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HHS Releases 2019 Proposed ACA Regulations

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HHS has recently released proposed regulations that include the benefit and payment parameters for 2019, and other proposed insurance market and Exchange-related rules. This information is of most interest to insurance carriers and states, that run their own Exchanges, however some of the details will be of interest to employers.
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Categories: Health Care Reform, Compliance | Tags: ACA , SHOP , MOOP , EHB , SEP , Exchange , Premium Tax Credit

Cost-Sharing Reduction Payments to Be Discontinued

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On October, 12, 2017, the White House announced that cost-sharing reduction payments to insurance companies providing ACA Marketplace plans would be discontinued immediately.
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Categories: Health Care Reform, Health Care in General | Tags: cost-sharing reduction , Trump , Administration , white house , ObamaCare , ACA , Affordable Care Act , health insurance , exchange , marketplace , insurance
The Centers for Medicare & Medicaid Services recently announced that it would make available special enrollment periods for Medicare beneficiaries and people wanting to procure Federal Exchange health insurance plans who were impacted by Hurricanes Harvey, Irma and Maria.
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Categories: Benefits in General, Health Care Reform, Compliance, Health Care in General | Tags: Medicare , CMS , Exchange , Marketplace , Hurricane , Irma , Harvey , Maria , Special Enrollment Period , SEP , Open Enrollment

DOL Updates Various Model Notices

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The Department of Labor (DOL) has extended the effective date of various notices.
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Categories: Health Care Reform, Compliance, Health Care in General | Tags: CHIPRA , DOL , COBRA , Exchange , Model Notice
The IRS recently released Notice 2016-75, which provides guidance and relief for small employers located in Wisconsin counties where no qualified health plan was available through a SHOP Exchange in 2016 but who would nonetheless like to take advantage of the tax credit available under Internal Revenue Code Section 45R.
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Categories: Health Care Reform | Tags: SHOP , Exchange , Small employers , Wisconsin , Notice 2016-75 , Form 8941

Obamacare Subsidies Upheld

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In a 6-3 ruling, the Supreme Court ruled in favor of the Obama administration that subsidies are available for coverage purchased through a federally facilitated exchange, as well as exchanges established by a state.
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Categories: Health Care Reform, Compliance | Tags: Exchange , Subsidy
The IRS has issued Notice 2014-55 to expand the application of the permitted election change rules under Code Section 125 for cafeteria plans to allow an employee to revoke their election to pay the premiums for their employer’s group health plan pre-tax in order to purchase other coverage in two situations when certain criteria are satisfied.
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Categories: Compliance | Tags: IRS , Marketplace , Exchange , Permitted

ACA’s Employer Mandate Delayed Until 2015

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One of the key health care reform provisions scheduled to go into effect as health plans renew in 2014 has been delayed until plan renewals in 2015.
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Categories: Benefits in General, Compliance, Health Care in General | Tags: Health Insurance Marketplace Equals Exchange , DOL Releases Marketplace Model Notices

Health Insurance Marketplace Equals Exchange

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When the Patient Protection and Affordable Care Act (PPACA) was enacted in March 2010, one of the more controversial provisions was the formation of public Exchanges, in each state, for individuals or small businesses to purchase health insurance from starting in January 2014.
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Categories: Health Care Reform, Benefits in General, Compliance | Tags: Exchanges

Employer’s Exchange Notice Delayed

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The Employee Benefits Security Administration (EBSA) recently announced that the required notice that employers were to provide by March 1, 2013 to their employees regarding the coverage options available through the health care exchanges has been delayed until the necessary regulations and guidance are issued, probably by late summer or early fall 2013.
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Categories: Health Care Reform | Tags: Health Care Exchanges