1. Employer Pay or Play Penalty
Delay
January 1, 2015
Individual Mandate Penalty Still
April 1, 2014
New Delay Announced under the
Affordable Care Act

2. Employers will have more time
to
Offer or not offer health
coverage
Select Insurance
Plan(s)
Develop pricing and
implementation
strategy
Test to minimize
possible future penalty
under Pay or Play

3. No Delay for Employers
Health Plans must still meet all other requirements such as
90 day waiting periods and no pre-existing condition clauses
Notification requirements such as Summary Benefits
Coverage (SBC) and Exchange Availability Notice

4. Honor System for Individuals
IRS won’t be able to
determine if the employee
has affordable and
minimum value health care
coverage
Indications are that individuals
will also self-attest to income for
2014 to get subsidy and
verification may be difficult

5. Lack of Reporting from Employer and Individual Self-
Reporting May lead to some individuals getting a
premium tax credit when they are not eligible

6. Impact to Individuals
Could lead to a tax liability
when they file their taxes at
the end of 2014 and/or
disenrollment from the plan
they have selected in 2015

7. Impact to Employers
State Exchanges may
want to verify employer
coverage directly instead
of accepting individuals’
word
Employees will want to
know what to do
Employees on
exchange in 2014
could trigger
$3,000 penalty in
2015 if they
remain in the
exchange.

8. What can an Employer
do to reduce the
confusion?

9. Communicate
Now
Is our plan
considered
affordable?
It is, so you
should answer
yes to the
question on
employer
coverage

10. Consider Using Exchange Notice Due on October 1, 2014
We will not
offer health
insurance in
2014
We will offer
affordable
and minimum
value health
insurance in
2014
To High-Light type of Health Insurance that will be available in 2014

11. The Best News for Employers
is there will be more time to
get it right without a penalty

12. If you found this information valuable,
then please pass it on!
Thank you!
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