“We have to send out the ‘Notice to Employees of Coverage Options’ form when???!!!!”
By October 1, 2013 – less than 1 month away! But don’t worry, Keenan is here to help you meet this deadline and comply with this requirement of the Affordable Care Act.
This complimentary, one hour webinar will give you a crash course regarding the following:
- What is the ‘Notice to Employees of Coverage Options’?
- How do we remain compliant with this ACA requirement?
- What does this notice need to contain?
- Is it better to use the Model Notice provided by the Department of Labor?
- How do you fill in the Model Notice?
- What are the methods to determine Minimum Value and Affordability?
- What resources are available for further information?
Webinar: Don’t Be a Victim to Cyber Liability RisksKeenanSolutions
Data is everywhere within our organizations. Not protecting the data puts your organization at risk of lawsuits and other regulatory fines.
Cyber liability is one of the newest emerging risks that schools, public agencies, and healthcare organizations must manage on a daily basis. Don’t become one of the almost 4,500 organizations across the United States who were victims of a data breach within the last 10 years.
-
While employment liability claims typically involve wrongful termination, discrimination or harassment, there’s one more area to add to this trio: Retaliation Claims. These claims have become more common and our one-hour webinar, presented by Employment Liability expert Dennis Walsh, will give you a crash course on the following:
- Expanded definition of “Retaliation Claims”
- Review of several retaliation cases
- Best practices to mitigate retaliation claims
This document provides information about a textbook titled "Professional Issues in Information Technology" by Frank Bott. It addresses several topics related to social, legal, financial, organizational, and ethical issues in the IT industry. The book covers issues like professionalism, intellectual property law, legal/ethical issues regarding computer/internet misuse, data protection, and organizational structures. It is intended to match the syllabus of the BCS Professional Examination Diploma compulsory module on professional issues in information systems practice.
A lossless summary of Frank Bott book, Professional Issues in IT, chapter 12 "Software Contract and Liability".
Contents:
1. Contract
2. Fixed Price Contracts for Bespoke Systems
3. Consultancy and Contract Hire
4. Time and Materials
5. Outsourcing
6. License Agreements
7. Liability for Defective Software
8. Health and Safety
Law firms and legal departments face congestion and delays in retrieving records that can take months and hurt their cases. This congestion is caused by traditional methods that require staff to chase down custodians and documents. Now, specialized digital document retrieval companies can substantially shorten the records retrieval time to just a few weeks by consolidating the process into just a few steps and using customized technology and trained staff to continuously track and retrieve records. These companies alleviate congestion for law firms by handling all aspects of retrieval including subpoenas, payments, and document organization so that lawyers have instant digital access to complete case files from anywhere.
Law Office Administration & OrganizationMarie Tucker
This document discusses efficient law office operations and administration. It covers topics such as types of law offices, organizing client files, timekeeping and billing processes, conflicts of interest checks, retention of client documents, and maintaining confidentiality according to the Maine Bar Association rules of conduct. The document provides guidance on setting up new client matters, including preparing engagement letters, creating billing accounts, and properly organizing paper or electronic files.
This document discusses strategies for managing employee safety performance issues, including potential disciplinary action and unfair dismissal risks. It provides an overview of an employer's safety obligations and summarizes several legal cases related to dismissing employees for safety breaches. Key points addressed include balancing safety and unfair dismissal risks, improving investigation and disciplinary processes, and factors considered by fair work commissions like length of service and financial impacts. Case examples demonstrate outcomes for breaches of varying degrees and circumstances.
Webinar: Don’t Be a Victim to Cyber Liability RisksKeenanSolutions
Data is everywhere within our organizations. Not protecting the data puts your organization at risk of lawsuits and other regulatory fines.
Cyber liability is one of the newest emerging risks that schools, public agencies, and healthcare organizations must manage on a daily basis. Don’t become one of the almost 4,500 organizations across the United States who were victims of a data breach within the last 10 years.
-
While employment liability claims typically involve wrongful termination, discrimination or harassment, there’s one more area to add to this trio: Retaliation Claims. These claims have become more common and our one-hour webinar, presented by Employment Liability expert Dennis Walsh, will give you a crash course on the following:
- Expanded definition of “Retaliation Claims”
- Review of several retaliation cases
- Best practices to mitigate retaliation claims
This document provides information about a textbook titled "Professional Issues in Information Technology" by Frank Bott. It addresses several topics related to social, legal, financial, organizational, and ethical issues in the IT industry. The book covers issues like professionalism, intellectual property law, legal/ethical issues regarding computer/internet misuse, data protection, and organizational structures. It is intended to match the syllabus of the BCS Professional Examination Diploma compulsory module on professional issues in information systems practice.
A lossless summary of Frank Bott book, Professional Issues in IT, chapter 12 "Software Contract and Liability".
Contents:
1. Contract
2. Fixed Price Contracts for Bespoke Systems
3. Consultancy and Contract Hire
4. Time and Materials
5. Outsourcing
6. License Agreements
7. Liability for Defective Software
8. Health and Safety
Law firms and legal departments face congestion and delays in retrieving records that can take months and hurt their cases. This congestion is caused by traditional methods that require staff to chase down custodians and documents. Now, specialized digital document retrieval companies can substantially shorten the records retrieval time to just a few weeks by consolidating the process into just a few steps and using customized technology and trained staff to continuously track and retrieve records. These companies alleviate congestion for law firms by handling all aspects of retrieval including subpoenas, payments, and document organization so that lawyers have instant digital access to complete case files from anywhere.
Law Office Administration & OrganizationMarie Tucker
This document discusses efficient law office operations and administration. It covers topics such as types of law offices, organizing client files, timekeeping and billing processes, conflicts of interest checks, retention of client documents, and maintaining confidentiality according to the Maine Bar Association rules of conduct. The document provides guidance on setting up new client matters, including preparing engagement letters, creating billing accounts, and properly organizing paper or electronic files.
This document discusses strategies for managing employee safety performance issues, including potential disciplinary action and unfair dismissal risks. It provides an overview of an employer's safety obligations and summarizes several legal cases related to dismissing employees for safety breaches. Key points addressed include balancing safety and unfair dismissal risks, improving investigation and disciplinary processes, and factors considered by fair work commissions like length of service and financial impacts. Case examples demonstrate outcomes for breaches of varying degrees and circumstances.
When employers are faced with terminating employees in California, they often miss the numerous required notices and action steps they must take at or before the time of termination in order to comply with the law. In this presentation, Beth Arnese and I go over how to handle terminations in a legally compliant manner (not to mention as kindly and consciously as possible - which prevents lawsuits and bad karma).
Topics addressed include federal and state requirements for terminating employees, the necessary forms and notices, the California Unemployment Insurance Code, final wages, termination letters, COBRA and Cal-COBRA coverage, and severance pay and agreements.
This document discusses considerations for bringing personal devices into the workplace (BYOD). It defines BYOD and explains potential benefits for companies and employees. However, it also outlines ethical, legal and security risks that must be addressed, such as data protection, employee privacy and overtime pay. The document provides guidance for developing strong BYOD policies and advises both employers and employees to carefully manage expectations and responsibilities around personal device use for work.
The HSE has vowed to more closely scrutinize the health and safety management of small contractors and their clients due to an increase in construction accidents involving small companies. Statistics show that 65% of construction fatalities in 2010 could be traced back to companies with fewer than 10 employees, up from 30% a decade ago. Small contractors often have different characteristics than large firms that can influence their approach to health and safety, such as being family-owned businesses with little formal safety training and an informal approach. The HSE wants small contractors to improve their planning, risk assessment, and basic safety measures to better protect workers.
UOSH has authority to enforce workplace safety in Utah. It investigates accidents, issues citations for violations, and assesses penalties. During an investigation, employers should cooperate, preserve evidence, and be prepared with documentation of safety programs and training. Citations can be contested, and informal conferences provide an opportunity to settle or reduce penalties. Maintaining strong safety programs and documentation is important before and after any workplace accidents or inspections.
This presentation is designed to transition paralegals, as users of IT, into the role of administrator, the strategist, steward and trouble-shooter of IT.
A basic understanding of a law office network is essential. This understanding includes; (1) basic and advanced knowledge of a network, (2) the requirements for restoration and recovery of a network and finally (3) perfecting IT’s strategic plan by correctly identifying the needs of the users and leveraging the existing and future network services to address those needs.
This presentation assumes the attendees have a basic understanding of desktop PCs and networks. As paralegals, you have day-to-day experience with your firm’s technology and phone system. If you choose to become a law office administrator, you’ll need a different perspective on IT management. This presentation also assumes that you accept the requirement that the firm administrator must demonstrate competency in explaining IT network and structure requirements to the owners of the firm along with projecting the necessary competence to IT staff and contractors who support this essential service for the firm.
This document summarizes five key employment law issues for accounting firms: 1) Transition planning while avoiding age discrimination claims, focusing on when partners are protected and potential issues with transition agreements. 2) Technology in the workplace, specifically social media and "Bring Your Own Device" policies. 3) Determining whether workers are properly classified as independent contractors or employees. 4) Recent developments in restrictive covenant agreements, noting proposed changes in Massachusetts and case law in Illinois. 5) Legally compensating employees.
This document provides information on risk management for businesses. It discusses how identifying and addressing risks can reduce insurance costs and prevent losses. Key risks include those relating to premises like fire and theft, equipment like computers, employees, transportation, and theft or fraud. The document recommends businesses conduct risk assessments, improve security, and develop contingency plans to minimize risks and the impact of any losses. Proper risk management is also required by law for health and safety.
The document outlines an agenda for a seminar on conducting effective internal investigations. It discusses factors to consider in deciding whether to conduct an investigation in-house or outsource it, including objectivity, expertise, and privilege protections. It also covers determining the scope of an investigation, such as which witnesses and documents to examine. The document provides best practices for interviews and evidence collection, including topics to cover in interviews and preserving investigation notes.
The document outlines 7 key reasons why preventative maintenance cannot be overlooked for electrical systems. Preventative maintenance programs can help prevent equipment failure and downtime, reduce costs associated with repairs, and increase safety. Such programs provide regular inspection and maintenance of electrical components to address common issues before they lead to failures or outages. Utilizing qualified electrical contractors through a preventative maintenance program is more cost effective than maintaining electrical systems with in-house staff.
Top 5 issues employment law breakfast (k0227996 2)Jonathan Hyman
This document summarizes five key issues confronting businesses regarding their human relations practices: 1) proper classification of workers as employees or contractors to avoid legal liability; 2) ensuring internship programs comply with labor law; 3) determining which employees qualify for the administrative exemption; 4) understanding how the Affordable Care Act impacts employer-provided health insurance; and 5) understanding privacy issues and employer monitoring of technology in the workplace.
The document summarizes how the UK's Health and Safety Executive (HSE) will implement a new "Fee For Intervention" (FFI) scheme beginning October 1st, charging businesses for the time HSE inspectors spend addressing material breaches of safety legislation found during site visits. Key points include: HSE will charge £124 per hour for inspector time, plus additional costs; charges will apply from the start of an inspection if breaches are found; what constitutes a "material breach" is unclear but could include minor issues depending on the inspector; costs may be apportioned between multiple duty holders for shared worksites; and the new fees could significantly increase costs of addressing health and safety issues found by inspectors and alter
Ethics - Duty of Competency & TechnologyMichael Cole
The document discusses the ethical implications of using or not using technology in legal practice. It summarizes changes made by the ABA's Commission on Ethics 20/20 regarding competency in technology, confidentiality of electronic data, and e-discovery. The changes emphasize the duty of attorneys to maintain technological competence, safeguard confidential electronic information through reasonable means, and demonstrate competency regarding e-discovery obligations and processes. Failure to do so could result in disciplinary action or malpractice. Resources for further information on these topics are also provided.
Severance payments can affect labor markets in several ways:
1) They aim to provide income stability for workers and maintain consumption after job loss, but are only effective if payments are actually made quickly.
2) However, poorly designed severance regulations create unnecessary costs for firms without providing value to workers, leading to informality.
3) Strict dismissal procedures may also impact the timing of job separations and inhibit productive reallocations of labor across firms.
4) Enforcement of regulations is important, as is ensuring severance is actually paid to workers, such as through unemployment insurance or state payments when firms cannot pay.
This document provides guidance to contractors on developing effective health and safety programs. It outlines the key responsibilities of contractors under Ontario's health and safety laws. Contractors are advised to create a written health and safety policy and supporting program that addresses training, orientation of new workers, safe work procedures, inspections, and communication. Developing and implementing an effective policy and program can help contractors reduce costs from injuries while achieving good experience ratings and premiums from the Workplace Safety Insurance Board.
The document summarizes topics to consider for employers transitioning employees back to the workplace or continuing telework arrangements after the COVID-19 pandemic. Key compliance obligations remain unchanged, including requirements under the FLSA regarding tracking and paying employees for all work hours. Employers should update policies on recording work hours, conducting work, data privacy, and managing conduct for remote employees. Providing accommodations, preventing discrimination, ensuring workplace safety and complying with leave and benefit laws also require attention.
The document provides 7 strategies for minimizing coding claim denials:
1. Code claims correctly the first time by ensuring coders have proper training in coding and specialty areas.
2. Understand submission requirements of top payers and Medicare as a standard. Improve communication between coding and billing departments.
3. Use triage methodology to identify and prioritize common denial reasons like registration errors or incorrect codes/modifiers for targeted training.
4. Expect some unavoidable denials and work to appeal denials of medical necessity by verifying documentation supports the claim.
5. Maintain strong audit protocols and educate providers to minimize EMR claim errors.
6. Ongoing training, certification, and specialty
The document summarizes new sentencing guidelines in the UK that apply to organizations convicted of corporate manslaughter, health and safety, food safety, and hygiene offenses. The guidelines may result in higher penalties, especially for large organizations that created risks of death or serious injury. The guidelines address determining offense categories, starting points and ranges, factors that could warrant adjustment, and reductions for assistance and guilty pleas. Recent cases that applied the guidelines are highlighted. Commercial concerns for organizations given increased prosecutions and larger potential fines are also noted.
LexisNexis provides employment eligibility verification services to help companies streamline the I-9 employment eligibility verification process. The services allow companies to (1) automatically verify new employee eligibility, (2) electronically complete and store I-9 forms to reduce paper management, and (3) generate automated reminders to track expiration dates of work eligibility documentation. Using these services can help companies ensure they have valid I-9 documentation on file to prepare for audits and remain in compliance with federal I-9 regulations.
What To Do When a Government Inspector Knocks On Your DoorNFIB
1. The document provides guidance on preparing for and responding to inspections from various government agencies such as OSHA, EPA, ICE, and EEOC.
2. It outlines key records and documents to have organized such as training materials, injury logs, employment eligibility verification, and timekeeping records.
3. The document advises being courteous and cooperative during inspections to help prevent citations or enforcement actions.
The billing process for durable medical equipment (DME) is intricate, time-consuming, and exhausting. It’s also continually changing as requirements and compliance standards alter. DME providers face a slew of billing challenges if they don’t comprehend the intricacies, which could lead to reduced reimbursement rates and, as a result, lesser revenue.
The billing process for durable medical equipment (DME) is intricate, time-consuming, and exhausting. It’s also continually changing as requirements and compliance standards alter. DME providers face a slew of billing challenges if they don’t comprehend the intricacies, which could lead to reduced reimbursement rates and, as a result, lesser revenue.
When employers are faced with terminating employees in California, they often miss the numerous required notices and action steps they must take at or before the time of termination in order to comply with the law. In this presentation, Beth Arnese and I go over how to handle terminations in a legally compliant manner (not to mention as kindly and consciously as possible - which prevents lawsuits and bad karma).
Topics addressed include federal and state requirements for terminating employees, the necessary forms and notices, the California Unemployment Insurance Code, final wages, termination letters, COBRA and Cal-COBRA coverage, and severance pay and agreements.
This document discusses considerations for bringing personal devices into the workplace (BYOD). It defines BYOD and explains potential benefits for companies and employees. However, it also outlines ethical, legal and security risks that must be addressed, such as data protection, employee privacy and overtime pay. The document provides guidance for developing strong BYOD policies and advises both employers and employees to carefully manage expectations and responsibilities around personal device use for work.
The HSE has vowed to more closely scrutinize the health and safety management of small contractors and their clients due to an increase in construction accidents involving small companies. Statistics show that 65% of construction fatalities in 2010 could be traced back to companies with fewer than 10 employees, up from 30% a decade ago. Small contractors often have different characteristics than large firms that can influence their approach to health and safety, such as being family-owned businesses with little formal safety training and an informal approach. The HSE wants small contractors to improve their planning, risk assessment, and basic safety measures to better protect workers.
UOSH has authority to enforce workplace safety in Utah. It investigates accidents, issues citations for violations, and assesses penalties. During an investigation, employers should cooperate, preserve evidence, and be prepared with documentation of safety programs and training. Citations can be contested, and informal conferences provide an opportunity to settle or reduce penalties. Maintaining strong safety programs and documentation is important before and after any workplace accidents or inspections.
This presentation is designed to transition paralegals, as users of IT, into the role of administrator, the strategist, steward and trouble-shooter of IT.
A basic understanding of a law office network is essential. This understanding includes; (1) basic and advanced knowledge of a network, (2) the requirements for restoration and recovery of a network and finally (3) perfecting IT’s strategic plan by correctly identifying the needs of the users and leveraging the existing and future network services to address those needs.
This presentation assumes the attendees have a basic understanding of desktop PCs and networks. As paralegals, you have day-to-day experience with your firm’s technology and phone system. If you choose to become a law office administrator, you’ll need a different perspective on IT management. This presentation also assumes that you accept the requirement that the firm administrator must demonstrate competency in explaining IT network and structure requirements to the owners of the firm along with projecting the necessary competence to IT staff and contractors who support this essential service for the firm.
This document summarizes five key employment law issues for accounting firms: 1) Transition planning while avoiding age discrimination claims, focusing on when partners are protected and potential issues with transition agreements. 2) Technology in the workplace, specifically social media and "Bring Your Own Device" policies. 3) Determining whether workers are properly classified as independent contractors or employees. 4) Recent developments in restrictive covenant agreements, noting proposed changes in Massachusetts and case law in Illinois. 5) Legally compensating employees.
This document provides information on risk management for businesses. It discusses how identifying and addressing risks can reduce insurance costs and prevent losses. Key risks include those relating to premises like fire and theft, equipment like computers, employees, transportation, and theft or fraud. The document recommends businesses conduct risk assessments, improve security, and develop contingency plans to minimize risks and the impact of any losses. Proper risk management is also required by law for health and safety.
The document outlines an agenda for a seminar on conducting effective internal investigations. It discusses factors to consider in deciding whether to conduct an investigation in-house or outsource it, including objectivity, expertise, and privilege protections. It also covers determining the scope of an investigation, such as which witnesses and documents to examine. The document provides best practices for interviews and evidence collection, including topics to cover in interviews and preserving investigation notes.
The document outlines 7 key reasons why preventative maintenance cannot be overlooked for electrical systems. Preventative maintenance programs can help prevent equipment failure and downtime, reduce costs associated with repairs, and increase safety. Such programs provide regular inspection and maintenance of electrical components to address common issues before they lead to failures or outages. Utilizing qualified electrical contractors through a preventative maintenance program is more cost effective than maintaining electrical systems with in-house staff.
Top 5 issues employment law breakfast (k0227996 2)Jonathan Hyman
This document summarizes five key issues confronting businesses regarding their human relations practices: 1) proper classification of workers as employees or contractors to avoid legal liability; 2) ensuring internship programs comply with labor law; 3) determining which employees qualify for the administrative exemption; 4) understanding how the Affordable Care Act impacts employer-provided health insurance; and 5) understanding privacy issues and employer monitoring of technology in the workplace.
The document summarizes how the UK's Health and Safety Executive (HSE) will implement a new "Fee For Intervention" (FFI) scheme beginning October 1st, charging businesses for the time HSE inspectors spend addressing material breaches of safety legislation found during site visits. Key points include: HSE will charge £124 per hour for inspector time, plus additional costs; charges will apply from the start of an inspection if breaches are found; what constitutes a "material breach" is unclear but could include minor issues depending on the inspector; costs may be apportioned between multiple duty holders for shared worksites; and the new fees could significantly increase costs of addressing health and safety issues found by inspectors and alter
Ethics - Duty of Competency & TechnologyMichael Cole
The document discusses the ethical implications of using or not using technology in legal practice. It summarizes changes made by the ABA's Commission on Ethics 20/20 regarding competency in technology, confidentiality of electronic data, and e-discovery. The changes emphasize the duty of attorneys to maintain technological competence, safeguard confidential electronic information through reasonable means, and demonstrate competency regarding e-discovery obligations and processes. Failure to do so could result in disciplinary action or malpractice. Resources for further information on these topics are also provided.
Severance payments can affect labor markets in several ways:
1) They aim to provide income stability for workers and maintain consumption after job loss, but are only effective if payments are actually made quickly.
2) However, poorly designed severance regulations create unnecessary costs for firms without providing value to workers, leading to informality.
3) Strict dismissal procedures may also impact the timing of job separations and inhibit productive reallocations of labor across firms.
4) Enforcement of regulations is important, as is ensuring severance is actually paid to workers, such as through unemployment insurance or state payments when firms cannot pay.
This document provides guidance to contractors on developing effective health and safety programs. It outlines the key responsibilities of contractors under Ontario's health and safety laws. Contractors are advised to create a written health and safety policy and supporting program that addresses training, orientation of new workers, safe work procedures, inspections, and communication. Developing and implementing an effective policy and program can help contractors reduce costs from injuries while achieving good experience ratings and premiums from the Workplace Safety Insurance Board.
The document summarizes topics to consider for employers transitioning employees back to the workplace or continuing telework arrangements after the COVID-19 pandemic. Key compliance obligations remain unchanged, including requirements under the FLSA regarding tracking and paying employees for all work hours. Employers should update policies on recording work hours, conducting work, data privacy, and managing conduct for remote employees. Providing accommodations, preventing discrimination, ensuring workplace safety and complying with leave and benefit laws also require attention.
The document provides 7 strategies for minimizing coding claim denials:
1. Code claims correctly the first time by ensuring coders have proper training in coding and specialty areas.
2. Understand submission requirements of top payers and Medicare as a standard. Improve communication between coding and billing departments.
3. Use triage methodology to identify and prioritize common denial reasons like registration errors or incorrect codes/modifiers for targeted training.
4. Expect some unavoidable denials and work to appeal denials of medical necessity by verifying documentation supports the claim.
5. Maintain strong audit protocols and educate providers to minimize EMR claim errors.
6. Ongoing training, certification, and specialty
The document summarizes new sentencing guidelines in the UK that apply to organizations convicted of corporate manslaughter, health and safety, food safety, and hygiene offenses. The guidelines may result in higher penalties, especially for large organizations that created risks of death or serious injury. The guidelines address determining offense categories, starting points and ranges, factors that could warrant adjustment, and reductions for assistance and guilty pleas. Recent cases that applied the guidelines are highlighted. Commercial concerns for organizations given increased prosecutions and larger potential fines are also noted.
LexisNexis provides employment eligibility verification services to help companies streamline the I-9 employment eligibility verification process. The services allow companies to (1) automatically verify new employee eligibility, (2) electronically complete and store I-9 forms to reduce paper management, and (3) generate automated reminders to track expiration dates of work eligibility documentation. Using these services can help companies ensure they have valid I-9 documentation on file to prepare for audits and remain in compliance with federal I-9 regulations.
What To Do When a Government Inspector Knocks On Your DoorNFIB
1. The document provides guidance on preparing for and responding to inspections from various government agencies such as OSHA, EPA, ICE, and EEOC.
2. It outlines key records and documents to have organized such as training materials, injury logs, employment eligibility verification, and timekeeping records.
3. The document advises being courteous and cooperative during inspections to help prevent citations or enforcement actions.
The billing process for durable medical equipment (DME) is intricate, time-consuming, and exhausting. It’s also continually changing as requirements and compliance standards alter. DME providers face a slew of billing challenges if they don’t comprehend the intricacies, which could lead to reduced reimbursement rates and, as a result, lesser revenue.
The billing process for durable medical equipment (DME) is intricate, time-consuming, and exhausting. It’s also continually changing as requirements and compliance standards alter. DME providers face a slew of billing challenges if they don’t comprehend the intricacies, which could lead to reduced reimbursement rates and, as a result, lesser revenue.
ADP Totalsource - Affordable Care Act Reporting and ComplianceTom Rehnberg
The Affordable Care Act represents a huge administrative burden this coming year and businesses are looking for a solution. The ADP Totalsource platform has the ability to relieve this new compliance burden to keep companies from risk of audits and penalties.
Lean Start-up Business Tactics Seminar - HR Issues and Your Start-up UNHInnovation
Inevitably, you will need the services and/or skill sets of other people to get your business running. When you begin to add people to your lean start-up, the initial question will be whether or not each person will be an employee or independent contractor. This seminar will help you understand the pros and cons of each type of relationship, and the legal risks in one vs. the other.
If you hire even one employee, there are HR legal compliance issues you will need to address. This seminar also discusses the HR issues that are most important as you begin to add employees, such as:
-Your obligations under wage laws and employment verification laws
-Approaching incentive compensation
-Protecting your confidential information and trade secrets
As an employer, there are many questions you need to answer in order to satisfy these complicated Affordable Care Act provisions.
Paychex can help. Visit http://bit./ly/payx-esr for more information.
I Get That All the Time! Frequently Asked Questions About OFCCP AuditsBiddle Consulting Group
This presentation focuses on some of our most frequently asked questions and most helpful answers on every federal contractor's favorite topic - OFCCP Audits!
The slides include discussion points about:
OFCCP (New Regulations/Executive Orders & Update), Compensation, Highest Selection Rate, Adverse Impact in Hiring, Data reconciliation,Promotions, Individuals with Disabilities and Protected Veterans, and OFCCP Audit Requests.
Visit www.BCGinstitute.org for online HR training in Affirmative Action Methodology, Adverse Impact Analyses, Test Validation, Compensation and more!
Is there anything we can do to help expedite an ATE application? MLM 5Demi Edmunds
This document provides advice on how a law firm can help expedite an application for after the event (ATE) legal expenses insurance. It recommends that the firm submit a concise and comprehensive application that includes:
1) A completed proposal form that responds to all questions and provides requested budgetary information.
2) A brief case summary that outlines the claim, any defense points, remedies sought, legal issues, stage of the case, prospects for settlement, and prospects for enforcement if successful.
3) Key supporting documents like counsel's opinion, letters of claim/response, statements of case, witness evidence, and information on enforcement prospects.
The document advises that providing this necessary information to the underwriter
This document summarizes the costs and benefits of implementing OpenPM practice management software compared to traditional in-house systems. OpenPM offers lower upfront and ongoing costs through a monthly subscription model with no large capital expenses, maintenance fees, or long-term commitments required. It reduces investment risk and saves practices thousands per year compared to typical total ownership costs of in-house systems that are six times the initial software fee over five years. OpenPM provides full-featured software and strong customer support at affordable prices through its software-as-a-service model.
CLE Presentation: Brian Kaveney, Litigation Partner at Armstrong Teasdale
The choice of a lawyer is an important decision and should not be based solely on this presentation. All rights are reserved and content may not be reproduced, disseminated or transferred, in any form or by means, except with the prior written consent of Armstrong Teasdale.
Recruiting and Hiring, Including Restrictive Covenants (Series: Protecting Yo...Financial Poise
This document provides information about an upcoming webinar on recruiting and hiring employees. The webinar will discuss legal issues related to interviewing, background checks, job offers, and restrictive covenants. It introduces the four panelists who are attorneys that specialize in labor and employment law. The webinar is part of a series that addresses various aspects of the employer-employee relationship from hiring to termination.
This document provides a summary of a virtual reference guide for workers compensation. It begins with a table of contents that lists sections on policy information and loss reports, claims reporting and resources, medical and disability resources, developing a safety program, and premium audit and accounting processes. The sections provide information on viewing policy details, reporting claims, finding preferred medical providers, developing elements of an effective safety program including conducting a safety analysis, and understanding the premium audit process.
The document discusses the three most common challenges with DME billing: policy violations, coding errors, and insufficient documentation. It provides examples of each challenge and recommends implementing quality control measures to reduce errors, such as verifying codes and documentation match the services provided. Offshoring DME billing to a specialized company can help providers overcome complexities and gain timely payments.
DME billing is complex, and Info Hub, a leading offshore DME billing company in India comes with the required expertise to help increase your revenue. Efficiency is the key to success in any healthcare setting! Your ability to innovate and improve patient experience while lowering costs and minimizing mistakes is critical to your success. To fulfil these objectives, it is critical to have a well-functioning medical billing system in place. With our DME billing services, we leverage our experience, expertise, and latest technology to ensure complete accuracy and competence.
This document provides a 6-step workflow for medical office claims reimbursement: 1) Prepare new patients with necessary documentation; 2) Verify patient insurance coverage and benefits; 3) Obtain required authorizations; 4) Collect charges and file claims correctly; 5) Post payments and address non-payments; 6) Aggressively work accounts receivables to maintain cash flow. Following these steps ensures complete documentation, proper billing, and timely reimbursement. The Iridium Suite practice management software supports the workflow with features like eligibility checking, electronic billing, and automated payment posting.
Omni-Med offers the Option-Pay program to provide patient financing for elective medical care. The program requires no setup costs, equipment, or credit checks. It aims to increase case acceptance by offering financing to more patients. The program allows practices to set financing terms and control the process. It offers high approval ratios, enhanced reporting, and the ability to monitor accounts online. The document addresses common challenges practices face with patient financing and insurance gaps. It presents the Option-Pay program as a solution to increase revenue by expanding access to care.
10 Tips for Reducing Wokers' Compensation CostsEPAY Systems
Rising workers’ compensation costs are among many employers’ greatest concerns, as large-dollar claims against companies—especially those who employ hourly, blue collar workers—continue to rise.
While the laws regarding workers’ compensation benefits vary from state to state, all but one state requires mandatory coverage for private employees. Generally, these mandatory benefits include medical bills, compensation for lost time from work, and permanency benefits for the residual effects of a work related injury. Interestingly, medical services provided on a workers’ compensation case are typically billed at a much higher rate than Medicare, state provided health coverage such as Medicaid, and even private group health insurance. Because of this and other factors, the cost of doing business has taken a significant toll on both the traditional “mom and pop” small employer and large corporations in certain states.
While workers’ compensation coverage is a necessary expense for businesses, there are also many indirect costs of on-the-job injuries and accidents, which go beyond your insurance costs. This may include training replacement employees, investigating claims, repairing damaged equipment and property, and implementing corrective measures. Plus, your business may lose productivity and be forced to deal with lower employee morale.
The document describes PayTrak Protect, an affordable health and dental benefits plan offered exclusively to clients of PayTrak Payroll Services. PayTrak Protect offers pooled group plans at negotiated rates to provide benefits typically only available to large businesses. Clients can choose between bronze, silver, and gold plans and PayTrak handles administration and claims processing. The benefits plan is intended to help small businesses attract and retain employees by offering affordable health coverage.
The document describes PayTrak Protect, an affordable health and dental benefits plan offered exclusively to clients of PayTrak Payroll Services. PayTrak Protect offers pooled group plans at negotiated rates administered by PayTrak to provide big business benefits to small businesses. Clients can select between bronze, silver, and gold plans with varying coverage levels. PayTrak handles setup, premium collection, payments to insurers, and ongoing support to make benefits easy for clients to offer employees. Marketing materials are being developed to promote PayTrak Protect to PayTrak's existing client base.
Reporting Requirements for Every Business
At the minimum, the IRS requires every employer to document, track and prove their employer status. Get the complete break down of requirements for employee counts from 0 to 100+.
Learn Critical Terms You Need to Know
From Form 1095-C to Safe Harbor Rules, we break down the most frequently used ACA terms employers will encounter.
Get A Blueprint for Measurement Periods
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2. License No. 045127License No. 045127
Affordable Care Act: Essential Points
You Need to Know about the “Notice to
Employees of Coverage Options “
Presented by:
Jerry Healy
Employee Benefits Counsel
Keenan
Cynthia Stribling
Training Director
Keenan
3. License No. 045127
Notice to Employees of Coverage Options
• Which employers are required to send the
Notice? What is the due date?
• Who gets the Notice? Can it be electronic?
• What must the Notice say? Is it better to use the
Model Notice?
• What are the methods to determine Minimum
Value and Affordability? What data do I need?
• What constitutes compliance? What resources
are available for further information?
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4. License No. 045127
What is the “The Notice?”
• Employers must send a written notice to all
employees of coverage options available through
the “Marketplace.”
• In California, this means Covered California.
• Notice is due by October 1, 2013
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5. License No. 045127
Date of Notice Distribution
5
OCTOBER 2013
1
TUESDAY
… Or upon hire, if after October 1, 2013
6. License No. 045127
Who needs to send the Notice?
• Employers subject to FLSA
• Hospitals
• Schools
• Government agencies
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7. License No. 045127
Who gets the Notice?
•Required:
–All employees
•Not Required:
–Non-employees
–Family members
–Retirees
–Cobra beneficiaries
7
8. License No. 045127
Delivery Requirements of the Notice
•Automatic
•Free of Charge
•Understandable by average employee
•First-class mail
•Electronic delivery with special requirements
8
9. License No. 045127
DOL Electronic Delivery Safe Harbor
9
The Plan Administrator should:
1.Take appropriate and necessary measures reasonably calculated to ensure that the system for furnishing
documents:
(a) Results in actual receipt of the document (e.g. using return receipt, etc.); and
(b )Protects the confidentiality of personal information relating to the individual’s accounts and benefits.
2. The document is prepared and furnished in a manner that is consistent with the style, format and content
requirements of the Notice.
3. The employee is informed at the time the Notice is sent of the significance of the document and the right to
receive a paper copy; and
4. Upon request, the individual is provided a paper version of the Notice.
5. Recipients must be either be
(a) individuals who have the ability to access electronic documents from any location where the participant
performs duties as an employee; and has access to the employer’s information system; or
(b) individuals who have affirmatively consented to receiving documents electronically and have been provided
a clear and conspicuous statement indicating:
(i) The types of documents to which the consent would apply;
(ii) That consent can be withdrawn at any time without charge;
(iii) The procedures for withdrawing consent;
(iv) The right to obtain a paper copy without charge; and
(v) Any hardware or software requirements for obtaining and retaining documents or changes to such
requirements
http://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=146cf725bf038cd08d96bc60304d65d2&rgn=div6&view=text&node=29:9.1.3.3.3.6&idno=29
10. License No. 045127
What must the Notice say?
1. Inform the employee of the existence of the Marketplace (Exchange) including
a description of the services provided by the Marketplace, and the manner in
which the employee may contact the Marketplace to request assistance;
2. Inform the employee that if the employer plan’s share of the total allowed costs
of benefits provided under the plan is less than 60% of such costs, that the
employee may be eligible for a premium tax credit under section 36B of the
Internal Revenue Code (the “Code”) if the employee purchases a qualified
health plan through the Marketplace; and
3. If the employee purchases a qualified health plan through the Marketplace, the
employee may lose the employer contribution (if any) to any health benefits
plan offered by the employer and that all or a portion of such contribution may
be excludable from income for Federal income tax purposes.
10
15. License No. 045127
The Hard Part: Minimum Value/Affordability
15
If checked, this coverage meets the
minimum value standard, and the cost of
this coverage to you is intended to be
affordable, based on employee wages.
17. License No. 045127
How will I know that my health plan has
“Minimum Value”?
• Insured Plans – Insurance Carrier
• Self-funded Plans:
–Design-Based Safe Harbor
–Minimum Value Calculator
–Actuarial Certification
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18. License No. 045127
Design-Based Minimum Value Safe Harbors
18
DESIGN-BASED MINIMUM VALUE SAFE HARBORS
Design Medical
Deductible
Rx Deductible Medical Cost
Sharing
Rx Cost
Sharing
OOP
Maximum
Drug-Tier Co-
Pays
Specialty Drug
Coinsurance
HSA
1 $3500 Integrated Med/RX 80%/20% 80%/20% $6,000 N/A N/A N/A
2 $4500 Integrated Med/RX 70%/30% 70%/30% $6,400 N/A N/A $500
3 $3,500 $0 60%/40% 75%/25% $6,400 $10/$20/$50 75% N/A
20. License No. 045127
Non-Standard Plans
• What if my plan doesn’t fit into any of those
Minimum Value “Safe Harbor” tools?
– Actuarial Certification is required
– Contact your Keenan representative for assistance in
determining Minimum Value
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21. License No. 045127
How will I know that my health plan is
“Affordable”?
• An ACA FTE’s cost for the lowest cost self-only
Minimum Essential Coverage that meets
Minimum Value requirements offered by the
employer is “affordable” if it does not exceed
9.5% of his/her Household Income
– Challenge: Predicting ACA FTE Household Income
– May ask employees for HI but they don’t have to provide
this information (employee relations loser)
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22. License No. 045127
Affordability Safe Harbors
• Satisfying one of 3 Affordability Safe Harbors can exempt
employer from tax penalties while allowing employee to receive
Federal subsidies
• Conditions:
– Self-only coverage under plan must be of Minimum Value
– Must give FTEs an opportunity to enroll each year
– Employer cannot reduce hourly/monthly wages during the
year
• Safe Harbors may apply to any reasonable category of
employees, provided done so on a uniform and consistent basis
for all in category
22
23. License No. 045127
Affordability Safe Harbors
• Federal Poverty Line Safe Harbor: Full-
Time and Part-Time Employees
– Employee’s contribution for lowest cost self-only coverage
does not exceed 9.5% of FPL for a single individual, divided by
12
– 2013 FPL for an individual is $11,490
– 9.5% x $11,490 12 = $90.96 = maximum “affordable”
contribution per month
23
24. License No. 045127
Affordability Safe Harbors
• Form W-2 Safe Harbor for Full-Time Employees
– Employee’s required contribution for the calendar year does not
exceed 9.5% of employee’s Form W-2 wages (box 1) from the
employer
– Application of safe harbor occurs after close of calendar year
– Employee’s contribution must be a consistent amount or
percentage for the plan year(s) within the calendar year
– Amounts are adjusted to reflect partial years of coverage
• Example
– Lowest cost self-only coverage is $100/month
– Box 1 Form W-2 should be no less than $12,631.56
– $12,631.56 12 = $1,052.63
– 9.5% x $1052.63 = $100 = maximum “affordable” contribution per
month
24
25. License No. 045127
Affordability Safe Harbors
• Rate of Pay Safe Harbor for Full-time and Part-Time
Employees
– Employee’s contribution for a month for the lowest cost self-only
coverage doesn’t exceed 9.5% of an amount equal to 130 hours
multiplied by the employee’s hourly rate of pay on the first day of
coverage (the first day of the plan year)
– Use monthly salary for salaried employees
– To use this Safe Harbor, employer may not reduce wages during the year
• Example
– Lowest cost self-only coverage is $100/month
– Employee’s rate of pay is $8.50/hour
– $8.50 x 130 hours = $1,105 monthly rate of pay
– $1,105 x 9.5% = $104.98 = maximum “affordable” contribution per
month
25
26. License No. 045127
Rate of Pay Safe Harbor Example :
Hourly Employee Full-Time
• Works 40 hours a week for $8.50/hr
• Monthly cost of insurance: $100
• 130 times $8.50 = $1,105 monthly rate of pay
• 9.5% of $1,105 = $104.98
Affordable!
26
27. License No. 045127
Rate of Pay Safe Harbor Example:
Salaried Employee Full-Time
• Monthly Salary: $1,360
• Monthly cost of insurance: $130
• 9.5% of $1,360 = $129.20
Not Affordable!
27
28. License No. 045127
Rate of Pay Safe Harbor Example :
Hourly Employee Part-Time
• Works 20 hours a week for $8.50/hr
• Monthly cost of insurance: $100
• 130 times $8.50 = $1,105 monthly rate of pay
• 9.5% of $1,105 = $104.98
Affordable!
28
If checked, this coverage meets the
minimum value standard, and the cost of
this coverage to you is intended to be
affordable, based on employee wages.
29. License No. 045127
“Bright Line” Determination of Affordability
Example:
Monthly cost of lowest cost minimum value self-only coverage on
January 1, 2014 is $102
$102/.095 = $1,073.68 (130 x hourly rate of pay or monthly salary).
Conclusion:
1. Hourly employees whose hourly wage is no less than $8.26/hour
($1,073.68/130) have “affordable” coverage.
2. Salaried employees whose monthly salary is no less than $1, 073.68
have “affordable” coverage.
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31. License No. 045127
Going Forward …
• Choose one or all of the three Affordability Safe
Harbors, depending on your categories of
employees
• Complete your Workforce Analysis to see who
must be tested
• Review the impact of your findings with your
governing body/board by doing a Strategic
Impact Study
31
33. License No. 045127
Employer Resources
• Are you subject to FLSA?:
• http://www.dol.gov/elaws/esa/flsa/scope/screen24.asp
• The Model Notice to Employees can be found at:
http://www.dol.gov/ebsa/pdf/FLSAwithplans.pdf
• Federal Calculator to determine Minimum Value:
• http://www.cms.gov/CCIIO/Resources/Regulations-and-
Guidance/Downloads/mv-calculator-final-4-11-2013.xlsm
• Guidance on Determining Affordability:
• http://www.keenan.com/news/brief/2013/BRF_20130204_Assess
ablePartI_KA.pdf
• Employee Relations FAQs and Other Resources:
• http://www.keenan.com/hcr/
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34. License No. 045127
34
Questions?
Disclaimer – Keenan & Associates is an insurance brokerage and consulting firm.
It is not a law firm or an accounting firm. We do not give legal advice or tax
advice and neither this presentation, the answers provided during the Question
and Answer period, nor the documents accompanying this presentation
constitutes or should be construed as legal or tax advice. You are advised to
follow up with your own legal counsel and/or tax advisor to discuss how this
information affects you.
34