San Antonio North Chamber: How 2 Series
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San Antonio North Chamber: How 2 Series

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eESI would like to thank the San Antonio North Chamber for being a part of the How 2 Series on May 30th, 2011. We hope our dialogue in regards to Healthcare Reform was beneficial to all.

eESI would like to thank the San Antonio North Chamber for being a part of the How 2 Series on May 30th, 2011. We hope our dialogue in regards to Healthcare Reform was beneficial to all.

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San Antonio North Chamber: How 2 Series San Antonio North Chamber: How 2 Series Presentation Transcript

  • Benefits: Health Care Reform Health Care Reform What It Means to My Business Presented by: eESI Ken Barge Shannon Schumacher
    • What is Health Care Reform?
    • Why was Health Care Reform passed?
    • Where are we now?
    • What’s up next?
    • Questions for my business?
    • What can I do?
    Benefits: Health Care Reform
  • What is Health Care Reform?
    • Patient Protection and Affordable Care Act (PPACA)
      • Signed by President Obama March 23, 2010
    • Health Care and Education Reconciliation Act of 2010
      • Signed by President Obama March 30, 2010
      • Amends PPACA provision and adds new provisions
    Benefits: Health Care Reform
    • Provide Broader Coverage for Americans
      • Implementing a health exchange program
      • Implement employer and individual mandates
    • Increase Level of Care
      • Removing annual and lifetime limitations
      • Removing pre-existing limitations
    • Control Costs
      • Minimum loss ratios
      • Provide new regulations and policies
      • Was Reform a Necessity or Political?
    Why was Health Care Reform passed? Benefits: Health Care Reform
  • Where Are We Now?
    • Expansion of preventative services
    • Dependants coverage up to age 26
    • No pre–existing conditions for children under the age of 19
    • Changes to lifetime maximum benefits and annual limits
    • Expansion of non-discrimination requirements
    • Annual rebates on fully insured plans
    • Elimination of FSA reimbursements for over-the-counter drugs
    • Small employer tax credits
    • Waiting periods no longer than 90 days
    • Coverage appeals
    • Grandfather plans
    • High risk pools
    Benefits: Health Care Reform
  • Where Are We Now?
    • Enforcement delayed on 105 (h) non-discrimination rules for all fully insured non-grandfathered plans
      • IRS solicited comments in March
      • Guidance expected later this year
    • W2 Reporting made optional for 2011
      • New guidance issued March 29 for 2012
      • Relief for smaller employers (those filing fewer than 250 W-2 forms) by making this requirement optional for them at least for 2012 and possibly longer (till more guidance is issued)
      • For larger employers - includes information on how to report, what coverage to include and how to determine the cost of the coverage
    • 1099 Reporting requirements repealed
    • Employee Free Choice Voucher Program eliminated
    • Most of the funding for Cooperative Plans eliminated
    Benefits: Health Care Reform
  • What Up Next?
    • 2012
      • Form W-2 reporting
    • Uniform summary of benefits
    • 2013
      • Increase in medical deduction
      • Medicare tax on High Income earners/Self Employed/Unearned income
      • Premium Tax-Research
      • Flexible spending arrangement maximum imposed ($2500)
      • Notice of insurance exchanges due to employees
    Benefits: Health Care Reform
    • The Big 2014
      • Individual health insurance mandate fine 1%
      • Employer Mandate 50+(less than 50 exempted)
      • Small employer tax credit increased to 50% (less than 25)
      • Auto enrollment for companies with 200+ employees
      • Waiting period greater than 90 days eliminated
      • Pre existing conditions eliminated
      • Premium assistance credit
      • Insurance exchanges begin
      • Penalties and vouchers for unaffordable insurance
    • 2015-2017
      • Large employers now eligible for health insurance exchanges
      • Increase on medical deduction threshold for tax payers 65+
    What Up Next? Benefits: Health Care Reform
  • Questions For My Business
    • Can I anticipate health care costs to increase at a smaller percentage?
    • Should I prepare for government health care system?
    • Should I offer health insurance in the future?
    • How will the exchanges work?
    • Why and How do I need to pay attention?
    Benefits: Health Care Reform
    • Pray
    • Take Action
      • Education
      • Wellness
      • Change in Philosophy
    What Can I Do? Benefits: Health Care Reform
    • Education
      • Review key components of the Act
        • Keep up-to-date
      • Work with subject matter experts
      • Health Insurance Exchanges
        • How do you manage risks
        • Rates may look attractive
        • Will this work for my Company?
    What Can I Do? Benefits: Health Care Reform
    • Wellness
      • Government tried but fell a little short
      • Health Conditions
        • According to BCBS of TX 5 most expensive medical conditions
          • Heart Disease, Ortho-Back, Renal Failure, Hypertension, Diabetes
        • Among minority groups two major health concerns
          • Hypertension & Diabetes
        • For every pound of weight that you lose, it removes 3 pounds of pressure off your knees and back.
      • Benefits of Wellness
        • Increase productivity
        • Reduce absenteeism
        • Reduce health insurance rates
    What Can I Do? Benefits: Health Care Reform
    • Change in Philosophy
      • Understand
        • Consumer Driven Health Plans
        • Employees have skin in the game
        • Work with subject matter experts
          • Understand how your plan works
          • Deductibles, Out of pocket maximums, HSA’s Gap Products, Supplemental Insurance Products
      • Pay Penalty vs. Offering Health insurance?
        • 30% of companies are considering canceling insurance plans
        • Penalties less than the offering health Insurance
          • AT&T – 2.4 billion to offer insurance vs. 600 million penalty.
          • Chance employees will leave to other companies
    What Can I Do? Benefits: Health Care Reform
    • Updates
      • Subject matter experts
    • Take action
      • Education
      • Philosophical changes
      • Wellness
    Overview Benefits: Health Care Reform
  • Questions? Benefits: Health Care Reform
  • Contact Information Benefits: Health Care Reform
    • Web: www.eesipeo.com/peopletalk_eevents
    • Facebook: www.facebook.com/eEmployersSolutions
    • LinkedIn: www.linkedin.com/company/eesi
    • Twitter: @eESI_Talk
    Thank you to the North Chamber, members and guest for the opportunity to participate in the Small Business How 2 Series.