This document provides an overview of health insurance exchanges and defined contribution health plans under national healthcare reforms. It notes that starting in 2014, individuals must have health insurance or pay a penalty. It describes the different types of health insurance marketplaces (i.e. exchanges) that will be available and when open enrollment periods will occur. It also summarizes key provisions like essential health benefits and premium tax credits/subsidies. Finally, it provides a high-level explanation of defined contribution health plans and how they may work.
How can you smooth the healthcare reform transition? Learn about the mandates currently in place, the mandates that are coming in the near future, what employers need to do, and what employees need to do. Participants can also ask specific questions about how healthcare reform may impact their organization.
Affordable Care Act 101: What the Healthcare Law Means for Small BusinessSmall Business Majority
August 8, 2013. Hosted by the U.S. Small Business Administration and Small Business Majority. This webinar focused on what the new healthcare law, the Affordable Care Act, means for small businesses. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
Affordable Care Act 101: What the New Healthcare Law Means for Your Small Bus...Small Business Majority
August 15, 2013. Hosted by the U.S. Small Business Administration and Small Business Majority. This webinar focused on what the new healthcare law, the Affordable Care Act, means for small businesses. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
These slides were from a recent SBA webinar presented by Small Business Majority. It focused on both federal and state provisions to help local small business owners understand how the law will affect them. Topics being discussed included:
Small business tax credits (available to businesses and tax-exempt non-profits)— who’s eligible for them and how to claim them, Marketplace updates, Shared responsibility,Cost containment, Tools and resources available for small businesses interested in learning more about the law.
About Small Business Majority
Small Business Majority is a national nonprofit advocacy organization focused on solving the biggest problems facing America's 28 million small businesses. We conduct extensive opinion and economic research and work with small business owners, policy experts, and elected officials nationwide to bring nonpartisan small business voices to the public policy table.
This webinar focused on what the new healthcare law, the Affordable Care Act, means for small businesses. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
Guidelines for the Colorado Health Benefit Exchange and our Federal Exchange are still up in the air. What do these various funding, administration, and oversight issues mean for employers and how will plan pricing, availability, and benefits be addressed? This presentation is designed for the Colorado business leader who needs to understand the current state of the exchanges. In this session, we’ll go over the very latest developments and how they could impact local businesses, discuss how you can create a proactive multi-year benefits strategy, and introduce resources to help you stay on top of this constantly changing landscape.
Health Care Reform Implementation For Employersjpwlinkedin
The document summarizes key provisions of the Patient Protection and Affordable Care Act (PPACA) that affect employers and health insurance. It notes that PPACA requires most employers to offer minimum health coverage and individuals to purchase and maintain coverage. Major reforms take effect in 2014, including the establishment of health insurance exchanges, an individual mandate, penalties for employers not providing affordable coverage, and modified community rating standards. The document provides timelines of upcoming changes and impacts on employers between now and full implementation in 2014.
How can you smooth the healthcare reform transition? Learn about the mandates currently in place, the mandates that are coming in the near future, what employers need to do, and what employees need to do. Participants can also ask specific questions about how healthcare reform may impact their organization.
Affordable Care Act 101: What the Healthcare Law Means for Small BusinessSmall Business Majority
August 8, 2013. Hosted by the U.S. Small Business Administration and Small Business Majority. This webinar focused on what the new healthcare law, the Affordable Care Act, means for small businesses. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
Affordable Care Act 101: What the New Healthcare Law Means for Your Small Bus...Small Business Majority
August 15, 2013. Hosted by the U.S. Small Business Administration and Small Business Majority. This webinar focused on what the new healthcare law, the Affordable Care Act, means for small businesses. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
These slides were from a recent SBA webinar presented by Small Business Majority. It focused on both federal and state provisions to help local small business owners understand how the law will affect them. Topics being discussed included:
Small business tax credits (available to businesses and tax-exempt non-profits)— who’s eligible for them and how to claim them, Marketplace updates, Shared responsibility,Cost containment, Tools and resources available for small businesses interested in learning more about the law.
About Small Business Majority
Small Business Majority is a national nonprofit advocacy organization focused on solving the biggest problems facing America's 28 million small businesses. We conduct extensive opinion and economic research and work with small business owners, policy experts, and elected officials nationwide to bring nonpartisan small business voices to the public policy table.
This webinar focused on what the new healthcare law, the Affordable Care Act, means for small businesses. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
Guidelines for the Colorado Health Benefit Exchange and our Federal Exchange are still up in the air. What do these various funding, administration, and oversight issues mean for employers and how will plan pricing, availability, and benefits be addressed? This presentation is designed for the Colorado business leader who needs to understand the current state of the exchanges. In this session, we’ll go over the very latest developments and how they could impact local businesses, discuss how you can create a proactive multi-year benefits strategy, and introduce resources to help you stay on top of this constantly changing landscape.
Health Care Reform Implementation For Employersjpwlinkedin
The document summarizes key provisions of the Patient Protection and Affordable Care Act (PPACA) that affect employers and health insurance. It notes that PPACA requires most employers to offer minimum health coverage and individuals to purchase and maintain coverage. Major reforms take effect in 2014, including the establishment of health insurance exchanges, an individual mandate, penalties for employers not providing affordable coverage, and modified community rating standards. The document provides timelines of upcoming changes and impacts on employers between now and full implementation in 2014.
This webinar focused on what the new healthcare law, the Affordable Care Act, means for small businesses and practices like yours. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
This document provides an overview of the Patient Protection and Affordable Care Act (PPACA), also known as Obamacare or healthcare reform. It begins with introductions of the presenter, Christine Price, and her qualifications as a Certified Healthcare Reform Specialist. The document then discusses how the PPACA will affect everyone in the United States to some degree, whether individuals, families, businesses or healthcare providers. It provides summaries of some key provisions and requirements of the PPACA going into effect in 2014, such as essential health benefits, health insurance exchanges, penalties for individuals and employers, and considerations around fully insured versus self-funded health plans. The presentation aims to inform audiences about the PPACA without taking a partisan
- Employers must consider new options for offering health insurance under the Affordable Care Act, including offering a plan, not offering but paying penalties, or sending employees to the insurance exchanges.
- For small employers, tax credits may help offset plan costs but expire after two years. Larger employers not offering a qualified plan may pay fines of $2000 per employee if any employees receive subsidies.
- Plans offered must meet requirements like essential benefits to exempt employees from penalties, but some employees may still qualify for exchange subsidies. Costs of offering a plan versus penalties must be weighed.
- Self-insuring allows employers more flexibility but comes with new reporting rules. Sending employees to exchanges is another option starting in
Affordable Care Act 101: What The Health Care Law Means for Small BusinessesSmall Business Majority
Small businesses have long struggled with access to affordable health care coverage. The Affordable Care Act aims to address this issue by lowering premium costs for small businesses and increasing their access to quality, affordable plans. Beginning in 2014, small businesses will be able to purchase coverage for their employees through the new Small Business Health Options Program Marketplaces. These SHOP Marketplaces will offer small businesses a choice of plans and increase transparency. Employers with 50 or more full-time employees may face penalties if they do not offer affordable coverage to employees beginning in 2015, but over 96% of businesses are exempt from these employer responsibility provisions.
EBN Feb 2016 The ABCs of Employee BenefitsDaniel Michels
This document outlines 26 important employee benefits issues ("ABCs") that need attention in 2016, as summarized by Ed Bray. It discusses key actions and considerations regarding Affordable Care Act compliance and reporting, benefits strategies and costs, technology spending, same-sex marriage implications, and ensuring compliance with various other regulations. It emphasizes preparing for ongoing changes, communicating proactively with employees, and leveraging external support and wellness programs to help manage rising costs.
HealthOne targets consumers aged 15-64 from middle-income households earning $5,000-$15,000 annually who have access to high-quality healthcare. To calculate HealthOne's total addressable market, the analysis considered India's population with access to hospitals, average per capita healthcare spending, and private healthcare expenditures. Based on these factors, the total private healthcare spending in India is approximately $35 billion, representing HealthOne's total addressable market.
What decisions should you make for your business related to ObamaCare and HealthCare Reform?
The Roadmap & Decision Tree (pages 9 & 10) help to simplify and help you zero in on what you need to do.
If you have 49 or fewer employees...
If you have 50 or more employees...
This will help make your path clear.
Navigating Health Insurance in the Health Care Reform Era lkennon
A presentation for large employers, small employers and individuals without employer-based insurance. The slides present the current state of health insurance for each group and the impending changes of Health Care Reform and their potential effects.
64% of employees cost between $5,000-$15,000 per year in benefits for their employers. To help control costs, employers are increasingly shifting costs to employees through higher deductibles and lower premiums. However, this can make benefits unattractive to employees. Alternative approaches include mandating specific pharmacies or provider networks, implementing generic drug policies, and offering high-deductible health plans paired with health savings accounts. Providing better benefit services can increase employee satisfaction and help companies achieve their goals by boosting value and output.
Health Care Reform Strategies for Small Employers:
• Health Care Tax Credits and Penalties
• The Recently Delayed Pay or Play Mandate
• Health Insurance Exchanges
• SHOPs
• Other Cost-Savings Opportunities
• Strategic Decision Making for Large and Small Employers
• And more!
The document discusses strategies for companies to comply with healthcare reform requirements in a proactive manner to protect profitability. It outlines opportunities under the Affordable Care Act's one year delay in penalties, such as exploiting available options for employers and employees. The presentation provides an overview of key ACA terminology, requirements for SHOP exchanges, and a sample multi-step process for determining employer responsibilities and penalties. It also discusses trends of increased management oversight of renewals and alternative compliance methods.
This document provides an overview of key provisions and requirements of the Affordable Care Act for employers regarding health care benefits. It outlines basic benefit design requirements such as minimum essential coverage, essential health benefits, actuarial value standards, and grandfathered plans. It then details important implementation dates and deadlines for provisions from 2013 through 2018, including the individual mandate, health insurance marketplaces, employer shared responsibility requirements, and future taxes and fees. The document aims to help employers navigate health care reform and make strategic decisions about employer-sponsored benefits.
The Affordable Care Act (ACA) has significantly impacted businesses and the healthcare landscape since it was passed in 2010. It has resulted in both positive outcomes like coverage for pre-existing conditions, but also increased costs for many. In response, insurers and benefit consultants are developing new plan options like self-funded plans that can provide better coverage at lower costs. Technology is also integrating benefits administration, payroll and reporting to help businesses navigate ACA compliance and offering requirements.
This document summarizes key provisions of the Affordable Care Act (ACA) for small businesses, including how it impacts businesses based on their number of employees. It outlines the ACA provisions around health insurance exchanges, tax credits, and employer shared responsibility based on business size. It also provides resources for small businesses to learn more about the ACA and how it applies to them.
Open enrollment is the only time of year to get an individual policy without a qualifying life event. Our webinar makes sure you and your employees are prepared.
The SBA spoke at the WDCEP's Entrepreneur Road Map's Business Insurance seminar held at Venable (7/16/14). The topic of the presentation was focused on the Affordable Care Act.
Recent Affordable Care Act (ACA) changes and impactsSrini Attili
Perspectives on recent Affordable Care Act (ACA) changes and impacts on industry - http://insights-on-business.com/healthcare/recent-affordable-care-act-aca-changes-and-impacts/
The document provides information about how the Affordable Care Act benefits small businesses in Illinois. It discusses how the law provides immediate tax credits for small businesses to help pay for employee health insurance and creates a health insurance exchange by 2014 where small businesses can purchase affordable plans. It also summarizes other provisions that help small businesses and consumers, such as banning pre-existing condition exclusions and allowing adult children to stay on their parents' plans until age 26.
The document discusses key provisions and considerations regarding the implementation of the Affordable Care Act (ACA) in Kansas. It summarizes that under the ACA, uninsured Kansans will be able to purchase insurance on an online health insurance marketplace beginning in 2014. It also discusses decisions facing Kansas, such as whether to expand Medicaid eligibility and operate its own state-based marketplace. The document outlines requirements for qualified health plans to be offered on the marketplace and provisions regarding navigators who will assist consumers.
On Thursday July 19th, 2012, the Taylor-Wilks Group held a free Health Care Symposium to provide resources and answer questions regarding the Affordable Care Act. This is some content from the event.
This webinar focused on what the new healthcare law, the Affordable Care Act, means for small businesses and practices like yours. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
This document provides an overview of the Patient Protection and Affordable Care Act (PPACA), also known as Obamacare or healthcare reform. It begins with introductions of the presenter, Christine Price, and her qualifications as a Certified Healthcare Reform Specialist. The document then discusses how the PPACA will affect everyone in the United States to some degree, whether individuals, families, businesses or healthcare providers. It provides summaries of some key provisions and requirements of the PPACA going into effect in 2014, such as essential health benefits, health insurance exchanges, penalties for individuals and employers, and considerations around fully insured versus self-funded health plans. The presentation aims to inform audiences about the PPACA without taking a partisan
- Employers must consider new options for offering health insurance under the Affordable Care Act, including offering a plan, not offering but paying penalties, or sending employees to the insurance exchanges.
- For small employers, tax credits may help offset plan costs but expire after two years. Larger employers not offering a qualified plan may pay fines of $2000 per employee if any employees receive subsidies.
- Plans offered must meet requirements like essential benefits to exempt employees from penalties, but some employees may still qualify for exchange subsidies. Costs of offering a plan versus penalties must be weighed.
- Self-insuring allows employers more flexibility but comes with new reporting rules. Sending employees to exchanges is another option starting in
Affordable Care Act 101: What The Health Care Law Means for Small BusinessesSmall Business Majority
Small businesses have long struggled with access to affordable health care coverage. The Affordable Care Act aims to address this issue by lowering premium costs for small businesses and increasing their access to quality, affordable plans. Beginning in 2014, small businesses will be able to purchase coverage for their employees through the new Small Business Health Options Program Marketplaces. These SHOP Marketplaces will offer small businesses a choice of plans and increase transparency. Employers with 50 or more full-time employees may face penalties if they do not offer affordable coverage to employees beginning in 2015, but over 96% of businesses are exempt from these employer responsibility provisions.
EBN Feb 2016 The ABCs of Employee BenefitsDaniel Michels
This document outlines 26 important employee benefits issues ("ABCs") that need attention in 2016, as summarized by Ed Bray. It discusses key actions and considerations regarding Affordable Care Act compliance and reporting, benefits strategies and costs, technology spending, same-sex marriage implications, and ensuring compliance with various other regulations. It emphasizes preparing for ongoing changes, communicating proactively with employees, and leveraging external support and wellness programs to help manage rising costs.
HealthOne targets consumers aged 15-64 from middle-income households earning $5,000-$15,000 annually who have access to high-quality healthcare. To calculate HealthOne's total addressable market, the analysis considered India's population with access to hospitals, average per capita healthcare spending, and private healthcare expenditures. Based on these factors, the total private healthcare spending in India is approximately $35 billion, representing HealthOne's total addressable market.
What decisions should you make for your business related to ObamaCare and HealthCare Reform?
The Roadmap & Decision Tree (pages 9 & 10) help to simplify and help you zero in on what you need to do.
If you have 49 or fewer employees...
If you have 50 or more employees...
This will help make your path clear.
Navigating Health Insurance in the Health Care Reform Era lkennon
A presentation for large employers, small employers and individuals without employer-based insurance. The slides present the current state of health insurance for each group and the impending changes of Health Care Reform and their potential effects.
64% of employees cost between $5,000-$15,000 per year in benefits for their employers. To help control costs, employers are increasingly shifting costs to employees through higher deductibles and lower premiums. However, this can make benefits unattractive to employees. Alternative approaches include mandating specific pharmacies or provider networks, implementing generic drug policies, and offering high-deductible health plans paired with health savings accounts. Providing better benefit services can increase employee satisfaction and help companies achieve their goals by boosting value and output.
Health Care Reform Strategies for Small Employers:
• Health Care Tax Credits and Penalties
• The Recently Delayed Pay or Play Mandate
• Health Insurance Exchanges
• SHOPs
• Other Cost-Savings Opportunities
• Strategic Decision Making for Large and Small Employers
• And more!
The document discusses strategies for companies to comply with healthcare reform requirements in a proactive manner to protect profitability. It outlines opportunities under the Affordable Care Act's one year delay in penalties, such as exploiting available options for employers and employees. The presentation provides an overview of key ACA terminology, requirements for SHOP exchanges, and a sample multi-step process for determining employer responsibilities and penalties. It also discusses trends of increased management oversight of renewals and alternative compliance methods.
This document provides an overview of key provisions and requirements of the Affordable Care Act for employers regarding health care benefits. It outlines basic benefit design requirements such as minimum essential coverage, essential health benefits, actuarial value standards, and grandfathered plans. It then details important implementation dates and deadlines for provisions from 2013 through 2018, including the individual mandate, health insurance marketplaces, employer shared responsibility requirements, and future taxes and fees. The document aims to help employers navigate health care reform and make strategic decisions about employer-sponsored benefits.
The Affordable Care Act (ACA) has significantly impacted businesses and the healthcare landscape since it was passed in 2010. It has resulted in both positive outcomes like coverage for pre-existing conditions, but also increased costs for many. In response, insurers and benefit consultants are developing new plan options like self-funded plans that can provide better coverage at lower costs. Technology is also integrating benefits administration, payroll and reporting to help businesses navigate ACA compliance and offering requirements.
This document summarizes key provisions of the Affordable Care Act (ACA) for small businesses, including how it impacts businesses based on their number of employees. It outlines the ACA provisions around health insurance exchanges, tax credits, and employer shared responsibility based on business size. It also provides resources for small businesses to learn more about the ACA and how it applies to them.
Open enrollment is the only time of year to get an individual policy without a qualifying life event. Our webinar makes sure you and your employees are prepared.
The SBA spoke at the WDCEP's Entrepreneur Road Map's Business Insurance seminar held at Venable (7/16/14). The topic of the presentation was focused on the Affordable Care Act.
Recent Affordable Care Act (ACA) changes and impactsSrini Attili
Perspectives on recent Affordable Care Act (ACA) changes and impacts on industry - http://insights-on-business.com/healthcare/recent-affordable-care-act-aca-changes-and-impacts/
The document provides information about how the Affordable Care Act benefits small businesses in Illinois. It discusses how the law provides immediate tax credits for small businesses to help pay for employee health insurance and creates a health insurance exchange by 2014 where small businesses can purchase affordable plans. It also summarizes other provisions that help small businesses and consumers, such as banning pre-existing condition exclusions and allowing adult children to stay on their parents' plans until age 26.
The document discusses key provisions and considerations regarding the implementation of the Affordable Care Act (ACA) in Kansas. It summarizes that under the ACA, uninsured Kansans will be able to purchase insurance on an online health insurance marketplace beginning in 2014. It also discusses decisions facing Kansas, such as whether to expand Medicaid eligibility and operate its own state-based marketplace. The document outlines requirements for qualified health plans to be offered on the marketplace and provisions regarding navigators who will assist consumers.
On Thursday July 19th, 2012, the Taylor-Wilks Group held a free Health Care Symposium to provide resources and answer questions regarding the Affordable Care Act. This is some content from the event.
Affordable Care Act - Healthcare Reform Briefing for CareermindsCareerminds
2014 and Beyond – What’s Next in Employer Sponsored Healthcare Plans
Next year will be a significant year for employer sponsored health care. With the onset of numerous benefit and eligibility mandates as well as the introduction of public medical exchanges, employers are taking a closer look of the healthcare benefits they traditionally offer employees in the US. Join us to learn about the changes in the health insurance market. We will discuss how these changes impact employer strategies and how employers will interact with the public exchanges. Beyond the employer impact we will address how the changing market will impact employees who are subject to the individual mandate beginning in 2014.
By the end of this webcast participants will be able to:
• Identify key changes HR and Benefits functions to know and do as a result of these changes
• Identify key changes required for 2014
• Discuss emerging healthcare cost trends
• Understand how employers will interact with the public exchanges
• Review emerging employer strategies including the interworkings of private exchanges
ABOUT THE PRESENTER:
Jennifer Calhoun Mohl is a Partner and senior consultant in Mercer’s Philadelphia health and benefits practice. She assists clients with various consulting assignments, including the design, administration, financing, and regulatory compliance of health and welfare benefit plans for both active and retiree populations. In addition, Jennifer serves as a relationship manager on client assignments that involve multiple Mercer offices and multiple lines of business.
In addition, Jennifer has assisted with the implementation and operations of benefit programs, including communications, outsourcing and call center support. Recently, she has served as the lead health and benefit strategist on client assignments involving multiple lines of business – with a particular focus on mergers and acquisitions.
Jennifer serves as one of Mercer’s National Health and Benefits spokeswomen. She has been quoted in various periodicals including, Managed Care Report, O&P Business News, The Philadelphia Inquirer, Philadelphia Business Journal, Money Magazine and has been featured on Money Matters Today on CN8.
Prior to joining Mercer in 1999, Jennifer began her consulting career with Towers Perrin in 1994. She was also a legislative intern in Washington for the New York State legislature with a particular focus on employment issues including the 1993 National Healthcare Initiative spearheaded by (at time first-lady), Hillary Clinton. Jennifer received a BS in Industrial and Labor Relations at the New York State School of Industrial and Labor Relations at Cornell University.
McKonly & Asbury Webinar - The Patient Protection and Affordable Care ActMcKonly & Asbury, LLP
We continued our Celebrating 40 Years of Excellence! Fall Webinar Series with a webinar focusing on the impact of The Patient Protection and Affordable Care Act and next steps for employees, hosted by Suzanne Sentman (Human Resource Director with McKonly & Asbury) with featured guest Kent Evans (Vice President / Human Capital Consultant with Willis of Delaware, Inc).
Check out our Upcoming Events page for news and updates on our future seminars and webinars at http://www.macpas.com/events/.
View a full recap of this webinar at http://www.macpas.com/register-today-for-mckonly-asburys-free-the-patient-protection-and-affordable-care-act-webinar/.
The document discusses key goals and functions of health insurance exchanges established under the Affordable Care Act. It outlines how exchanges are meant to distribute insurance, coordinate eligibility, set standards, and improve affordability and quality of care. Specific functions of exchanges include determining eligibility, creating standard benefit categories, enrolling individuals and businesses, certifying qualified health plans, and establishing consumer-focused websites and assistance programs. The document also raises issues around the role of exchanges in coordinating with Medicaid, regulating brokers and navigators, and incentivizing participation from small businesses.
This document provides an overview and summary of the Health Insurance Marketplace. It describes what the Marketplace is, how it operates, who is eligible for coverage through the Marketplace and what options are available. The summary explains that the Marketplace allows individuals and small businesses to compare and purchase qualified health plans from private insurers. It provides affordable coverage options and financial assistance for those who qualify. The document reviews eligibility criteria, enrollment periods, plan types and levels of coverage, as well as how to apply and enroll in Marketplace insurance.
Join us as we learn about the benefits of the Affordable Care Act, the ways you can get help paying for insurance, and where you can get help enrolling. (Hint: We can help!)
The document presents strategies and services from Advanced Benefit Design Institute for reducing employer healthcare costs. It promotes replacing traditional insurance with self-insured plans that refund unused claim funds to employers. The company also offers population health management tools, wellness programs, and consulting services to help lower costs through improved employee health and reduced medical spending. Contact information is provided at the end.
Understanding the ObamaCare North Carolina Health Insurance Plans
As a result of the Affordable Care Act (a.k.a. ObamaCare) the following provisions are now in place for health insurance policies with an effective date January 1, 2014 or after:Individuals cannot be declined for health insurance or charged more due to their health status or gender.
Insurance premiums are based on age, your zip code and tobacco usage.
Coverage limitations or exclusions based on pre-existing conditions are not allowed.
Elimination of annual and lifetime coverage limits.
Prohibition of declining an individual for coverage based on their participation in an approved clinical trial.
Maternity and mental health are included on all policies.
Preventative dental is covered with a $25 copay for members up to age 19. There is also some vision coverage for this age group.
Whether or not your children are students they can stay on your policy until age 26.
Introduction of the Medical Loss Ratio (MLR) which ensures that 80% of the premium dollars paid to the health insurance issuer are spend on providing health care. An insurance company that does not do this must provide rebates to their policyholders
http://www.hisonc.com/obamacare-north-carolina
The document summarizes key provisions of the Affordable Care Act (ACA) or "health reform" and how it will impact Utah families and businesses. It outlines immediate benefits like prohibiting denial of coverage for pre-existing conditions for children. It also describes reforms that will begin in 2014 like health insurance exchanges, subsidies for individuals and tax credits for small businesses. The summary emphasizes that the ACA builds on the current system and aims to expand access, contain costs and ensure quality of care.
The document summarizes key provisions of the Affordable Care Act (ACA) or "health reform" and how it will impact Utah families and businesses. Some key points include:
- The ACA aims to expand access to affordable health insurance through state-run exchanges, subsidies, and Medicaid expansion while also containing costs and improving quality.
- It offers immediate benefits like preventing denial of coverage for pre-existing conditions and allowing young adults to stay on parents' plans until age 26.
- It provides tax credits to small businesses that offer employee coverage and establishes an online marketplace ("exchange") for individuals and small businesses to purchase plans.
- The goals of reform are to contain costs through measures like reducing waste and fraud
The document discusses the potential impact of 2010 health care reform on WellPoint, Inc., a major health insurance carrier. It outlines key provisions of the reform legislation, analyzes how different parts of WellPoint's business may be affected in terms of membership mix, costs and revenues. The document also reviews WellPoint's financial and enrollment data and considers options for marketing and distribution strategies in light of the regulatory changes.
Although the Affordable Care Act has benefited the health insurance consumer in many respects, it has also added to the confusion. This presentation, Given by Wanda Stephens in Raleigh, North Carolina, details some of the many facets to Obamacare in NC.
for more information visit http://www.hisonc.com/obamacare-north-carolina/
Your Bottom Line: What the Affordable Care Act Means For Your Nebraska Small ...Small Business Majority
Hosted by the United States Department of Health and Human Services and Small Business Majority. This webinar focused on what the new healthcare law, the Affordable Care Act, means for Nebraska small businesses. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
Riportella priester 2013 the affordable care actMarissa Stone
This document provides an overview of the Affordable Care Act (ACA). It discusses key provisions of the law including expanding Medicaid eligibility, establishing health insurance marketplaces, mandating individuals have health insurance, and enforcing employer responsibilities. The document outlines how the ACA aims to increase access to health insurance through a combination of public programs, employer coverage, and online marketplace coverage. It also addresses ongoing implementation challenges and debates around the law.
The document provides an overview of key provisions of the Affordable Care Act (ACA), including that it was signed into law in 2010 and upheld by the Supreme Court in 2012. It discusses the ACA's impacts on consumers, providers, and insurers by mandating who must buy insurance, how it will be sold, and required health benefits. Key provisions covered include the establishment of health insurance marketplaces, essential health benefits, subsidies for low-income individuals, and penalties for those who remain uninsured. The document also summarizes Medicaid expansion requirements and the ability of states to opt out, as well as changes to health plans, rating rules, fees and taxes associated with ACA implementation.
Jeff Marks discusses strategies for medical brokers to consider as health care reform is implemented. He believes brokers will need to expand their offerings beyond traditional insurance to include ancillary products that provide added value. Specifically, he recommends telemedicine services that allow clients 24/7 access to doctors by phone for diagnosis and treatment. Telemedicine could reduce costs for employers and employees while increasing productivity. Marks also suggests other non-insurance products like discount programs and lifestyle benefits that pay brokers commissions. To prepare, brokers should develop new business models incorporating these innovative ancillary options to differentiate themselves and generate additional revenue streams.
The document provides information about health insurance plans available under the Affordable Care Act (ACA). It explains that the ACA provides essential health benefits, consumer protections, and health insurance marketplaces. It also summarizes the different types of plans available - bronze, silver, gold, platinum, and catastrophic - and how they vary in terms of premium costs, deductibles, co-pays, and coverage. The document advises people to choose a plan based on their needs and income level to determine if they qualify for subsidies.
Falcon stands out as a top-tier P2P Invoice Discounting platform in India, bridging esteemed blue-chip companies and eager investors. Our goal is to transform the investment landscape in India by establishing a comprehensive destination for borrowers and investors with diverse profiles and needs, all while minimizing risk. What sets Falcon apart is the elimination of intermediaries such as commercial banks and depository institutions, allowing investors to enjoy higher yields.
Explore the world of investments with an in-depth comparison of the stock market and real estate. Understand their fundamentals, risks, returns, and diversification strategies to make informed financial decisions that align with your goals.
How Poonawalla Fincorp and IndusInd Bank’s Co-Branded RuPay Credit Card Cater...beulahfernandes8
The eLITE RuPay Platinum Credit Card, a strategic collaboration between Poonawalla Fincorp and IndusInd Bank, represents a significant advancement in India's digital financial landscape. Spearheaded by Abhay Bhutada, MD of Poonawalla Fincorp, the card leverages deep customer insights to offer tailored features such as no joining fees, movie ticket offers, and rewards on UPI transactions. IndusInd Bank's solid banking infrastructure and digital integration expertise ensure seamless service delivery in today's fast-paced digital economy. With a focus on meeting the growing demand for digital financial services, the card aims to cater to tech-savvy consumers and differentiate itself through unique features and superior customer service, ultimately poised to make a substantial impact in India's digital financial services space.
Budgeting as a Control Tool in Government Accounting in Nigeria
Being a Paper Presented at the Nigerian Maritime Administration and Safety Agency (NIMASA) Budget Office Staff at Sojourner Hotel, GRA, Ikeja Lagos on Saturday 8th June, 2024.
South Dakota State University degree offer diploma Transcriptynfqplhm
办理美国SDSU毕业证书制作南达科他州立大学假文凭定制Q微168899991做SDSU留信网教留服认证海牙认证改SDSU成绩单GPA做SDSU假学位证假文凭高仿毕业证GRE代考如何申请南达科他州立大学South Dakota State University degree offer diploma Transcript
Dr. Alyce Su Cover Story - China's Investment Leadermsthrill
In World Expo 2010 Shanghai – the most visited Expo in the World History
https://www.britannica.com/event/Expo-Shanghai-2010
China’s official organizer of the Expo, CCPIT (China Council for the Promotion of International Trade https://en.ccpit.org/) has chosen Dr. Alyce Su as the Cover Person with Cover Story, in the Expo’s official magazine distributed throughout the Expo, showcasing China’s New Generation of Leaders to the World.
How to Invest in Cryptocurrency for Beginners: A Complete GuideDaniel
Cryptocurrency is digital money that operates independently of a central authority, utilizing cryptography for security. Unlike traditional currencies issued by governments (fiat currencies), cryptocurrencies are decentralized and typically operate on a technology called blockchain. Each cryptocurrency transaction is recorded on a public ledger, ensuring transparency and security.
Cryptocurrencies can be used for various purposes, including online purchases, investment opportunities, and as a means of transferring value globally without the need for intermediaries like banks.
Every business, big or small, deals with outgoing payments. Whether it’s to suppliers for inventory, to employees for salaries, or to vendors for services rendered, keeping track of these expenses is crucial. This is where payment vouchers come in – the unsung heroes of the accounting world.
The Rise and Fall of Ponzi Schemes in America.pptxDiana Rose
Ponzi schemes, a notorious form of financial fraud, have plagued America’s investment landscape for decades. Named after Charles Ponzi, who orchestrated one of the most infamous schemes in the early 20th century, these fraudulent operations promise high returns with little or no risk, only to collapse and leave investors with significant losses. This article explores the nature of Ponzi schemes, notable cases in American history, their impact on victims, and measures to prevent falling prey to such scams.
Understanding Ponzi Schemes
A Ponzi scheme is an investment scam where returns are paid to earlier investors using the capital from newer investors, rather than from legitimate profit earned. The scheme relies on a constant influx of new investments to continue paying the promised returns. Eventually, when the flow of new money slows down or stops, the scheme collapses, leaving the majority of investors with substantial financial losses.
Historical Context: Charles Ponzi and His Legacy
Charles Ponzi is the namesake of this deceptive practice. In the 1920s, Ponzi promised investors in Boston a 50% return within 45 days or 100% return in 90 days through arbitrage of international reply coupons. Initially, he paid returns as promised, not from profits, but from the investments of new participants. When his scheme unraveled, it resulted in losses exceeding $20 million (equivalent to about $270 million today).
Notable American Ponzi Schemes
1. Bernie Madoff: Perhaps the most notorious Ponzi scheme in recent history, Bernie Madoff’s fraud involved $65 billion. Madoff, a well-respected figure in the financial industry, promised steady, high returns through a secretive investment strategy. His scheme lasted for decades before collapsing in 2008, devastating thousands of investors, including individuals, charities, and institutional clients.
2. Allen Stanford: Through his company, Stanford Financial Group, Allen Stanford orchestrated a $7 billion Ponzi scheme, luring investors with fraudulent certificates of deposit issued by his offshore bank. Stanford promised high returns and lavish lifestyle benefits to his investors, which ultimately led to a 110-year prison sentence for the financier in 2012.
3. Tom Petters: In a scheme that lasted more than a decade, Tom Petters ran a $3.65 billion Ponzi scheme, using his company, Petters Group Worldwide. He claimed to buy and sell consumer electronics, but in reality, he used new investments to pay off old debts and fund his extravagant lifestyle. Petters was convicted in 2009 and sentenced to 50 years in prison.
4. Eric Dalius and Saivian: Eric Dalius, a prominent figure behind Saivian, a cashback program promising high returns, is under scrutiny for allegedly orchestrating a Ponzi scheme. Saivian enticed investors with promises of up to 20% cash back on everyday purchases. However, investigations suggest that the returns were paid using new investments rather than legitimate profits. The collapse of Saivian l
Discovering Delhi - India's Cultural Capital.pptxcosmo-soil
Delhi, the heartbeat of India, offers a rich blend of history, culture, and modernity. From iconic landmarks like the Red Fort to bustling commercial hubs and vibrant culinary scenes, Delhi's real estate landscape is dynamic and diverse. Discover the essence of India's capital, where tradition meets innovation.
A toxic combination of 15 years of low growth, and four decades of high inequality, has left Britain poorer and falling behind its peers. Productivity growth is weak and public investment is low, while wages today are no higher than they were before the financial crisis. Britain needs a new economic strategy to lift itself out of stagnation.
Scotland is in many ways a microcosm of this challenge. It has become a hub for creative industries, is home to several world-class universities and a thriving community of businesses – strengths that need to be harness and leveraged. But it also has high levels of deprivation, with homelessness reaching a record high and nearly half a million people living in very deep poverty last year. Scotland won’t be truly thriving unless it finds ways to ensure that all its inhabitants benefit from growth and investment. This is the central challenge facing policy makers both in Holyrood and Westminster.
What should a new national economic strategy for Scotland include? What would the pursuit of stronger economic growth mean for local, national and UK-wide policy makers? How will economic change affect the jobs we do, the places we live and the businesses we work for? And what are the prospects for cities like Glasgow, and nations like Scotland, in rising to these challenges?
Ending stagnation: How to boost prosperity across Scotland
Affordable care act exchange 101
1. People helping people…it’s what
we do best.
Health Insurance Exchange
and
Defined Contributions
Health Planswww.kapnick.com
2. Solutions for a Superior Workplace | Disclaimer
The information in this document is based on preliminary review
of the national health care reform legislation and is not intended
to impart legal advice. The federal government continues to issue
guidance on how the provisions of national health reforms on
individuals should be interpreted and applied. The impact of these
reforms on individual situations may vary. The overview is
intended as an educational tool only and does not replace a more
rigorous review of the law’s applicability to individual
circumstances and attendant legal counsel and should no be
relied upon as legal or compliance advice. As required by US
Treasury Regulations, we also inform you that any tax
information contained in this communication is not intended to be
used and cannot be used by any taxpayer to avoid penalties under
the Internal Revenue Code.
2
3. Solutions for a Superior Workplace | Agenda
Individual Mandate
What is an Exchange? Public vs. Private?
When will the Exchange be available?
How will Exchanges differ?
What is the estimated cost of coverage on the
Exchange?
Employer Responsibility
Defined Contributions Health Plans
Q&A3
4. Solutions for a Superior Workplace | Individual Mandate
Supreme Court issued its decision on June 28, 2012
5:4 ruling
The individual mandate is constitutional
Jan. 1, 2014: Individuals must enroll in coverage or pay
a penalty
Penalty amount: Greater of $ amount or a % of income
2014 = $95 or 1%
2015 = $325 or 2%
2016 = $695 or 2.5%
5. Solutions for a Superior Workplace | Health Insurance Marketplace
Exchange Marketplace
6. Solutions for a Superior Workplace | Public vs. Private Marketplaces
Difference between
two types of
Marketplaces:
Public
Private
7. Solutions for a Superior Workplace | Public Marketplaces
Two Types of Public Marketplaces:
The public Health Insurance Marketplace is a state- or
federal- run platform where individuals can obtain health
insurance coverage. They will also be able to compare
and choose health plans offered by private companies
and find out if they are eligible for financial assistance
The Marketplaces will also operate a Small Business
Health Options Program (SHOP). There, small
employers can purchase a variety of plans, and then
may choose to allow its employees to choose from
plans it selects or one plan. HHS delayed multi-plan
availability until 2015
8. Solutions for a Superior Workplace | Marketplace Availability
First Open Enrollment:
October 1, 2013 - March 31, 2014
Coverage starts: January 1, 2014 for plan
selections made by December 15, 2013
Annual Open Enrollment (after first year):
October 15th
- December 7th
Coverage begins January 1 of the next year
9. Solutions for a Superior Workplace | Public Marketplace
Each State can choose to:
Create and run its own Marketplace – State-Based
Marketplace
Partner with the federal government to run some
Marketplace functions – Partnership Marketplace
Have a Marketplace that’s operated by the federal
government - Federally-facilitated Marketplace
Market Saturation
• 52 million uninsured Americans
• About half will explore the new Marketplace
• About 19 million will be eligible for a premium subsidy
10. Solutions for a Superior Workplace | States Marketplace Decisions
Partnership Marketplace (7 states)State-based Marketplace (16 states and DC)
Federally-facilitated Marketplace (27 states)
WA
OR
WY
UT*
TX
SD
OK
ND
NM
NV
NE
MT
LA
KS
ID
HI
CO
CA
ARAZ
AK
WI
WV VA
TN
SC
OH
NC
MO
MS
MN
MI
KY
IA
INIL
GA
FL
AL
VT
PA
NY
NJ
NH
MA
ME
CT
DE
RI
MD
DC
* In Utah, the federal government will run the marketplace for individuals while the state will run the small
business, or SHOP, marketplace.
As of May 10, 2013
11. Solutions for a Superior Workplace | Public Marketplaces – Online Application
12. Solutions for a Superior Workplace | Public Marketplaces – Paper Application
13. Solutions for a Superior Workplace | Marketplace Reform Mandates
Health plans must comply with new market reforms:
Fair Premiums:
Health status and gender not
used to set premiums; limits
on age rating
Guaranteed Renewability:
Coverage must be renewed for
all policyholders with limited
exceptions
Single Risk Pool:
Issuers cannot use separate risk
pools to charge certain
customers’ higher rates
Guaranteed Availability:
Coverage must be offered to all
comers, with limited exceptions
14. Solutions for a Superior Workplace | Marketplace Reform Mandates
The only factors that can be used to vary the
premium rate for a plan in the individual or small
group market are:
Age | Family Status | Tobacco use | Geography
Health plans cannot change premium rates
based on:
Health Status | Claims Experience | Gender
15. Solutions for a Superior Workplace | Marketplace Reform Mandates
Health plans must be certified to be offered in a
Marketplace, and must include 10 required Essential
Health Benefits:
Ambulatory Patient Services
Emergency Services
Hospitalization
Maternity and Newborn Care
Mental Health and Substance Abuse
Prescription Drugs
Rehabilitative and Habilitative Services
Laboratory Services
Preventive and Wellness Services and Chronic Disease
Management
Pediatric Services including oral and vision care
16. Solutions for a Superior Workplace | Marketplace Reform Mandates
All plans must provide at least 60% actuarial value
minimum
Actuarial Value is calculated as the percentage of
total average costs that a subscriber will pay for
covered services (e.g. copays, deductible,
coinsurance, etc. Excludes premiums)
Four levels of coverage on the exchanges:
Bronze: Plans cover 60% of the costs
Silver: Plans cover 70% of the costs
Gold: Plans cover 80% of the costs
Platinum: Plans cover 90% of the costs
17. Solutions for a Superior Workplace | Marketplace Costs
What might unsubsidized Marketplace plans cost?
MI
25.8%
Increase
18. Solutions for a Superior Workplace | Marketplace Tax Credits and Subsidies
Individuals might be eligible for tax credits or
subsidies
Who will be eligible?
Individuals at 100% - 400% Federal Poverty Level without
access to affordable, minimum essential coverage that
enroll in coverage through the Public Marketplace
Who won’t be eligible?
Employees offered small or large employer plans that
provide affordable, minimum value coverage
Individuals eligible for government-sponsored health care
19. Solutions for a Superior Workplace | Notice of Exchange
Employers must notify new and current
employees of Marketplace information
Originally effective March 1, 2013 – Delayed
Temporary Guidance: no later than October 1, 2013
Virtually all employers must provide to full-time
and part-time employees - subject to Fair Labor
Standards Act (FLSA) – regardless if they offer
coverage
Department of Labor Model Notices available
21. Solutions for a Superior Workplace |
Defined Contribution Health Plans
22. Solutions for a Superior Workplace | Defined Contribution Health Plans
What is a Defined Contribution Health Plan?
Why might Defined Contribution Plans be
appropriate now?
How does it work?
Benefits to Employers and Employees
23. Solutions for a Superior Workplace | Defined Contribution Health Plans
What is a Defined Contribution Health Plan?
Employer gives employees a fixed
contribution to purchase Health Coverage
Employee uses the funds to buy or help pay
for an insurance plan they select themselves
24. Solutions for a Superior Workplace | Defined Contribution Health Plans
Why now?
Marketplace is electronic platform that allows
and requires insurance carriers to provide
multiple options
Continued cost increases from medical
inflation and ACA mandates
25. Solutions for a Superior Workplace | Defined Contribution Health Plans
How does it work?
26. Solutions for a Superior Workplace | Defined Contribution Health Plans
Example A – One Carrier
28. Solutions for a Superior Workplace | Defined Contribution Health Plans
Example B – Multi-carrier
29. Solutions for a Superior Workplace | Defined Contribution Health Plans
Benefits
Allows the employer to fix cost based on
budget, not insurance rate increase
Allows an employee to select coverage that
best fits their need and budget
Editor's Notes
Not attorney, Not accountant We know the WHAT HCR is trying to achieve, it is the HOW that in many instances is still unknown As of June 11 th , 2013 changing almost weekly with guidance issued from HHS, DOL and IRS
Please be sure to ask a question if you have one, mostly likely someone in the room has the same question. That is exactly why we set up the break out session format – to encourage open dialog
Individual mandate is the foundation for the success or rather the stability of the Exchange Question is are the penalties enough to persuade or encourage enrollment especially for a young health individual Exempt from penalty: Religiously opposed Undocumented immigrant Incarcerated Member of Indian tribe Family income is below threshold for filing tax return
Rebranded by govt Marketplace. Promotes customer friendly platform to purchase insurance, customer experience
Individual mandate is the foundation for the success or rather the stability of the Exchange Question is are the penalties enough to persuade or encourage enrollment especially for a young health individual Exempt from penalty: Religiously opposed Undocumented immigrant Incarcerated Member of Indian tribe Family income is below threshold for filing tax return
Individual mandate is the foundation for the success or rather the stability of the Exchange Question is are the penalties enough to persuade or encourage enrollment especially for a young health individual Exempt from penalty: Religiously opposed Undocumented immigrant Incarcerated Member of Indian tribe Family income is below threshold for filing tax return
Marketplace = a new place to shop for and by health insurance Expedia -> Turbo Tax
Exchange = a new place to shop for and by health insurance Expedia -> Turbo Tax Rebranded by govt Marketplace
Exchange = a new place to shop for and by health insurance Expedia -> Turbo Tax Rebranded by govt Marketplace
Exchange = a new place to shop for and by health insurance Expedia -> Turbo Tax Rebranded by govt Marketplace
Exchange = a new place to shop for and by health insurance Expedia -> Turbo Tax Rebranded by govt Marketplace
Exchange = a new place to shop for and by health insurance Expedia -> Turbo Tax Rebranded by govt Marketplace
Exchange = a new place to shop for and by health insurance Expedia -> Turbo Tax Rebranded by govt Marketplace
Bronze plans will have the lowest monthly premium, but cost shares will be more when health care services are provided. Platinum plans will have the highest monthly premium, but cost shares will be less. Platinum = 90% -> Bronze = 60% Ambulatory, RX, maternity, mental health, preventive, etc Tax credit applies to assist with premium cost. Subsidies assist with out of pocket coverage cost (deductible, coinsurance)
Bronze plans will have the lowest monthly premium, but cost shares will be more when health care services are provided. Platinum plans will have the highest monthly premium, but cost shares will be less. Platinum = 90% -> Bronze = 60% Ambulatory, RX, maternity, mental health, preventive, etc Tax credit applies to assist with premium cost. Subsidies assist with out of pocket coverage cost (deductible, coinsurance)
Bronze plans will have the lowest monthly premium, but cost shares will be more when health care services are provided. Platinum plans will have the highest monthly premium, but cost shares will be less. Platinum = 90% -> Bronze = 60% Ambulatory, RX, maternity, mental health, preventive, etc Tax credit applies to assist with premium cost. Subsidies assist with out of pocket coverage cost (deductible, coinsurance)