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Guidance on DOMA Trickles In

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Ever since the Supreme Court ruled that Section 3 of the Defense of Marriage Act (DOMA) was unconstitutional, employers and employees have awaited federal guidance on how the decision would affect taxation and eligibility for employer-based benefits for same sex spouses and domestic partners.
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Categories: Benefits in General, Compliance, Health Care in General | Tags: DOMA
In a surprise announcement, the Wisconsin Office of the Commissioner of Insurance (OCI) produced a bulletin on July 2, 2013 to “All Insurers Authorized to Write Health Insurance in Wisconsin” authorizing those insurers to write small group insured medical plans with deductibles greater than the maximum deductible limits set in the Affordable Care Act (ACA) if the employer purchasing that plan makes contributions to a health FSA or health reimbursement arrangement (HRA) such that those contribu...
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Categories: Health Care Reform, Benefits in General, Compliance, Health Care in General | Tags:

Medical Loss Ratio (MLR) Rebates are Coming

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MLR rebates are a function of a provision in Health Care Reform applicable to an employer’s insured major medical health plan.
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Categories: Health Care Reform, Benefits in General, Compliance, Health Care in General | Tags: Medical Loss Ratio

Thinking of Renewing Your Health Plan Early?

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From time to time, employers have changed the renewal date of their health insurance plan; often for business reasons such as aligning the renewal date with the employer’s fiscal (tax) year or to correspond with their Code Section 125 cafeteria plan year. With the impending implementation of several key Health Care Reform (aka Affordable Care Act) provisions as health plans renew on or after January 1, 2014, several insurance issuers and some employers are contemplating renewing the health insu...
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Categories: Health Care Reform, Benefits in General, Compliance | Tags:

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

Supreme Court Overturns DOMA

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In a Supreme Court decision earlier this morning (June 26, 2013), Section 3 of the Defense of Marriage Act (DOMA) was overturned by a 5 – 4 decision.
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Categories: Benefits in General, Compliance, Health Care in General | Tags:
With several key Health Care Reform provisions scheduled to take effect in 2014, especially the option for employees to purchase health insurance through the Health Insurance Marketplace in each state, regulators have some concern that employers might retaliate against employees who purchase Marketplace-based coverage and receive a premium tax credit or cost-sharing reduction.
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Categories: Health Care Reform, Benefits in General, Compliance, Health Care in General | Tags: Health Care Reform

PCOR Fee is a Business Expense

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Under Health Care Reform, a Patient-Centered Outcomes Research (PCOR) fee is payable by a health insurance issuer and/or the plan sponsor (employer) of a self-insured medical plan, most health reimbursement arrangements (HRAs) and any non-excepted Health Care FSAs.
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Categories: Health Care Reform, Benefits in General, Compliance | Tags: PCOR Fee

Form 720 Revised for PCOR Fee

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The IRS recently published a revised version of excise tax Form 720 to include the fee owed to fund the Patient-Centered Outcomes Research (PCOR) Institute.
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Categories: Health Care Reform, Benefits in General, Compliance, Health Care in General | Tags:
On May 23, 2013, Senate Finance Committee Ranking Member Orrin Hatch (R-Utah) and U.S. Senator Marco Rubio (R-Fla.) introduced the Family and Retirement Health Investment Act of 2013. Companion legislation was introduced in the U.S. House of Representatives by U.S. Rep. Erik Paulsen (R-Minn.). Both pieces of legislation are intended to strengthen and expand Health Savings Accounts (HSAs) and Flexible Spending Arrangements (FSAs) for Americans.
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Categories: Health Care Reform, Benefits in General, Compliance | Tags: FSA Forfeiture