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September 2012 Health Care Reform
Posted on: September 5, 2012Categories: HR & ComplianceIndividual Tax Credits to Trigger Employer Penalties The Affordable Care Act (ACA) created a premium tax credit to help eligible individuals and families purchase health insurance through an Affordable Insurance Exchange (Exchange). By reducing a taxpayer’s out-of-pocket premium costs, the credit is designed to make coverage through an Exchange more affordable. The Exchanges are scheduled to become operational in 2014, with enrollment beginning Oct. 1, 2013. On May 23, 2012, the Inter ...
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August 2012 Health Care Reform
Posted on: August 8, 2012Categories: HR & ComplianceSummary of Benefits & Coverage We have previously covered Summary of Benefits and Coverage and are revisiting it because all groups that renew after September 23, 2012 must be in compliance with the new SBC requirements. The Patient Protection and Affordable Care Act (PPACA) requires health plans and health insurance issuers to provide a summary of benefits and coverage (SBC) to applicants and enrollees. Both non-grandfathered and grandfathered plans will need to provide the SBC. Th ...
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July 2012 Health Care Reform
Posted on: July 11, 2012Categories: HR & ComplianceHow employers Should Handle MLR Rebates The Affordable Care Act (ACA) requires health insurance issuers to spend a minimum percentage of their premium dollars on medical care and health care quality improvement. This percentage, or medical loss ratio (MLR), is 85 percent for issuers in the large group market and 80 percent for issuers in the small and individual group markets. Issuers that do not meet the applicable MLR standard must provide rebates to consumers. The MLR requirements, which are ...