HR & Compliance

  • Employer Responsibility: Offering Required Coverage by

    Posted on: July 31, 2014Categories: HR & Compliance

    Large employers that do not offer affordable health coverage that provides minimum value to their full time employees may be penalized if any full time employee receives a subsidy through an exchange. Applicable employers include those with 50 or more full time employees, including full time equivalent employees (FTEs). Sections of the healthcare reform law that detail employer penalty requirements are known as the “employer shared responsibility” provisions or the “pay or play” rules ...

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  • Defining Essential Health Benefits by

    Posted on: July 29, 2014Categories: HR & Compliance

    [caption id="attachment_8828" align="alignnone" width="248"] "The Affordable Care Act provides that essential health benefits mus include items and services within at least the following 10 categories (listed above)."[/caption] The Affordable Care Act (ACA) directed the Department of Health and Human Services (HHS) to provide detail as to which items and services are considered essential health benefits (EHBs). In December of 2011, HHS released a new bulletin regarding this request however th ...

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  • Federal Courts Issue Inconsistent Rulings on Subsidies in States with Federal Exchanges by

    Posted on: July 28, 2014Categories: HR & Compliance

    The Affordable Care Act (ACA) created subsidies in order to help eligible individuals and families purchase insurance through an exchange by reducing their out-of-pocket premium. There are two federal health insurance subsidies available when accessing coverage through an exchange. First, there are premium tax credits which reduce out-of-pocket premiums costs for the tax payer. These are typically available to people with higher incomes. The other type of subsidy is cost-sharing reduction whic ...

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