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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
Last week, the Centers for Medicare & Medicaid Services (CMS) issued the final rule (Final Rule) on Market Stabilization under the Affordable Care Act (ACA). The Final Rule aims to lower insurance premiums, stabilize individual and small group markets, reduce fraud, waste and abuse, promote continuous coverage, empower states, reduce duplication of efforts between the states and federal government and increase the number of health insurance plans and plan choices available to consumers in the M...
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Categories: Health Care Reform, Compliance, Health Care in General | Tags: CMS , Market Stability , ACA , Affordable Care Act , AV Calculator , qualified health plan , stabilization , health insurance , Marketplace

Employers Starting to Receive MarketPlace Notices

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The federal Marketplace has recently started to send out Marketplace Notices to employers based upon information they gathered from individuals. The Marketplace is trying to determine who is or is not eligible for a Premium Tax Credit.
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Categories: Health Care Reform, Compliance | Tags: Pay or Play , Penalty , 1411 , Marketplace , Appeal , IRS , HHS
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