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North Chamber Hcr 20110630 Slideshare

North Chamber Hcr 20110630 Slideshare






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    North Chamber Hcr 20110630 Slideshare North Chamber Hcr 20110630 Slideshare 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---eemployers-solutions-inc Twitter: @eESI_Talk Thank you to the North Chamber, members and guest for the opportunity to participate in the Small Business How 2 Series.