RESOURCE CENTER

General Healthcare Reform
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HCR Bulletin: Wellness Plans and Health Care Reform FAQs
Recently HHS issued final rules to wellness plans and reform. These rules impact existing wellness plans and provide guidance to groups wishing to implement one. The final regs make substantial changes to the prior proposed regs.
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Variable Hour/Seasonal Employees - Visual Explanation
This is meant as a visual supplement to a full overview of the rules. There are examples for 12 month and 6 month standard measurement periods. Also, there is a blank sheet provided as a worksheet to sketch out alternate periods.
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Legislative Brief: DOL Isses Notice of Exchange Guidance
On May 8, 2013, the DOL issued highly-anticipated guidance, in the form of a Technical Release, on the requirement for most employers (those subject to the FLSA) to provide written notice to employees about health insurance Exchanges.
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Legislative Brief: Model COBRA Election Notice Updated for Health Care Reform
Leg Brief overviews the recent DOL release and the COBRA election notice has been updated to reflect the expansion of access to affordable health care (e.g., employees of small business will have access to coverage through the Exchange).
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05.08.2013
New Health Insurance Exchange (Marketplace) Notices
Revised ACA ruling regarding exchange notices states that employers are required to provide this written notice to each current employee not later than October 1, 2013, and to each new employee at the time of hiring beginning October 1, 2013.
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05.06.2013
Legislative Brief: Role of Agents, Brokers and Web-brokers in Exchanges
Agents and brokers, including web-brokers, will play a role in educating consumers about Exchanges and insurance affordability programs and in helping consumers receive eligibility determinations, compare plans and enroll in coverage.
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05.06.2013
Legislative Brief: Proposed Rule on Minimum Value and Affordability
On 5/1/13, the (IRS) released a proposed rule on the minimum value and addordability rules under ACA. The IRS provides guidance on determining whether health coverage under an ER sponsored plan is affordable and meets minimum value.
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05.06.2013
Guidance Released Detailing the Role of Agents and Brokers in State Exchanges
On 5/1/13, more guidance was issued by CMS. In short, agents and brokers will be permitted to assist in the placement of individuals in one of the state-based or federal exchange/marketplace plans for a commission to be paid directly from the insurer
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05.03.2013
NAHU - Washington Update for May 3, 2013
This special release compliments the standard Newswire release, providing a summary of reform specific legislative updates. Main Topics: Shorter Exchange Applications, HHS releases FAQ, Dems wary of Reform Rollout
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04.24.2013
Road to Reform: Preparing for 2013 and 2014
This customer brochure is available in paper format, or online interactive. This guide is to help clients understand what is to come in 2013, adn what provisions will be effective in 2014.
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04.19.2013
Legislative Brief: Potential Penalties for Employers under Pay or Play Rules
ACA does not explictly mandate an employer to offer acceptable health coverage, however, beginning in 2014, employers with 50+ employees will face penalties if certain criteria are not met. Learn more so you can educate your clients!
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04.19.2013
Legislative Brief: Employer & Individual Responsibility Requirements
Under ACA, a large employer will face penalties if it does not offer health coverage to substantionally all FT employees, as well as meet certain affordability values. Individuals must also obtain coverage or face penalty.
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04.05.2013
Legislative Brief: HHS to Delay part of Small Employer Exchanges
HHS announced a proposal to delay the employee-choice portion of the small business insurance Exchanges by one year. The delay is intended to provide the SHOP Exchanges with additional time to prepare for this model.
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04.05.2013
Legislative Brief: Proposed Rule on Exchange Navigator Programs
On April 5, 2013, HHS released a proposed regulation on consumer assistance programs through the Exchanges, called Navigators. States must create these programs but cannot use Federal funds toward it.
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04.05.2013
Federal Register: Proposed Rule - SHOP Exchanges Delayed Until 2015
A recently issued proposed rule delays the requirement for SHOPs to provide employers the option of offering employees a choice of any qualified health plan until plan years beginning on or after 1/1/15.
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