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The Affordable Care Act (ACA) has caused confusion with
requirements and deadlines. The numerous elements are
keeping HR professionals on edge with what to do and when
to do it. This is designed to assist you with the challenges
and dates required with ACA.
Timeline of Major Events Affecting Group Health Plans
W-2 reporting: cost of employer sponsored health coverage
2012 taxable year for 250 or more W-2s in 2011, sent no later
than January 31, 2013
2012
20122013
Employer-provided Exchange Notice FLSA
October 1, 2013
HIPAA electronic transactions and operating rules
Staggered from January 2013 to January 2016
Medicare tax increase of 0.9% for wages over $200,000
Taxable years starting on or after January 1, 2013
2013
Health FSA $2,500 limit on salary reduction contributions,
indexed for inflation
Plan years on or after January 1, 2013
Medical expense tax deduction increase from 7.5% to 10%
of AGI
Taxable years starting on or after January 1, 2013 (exception
if individual or spouse is at least 65 for taxable years of 2013–2016)
Automatic enrollment Section XXXI
Subject to issuance of regulations in 2014, likely delayed
beyond 2014
Comprehensive health insurance coverage
Plan years starting on or after January 1, 2014 (grandfather exception)
201420152018
Annual limits, previously restricted, now prohibited on
essential health benefits
Plan years starting on or after January 1, 2014
Excessive waiting periods (i.e., more than 90 days)
prohibited PHSA
Plan years starting on or after January 1, 2014
Fair health insurance premiums
Plan years starting on or after January 1, 2014 (grandfather exception)
Guaranteed renewability of coverage
Plan years starting on or after January 1, 2014 (grandfather exception)
Reporting of health insurance coverage
January 1, 2015
Nondiscrimination based on health status
Plan years starting on or after January 1, 2014
(limited grandfather exception)
Health insurance
Marketplace opens
January 1, 2014
Guaranteed availability of coverage
Plan years starting on or after January 1, 2014 (grandfather exception)
Cost-sharing limitations
Plan years starting on or after January 1, 2014 (grandfather exception)
2014
2018
Clinical trial coverage
Plan years starting on or after January 1, 2014 (grandfather exception)
Shared responsibility for employers with more than 50
full-time equivalent employees (play or pay penalty tax)
Shared responsibility for individuals (individual mandate)
January 1, 2014
January 1, 2015
PCE prohibition (for all), previously only those under age 19
Plan years starting on or after January 1, 2014 (grandfather exception)
Nondiscrimination against health care providers
Plan years starting on or after January 1, 2014 (grandfather exception)
40% tax on high-cost health coverage (“Cadillac Plan Tax”)
January 1, 2018
Affordable Care Act
iGUIDE
© 2012 Infinisource
One source. Infinite Solutions.
2015

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Affordable Care Act Timeline

  • 1. The Affordable Care Act (ACA) has caused confusion with requirements and deadlines. The numerous elements are keeping HR professionals on edge with what to do and when to do it. This is designed to assist you with the challenges and dates required with ACA. Timeline of Major Events Affecting Group Health Plans W-2 reporting: cost of employer sponsored health coverage 2012 taxable year for 250 or more W-2s in 2011, sent no later than January 31, 2013 2012 20122013 Employer-provided Exchange Notice FLSA October 1, 2013 HIPAA electronic transactions and operating rules Staggered from January 2013 to January 2016 Medicare tax increase of 0.9% for wages over $200,000 Taxable years starting on or after January 1, 2013 2013 Health FSA $2,500 limit on salary reduction contributions, indexed for inflation Plan years on or after January 1, 2013 Medical expense tax deduction increase from 7.5% to 10% of AGI Taxable years starting on or after January 1, 2013 (exception if individual or spouse is at least 65 for taxable years of 2013–2016) Automatic enrollment Section XXXI Subject to issuance of regulations in 2014, likely delayed beyond 2014 Comprehensive health insurance coverage Plan years starting on or after January 1, 2014 (grandfather exception) 201420152018 Annual limits, previously restricted, now prohibited on essential health benefits Plan years starting on or after January 1, 2014 Excessive waiting periods (i.e., more than 90 days) prohibited PHSA Plan years starting on or after January 1, 2014 Fair health insurance premiums Plan years starting on or after January 1, 2014 (grandfather exception) Guaranteed renewability of coverage Plan years starting on or after January 1, 2014 (grandfather exception) Reporting of health insurance coverage January 1, 2015 Nondiscrimination based on health status Plan years starting on or after January 1, 2014 (limited grandfather exception) Health insurance Marketplace opens January 1, 2014 Guaranteed availability of coverage Plan years starting on or after January 1, 2014 (grandfather exception) Cost-sharing limitations Plan years starting on or after January 1, 2014 (grandfather exception) 2014 2018 Clinical trial coverage Plan years starting on or after January 1, 2014 (grandfather exception) Shared responsibility for employers with more than 50 full-time equivalent employees (play or pay penalty tax) Shared responsibility for individuals (individual mandate) January 1, 2014 January 1, 2015 PCE prohibition (for all), previously only those under age 19 Plan years starting on or after January 1, 2014 (grandfather exception) Nondiscrimination against health care providers Plan years starting on or after January 1, 2014 (grandfather exception) 40% tax on high-cost health coverage (“Cadillac Plan Tax”) January 1, 2018 Affordable Care Act iGUIDE © 2012 Infinisource One source. Infinite Solutions. 2015