, Amy Mushahwar, Brian M. Pinheiro, Matthew Saunig, Robert Scott, John D. Socknat, Mercedes Kelley Tunstall, more +Michael S. Waldron | Ballard Spahr LLP on 2/6/2013

In This Issue: - Settlement of Michigan Lending Discrimination Lawsuit Underscores Regulatory Focus on Equal Access to Credit - Industry Employers Should Prepare Now for Health Care Reform - Title Insurers Not...more

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Pay or Play › Patient Protection and Affordable Care Act (PPACA)