Everything you need to know about the Affordable Care Act in an easy-to-read timeline provided by CBIZ.

1. 20182013 2014 20152010 2011 2012
 Form W-2 Reporting (≥ 250 W-2s)
 Summary of Benefits and Coverage
 60-day Advanced Notice of Material
Modification of Benefits
 Patient-Centered Outcomes
Research Fee
 Women's Preventive Services
 Individual Mandate
 Health Insurance Marketplace Coverage Opens
 Premium Assistance Subsidy
 90-day Maximum Waiting Period
 No Annual Limits
 No Pre-Existing Condition Exclusions
 Annual Fees by Health Insurers
 Increase in Outcome-based Wellness Program Reward
 Clinical Trial Coverage
 Transitional Reinsurance Fees
 Large Controlling Health Plans (CHP) (≥ $5M) obtains
Health Plan Identifier (HPID)
 Marketplace User Fee
 Fair Health Insurance Premium
 Guaranteed Availability and Renewability of Coverage
 Cost-sharing Restrictions applicable to Essential Health
Benefits
 Cadillac
Tax
 Employer Shared
Responsibilty Mandate
(100+ Employees; and 50-
99 Employee-size unless
exception applies)
 Employer Health Insurance
Reporting (Section 6056)
and Benefit Disclosure
 Insurer/Self-Funded Plan
Reporting (Section 6055)
and Benefit Disclosure
 Small Controlling Health
Plans (CHP) (≤$5M) obtain
HPID
 $2.500 FSA Cap
 Notice of Marketplace Options to
Employees by Oct. 1
 Medical Device Excise Tax
 Increase in Employee Medicare
Withholding Tax for High Earners
 Elimination of Tax Deduction -
Medicare Part D Employer Subsidy
 Medical Loss Ratio
Requirements
 Fee on Pharmaceutical
Manufacturers
and Importers
 Insurer Annual Rate
Justification Process
 Extension of Dependent Coverage
up to Age 26
 Preventive Health Services - No
Cost Sharing
 Independent Claims & Appeals,
External Review Process
 Choice of PCP
 Access to OB/GYN Services
 Access to ER services
 Ban on Pre-Existing Condition
Exclusion < age 19
 Ban on Coverage Rescission
 Annual & Lifetime Limit Phase-out
Begins
 Small Business Tax Credit
 Temporary High Risk Pool
Market reform mandates applicable
to Non-Grandfathered Plans only
2016
 Employer Shared
Responsibility Mandate
(50-99 Employees)
 All CHPs with HPID must
Certify ACA Compliance