RESOURCE CENTER

Health Care Reform (AHNJ)
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2017 Summary of Benefits and Coverage Changes
The Department of Health and Human Services has mandated several changes to the Summary of Benefits and Coverage (SBC) template effective with April 1, 2017 renewals. They include...
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Employer shared responsibility
As a reminder, Applicable Large Employers (ALE) are required under the ACA to offer coverage to a minimum of 95 percent of their full-time eligible employees. The coverage must meet minimum value and must be deemed affordable to their employees.
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IRS 1095 Forms — FAQs for Members
to help subscribers understand the purpose of the 1095 form and to answer general questions for self-service
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Small Group Definition Update
The decision to implement the Small Group ACA definition for the state of New Jersey was in the hands of the New Jersey Department of Banking and Insurance (DOBI). DOBI has decided to continue to define New Jersey small groups as 1-50 employees.
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Supreme Court issues ruling on King v. Burwell
he Supreme Court’s decision means that, under the ACA, individuals who purchased their insurance on FFM and receive financial subsidies from the federal government, may continue to do so. AHNJ nor its plans will be affected.
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SHOP Agent/Broker Enrollment User Guide
If you have any questions regarding the enrollment process for Employers in SHOP or need assistance with changing an employer’s authorization status, please refer to this guide. AHNJ cannot assist with clients enrolled through SHOP.
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AHNJ Minimum Essential Coverage - FAQ fact sheet
AHNJ branded FAQ providing details on the Minimum Essential Coverage portion of ACA, in addition to what AHNJ will be doing to assist with the data collection.
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Small Business Guide to Health Care Law
This comprehensive guide explains how health care reform affects small businesses (SEH).
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Health Care Law & You - Quick Start (for members)
An abbreviated version of the Health Care Law & You guide.
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Health Care Law & You (SPANISH - for members)
This comprehensive guide explains everything a member needs to know about health care reform. SPANISH VERSION
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Health Care Law & You (for members)
This comprehensive guide explains everything a member needs to know about health care reform.
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Learn — Your Guide to Health Insurance (2014)
This brochure intended for members, includes information about the health care law, health plans, and all of the networks AmeriHealth New Jersey offers, including the new Cooper Advantage and Tier 1 Advantage networks
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09.18.2012
SBC Distribution Guide for Employers
This guide reviews the rules regarding SBC distribution. Required for NB or renewals after 9/23/12, AHNJ will distribute via member notice and ID card distribution, directing member to Xpress access updated SBC & download.
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09.18.2012
Update on Uniform Summary of Benefits & Coverage (part 2)
This release is an update to a prior update AHNJ released. The timetable for their SBC's to be ready for distribution has been pushed back. Brokers can access on ROAM as of 9/17/12, paper distribution will be ready 9/23/12, and Xpress on 10/17/12.
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09.18.2012
Employers should prepare to report cost-of-coverage information
Employers issing W2 forms to employees in January 2013 for the 2012 tax year are required per PPACA to disclose total cost of their employee health coverage on W2. Those who file 250 or fewer are not required under 2013 tax year.
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