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.
Health Care Reform - Small Business Health Options Program (SHOP) UpdatesCBIZ, Inc.
One of the components of the Affordable Care Act is the Small Business Health Options Program (SHOP). The SHOP is the marketplace, sometimes referred to as “exchange”, specific to small employers.
Health Care Reform - Small Business Health Options Program (SHOP) UpdatesCBIZ, Inc.
One of the components of the Affordable Care Act is the Small Business Health Options Program (SHOP). The SHOP is the marketplace, sometimes referred to as “exchange”, specific to small employers.
An open enrollment checklist, created by eHealthInsurance, to help employees find the best personal health insurance solution for the 2012 benefit year - via http://www.eHealthInsurance.com
Health Reform Bulletin: Implementation Guidance & ACA UpdatesCBIZ MHM, LLC
1) Distribution of Marketplace Notice to Employees; 2) 90-day Waiting Period; 3) Individual Shared Responsibility- Final Regulations; 4) Employer Appeals in Marketplace Eligibility Determinations; 5) Small Business Tax Credit; 6) Preventive Care - Health Saving Accounts; and 7) Internal Claims, Appeals and External Review: Providing Culturally and Linguistically Appropriate Notices
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.
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.
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.
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.
Understanding Health Care Reform: A Dose of Accounting MedecineJames Moore & Co
The affordable Care Act was signed into law on March 23, 2010 and upheld by the Supreme Court in June 2012. These reform measures will have wide-spread impacts to most businesses and individuals. In this presentation, we discuss the tax consequences, small business health care credits, fees, and provide a summary of the Affordable Care Act and the status of reform.
Cadillac Tax for Employers 101 - How to Avoid Penalties?benefitexpress
This webinar covers: what coverages are subject to the tax, how the excise tax is determined, what adjustments will be available in determining the tax, and who collects the tax.
An open enrollment checklist, created by eHealthInsurance, to help employees find the best personal health insurance solution for the 2012 benefit year - via http://www.eHealthInsurance.com
Health Reform Bulletin: Implementation Guidance & ACA UpdatesCBIZ MHM, LLC
1) Distribution of Marketplace Notice to Employees; 2) 90-day Waiting Period; 3) Individual Shared Responsibility- Final Regulations; 4) Employer Appeals in Marketplace Eligibility Determinations; 5) Small Business Tax Credit; 6) Preventive Care - Health Saving Accounts; and 7) Internal Claims, Appeals and External Review: Providing Culturally and Linguistically Appropriate Notices
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.
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.
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.
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.
Understanding Health Care Reform: A Dose of Accounting MedecineJames Moore & Co
The affordable Care Act was signed into law on March 23, 2010 and upheld by the Supreme Court in June 2012. These reform measures will have wide-spread impacts to most businesses and individuals. In this presentation, we discuss the tax consequences, small business health care credits, fees, and provide a summary of the Affordable Care Act and the status of reform.
Cadillac Tax for Employers 101 - How to Avoid Penalties?benefitexpress
This webinar covers: what coverages are subject to the tax, how the excise tax is determined, what adjustments will be available in determining the tax, and who collects the tax.
Expo 2013 Janet Weachter: Cleaning, Disinfecting & Sanitizing the Workplacelhagan
Cleaning, disinfection, and sanitizing in the workplace is a very important topic that trends headlines in most trade magazines. Employers need to set good health and safety practices for the work environment. In this session, you will review and discuss the value of a good housekeeping staff, safe chemical practices, the basics of chemistry, and guidelines for "institutional: cleaning. You will also learn about commercial vs. household products, and understand "hospital-grade" disinfection.
Expo 2013 Lisa Hammer & David Newman; Effective Presentationslhagan
Presenting correct and truthful information may get you by, but if you want to stand out, an effective presentation is the key to making a lasting impression. Not only can it help your career, but you represent your team in a way that shines the most favorable light on them! In this brief session, you will learn the basic principles of preparing and delivering an effective presentation, how slides can make of break the presentation, and perhaps even learn a little about the great presenter inside of you!
Linda Bidlack of Linda K. Bidlack Coachin & Consulting, presented at Expo 2012. Her interactive session taught the important leadership skills and identified levels of resilience in leaders.
Succession “Losers”: What Happens to Executives Passed Over for the CEO Job?
By David F. Larcker, Stephen A. Miles, and Brian Tayan
Stanford Closer Look Series
Overview:
Shareholders pay considerable attention to the choice of executive selected as the new CEO whenever a change in leadership takes place. However, without an inside look at the leading candidates to assume the CEO role, it is difficult for shareholders to tell whether the board has made the correct choice. In this Closer Look, we examine CEO succession events among the largest 100 companies over a ten-year period to determine what happens to the executives who were not selected (i.e., the “succession losers”) and how they perform relative to those who were selected (the “succession winners”).
We ask:
• Are the executives selected for the CEO role really better than those passed over?
• What are the implications for understanding the labor market for executive talent?
• Are differences in performance due to operating conditions or quality of available talent?
• Are boards better at identifying CEO talent than other research generally suggests?
Staffscapes, Inc. is a Human Resources Outsourcing firm that specializes in HR, Payroll & Benefits. We recently presented this slide show to a group of Colorado Small Business Owners and Managers and are sharing it with the general public today.
In early July, the Department of Treasury announced it is delaying a key mandate of the Affordable Care Act: what's known as the 'Pay or Play' mandate. While pushing pause on this mandate gives large employers another year to prepare, we strongly advise businesses not to wait to start making strategic decisions. For more information, contact Fraser Trebilcock Senior Health Care and Business Attorney Mike James at mjames@fraserlawfirm.com or 517.377.0823. You can also find more information at www.milhealthlaws.com.
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.
Compliance Overview - Employee Benefits Compliance Checklist for Large Employersntoscano50
Federal law imposes numerous requirements on the group health coverage that employers provide to their employees. Many federal compliance laws apply to all group health plans, regardless of the size of the sponsoring employer. However, there are some additional requirements for large employers. For this purpose, a large employer is one with 50 or more employees.
Unlike smaller employers, large employers must comply with the Affordable Care Act’s (ACA) employer shared responsibility rules, the ACA’s Form W-2 reporting rules and the Family and Medical Leave Act’s (FMLA) requirements.
This Compliance Overview provides a checklist for employee benefit laws applicable to large employers.
How Does Obamacare Impact Your Business Planning?Tilson
The Supreme Court has upheld the PPACA and its implementation is full steam ahead. Now is the time to begin preparing for the impact on your business and your employees. Many have forgotten the complexity, decisions, and regulatory requirements of this legislation. As we all know, the devil is in the details.
Ted Ginsburg, CPA, JD from Skoda Minotti's Employee Benefits group provides an update on the Affordable Care Act (ACA) for employers who were not subject to it in 2015, but are facing IRS filing requirements moving forward.
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.
Need help understanding your health insurance options?
Don't know what to do during open enrollment?
Want to help your employees with their healthcare costs but don't know how?
We got you.
Open Enrollment 101 will teach you everything you need to know about open enrollment, how to evaluate your plan options, and how employers can help their employees out with their healthcare costs.
Created by WEA Trust Vice President & General Counsel Vaughn Vance, this presentation helps explain to employers the changing health insurance marketplace. You'll learn about new fees and taxes, plan restrictions and employer obligations under health care reform.
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.
what is the future of Pi Network currency.DOT TECH
The future of the Pi cryptocurrency is uncertain, and its success will depend on several factors. Pi is a relatively new cryptocurrency that aims to be user-friendly and accessible to a wide audience. Here are a few key considerations for its future:
Message: @Pi_vendor_247 on telegram if u want to sell PI COINS.
1. Mainnet Launch: As of my last knowledge update in January 2022, Pi was still in the testnet phase. Its success will depend on a successful transition to a mainnet, where actual transactions can take place.
2. User Adoption: Pi's success will be closely tied to user adoption. The more users who join the network and actively participate, the stronger the ecosystem can become.
3. Utility and Use Cases: For a cryptocurrency to thrive, it must offer utility and practical use cases. The Pi team has talked about various applications, including peer-to-peer transactions, smart contracts, and more. The development and implementation of these features will be essential.
4. Regulatory Environment: The regulatory environment for cryptocurrencies is evolving globally. How Pi navigates and complies with regulations in various jurisdictions will significantly impact its future.
5. Technology Development: The Pi network must continue to develop and improve its technology, security, and scalability to compete with established cryptocurrencies.
6. Community Engagement: The Pi community plays a critical role in its future. Engaged users can help build trust and grow the network.
7. Monetization and Sustainability: The Pi team's monetization strategy, such as fees, partnerships, or other revenue sources, will affect its long-term sustainability.
It's essential to approach Pi or any new cryptocurrency with caution and conduct due diligence. Cryptocurrency investments involve risks, and potential rewards can be uncertain. The success and future of Pi will depend on the collective efforts of its team, community, and the broader cryptocurrency market dynamics. It's advisable to stay updated on Pi's development and follow any updates from the official Pi Network website or announcements from the team.
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.
how can I sell pi coins after successfully completing KYCDOT TECH
Pi coins is not launched yet in any exchange 💱 this means it's not swappable, the current pi displaying on coin market cap is the iou version of pi. And you can learn all about that on my previous post.
RIGHT NOW THE ONLY WAY you can sell pi coins is through verified pi merchants. A pi merchant is someone who buys pi coins and resell them to exchanges and crypto whales. Looking forward to hold massive quantities of pi coins before the mainnet launch.
This is because pi network is not doing any pre-sale or ico offerings, the only way to get my coins is from buying from miners. So a merchant facilitates the transactions between the miners and these exchanges holding pi.
I and my friends has sold more than 6000 pi coins successfully with this method. I will be happy to share the contact of my personal pi merchant. The one i trade with, if you have your own merchant you can trade with them. For those who are new.
Message: @Pi_vendor_247 on telegram.
I wouldn't advise you selling all percentage of the pi coins. Leave at least a before so its a win win during open mainnet. Have a nice day pioneers ♥️
#kyc #mainnet #picoins #pi #sellpi #piwallet
#pinetwork
Introduction to Indian Financial System ()Avanish Goel
The financial system of a country is an important tool for economic development of the country, as it helps in creation of wealth by linking savings with investments.
It facilitates the flow of funds form the households (savers) to business firms (investors) to aid in wealth creation and development of both the parties
Currently pi network is not tradable on binance or any other exchange because we are still in the enclosed mainnet.
Right now the only way to sell pi coins is by trading with a verified merchant.
What is a pi merchant?
A pi merchant is someone verified by pi network team and allowed to barter pi coins for goods and services.
Since pi network is not doing any pre-sale The only way exchanges like binance/huobi or crypto whales can get pi is by buying from miners. And a merchant stands in between the exchanges and the miners.
I will leave the telegram contact of my personal pi merchant. I and my friends has traded more than 6000pi coins successfully
Tele-gram
@Pi_vendor_247
how to sell pi coins in all Africa Countries.DOT TECH
Yes. You can sell your pi network for other cryptocurrencies like Bitcoin, usdt , Ethereum and other currencies And this is done easily with the help from a pi merchant.
What is a pi merchant ?
Since pi is not launched yet in any exchange. The only way you can sell right now is through merchants.
A verified Pi merchant is someone who buys pi network coins from miners and resell them to investors looking forward to hold massive quantities of pi coins before mainnet launch in 2026.
I will leave the telegram contact of my personal pi merchant to trade with.
@Pi_vendor_247
What price will pi network be listed on exchangesDOT TECH
The rate at which pi will be listed is practically unknown. But due to speculations surrounding it the predicted rate is tends to be from 30$ — 50$.
So if you are interested in selling your pi network coins at a high rate tho. Or you can't wait till the mainnet launch in 2026. You can easily trade your pi coins with a merchant.
A merchant is someone who buys pi coins from miners and resell them to Investors looking forward to hold massive quantities till mainnet launch.
I will leave the telegram contact of my personal pi vendor to trade with.
@Pi_vendor_247
Resume
• Real GDP growth slowed down due to problems with access to electricity caused by the destruction of manoeuvrable electricity generation by Russian drones and missiles.
• Exports and imports continued growing due to better logistics through the Ukrainian sea corridor and road. Polish farmers and drivers stopped blocking borders at the end of April.
• In April, both the Tax and Customs Services over-executed the revenue plan. Moreover, the NBU transferred twice the planned profit to the budget.
• The European side approved the Ukraine Plan, which the government adopted to determine indicators for the Ukraine Facility. That approval will allow Ukraine to receive a EUR 1.9 bn loan from the EU in May. At the same time, the EU provided Ukraine with a EUR 1.5 bn loan in April, as the government fulfilled five indicators under the Ukraine Plan.
• The USA has finally approved an aid package for Ukraine, which includes USD 7.8 bn of budget support; however, the conditions and timing of the assistance are still unknown.
• As in March, annual consumer inflation amounted to 3.2% yoy in April.
• At the April monetary policy meeting, the NBU again reduced the key policy rate from 14.5% to 13.5% per annum.
• Over the past four weeks, the hryvnia exchange rate has stabilized in the UAH 39-40 per USD range.
how to sell pi coins at high rate quickly.DOT TECH
Where can I sell my pi coins at a high rate.
Pi is not launched yet on any exchange. But one can easily sell his or her pi coins to investors who want to hold pi till mainnet launch.
This means crypto whales want to hold pi. And you can get a good rate for selling pi to them. I will leave the telegram contact of my personal pi vendor below.
A vendor is someone who buys from a miner and resell it to a holder or crypto whale.
Here is the telegram contact of my vendor:
@Pi_vendor_247
how can i use my minded pi coins I need some funds.DOT TECH
If you are interested in selling your pi coins, i have a verified pi merchant, who buys pi coins and resell them to exchanges looking forward to hold till mainnet launch.
Because the core team has announced that pi network will not be doing any pre-sale. The only way exchanges like huobi, bitmart and hotbit can get pi is by buying from miners.
Now a merchant stands in between these exchanges and the miners. As a link to make transactions smooth. Because right now in the enclosed mainnet you can't sell pi coins your self. You need the help of a merchant,
i will leave the telegram contact of my personal pi merchant below. 👇 I and my friends has traded more than 3000pi coins with him successfully.
@Pi_vendor_247
US Economic Outlook - Being Decided - M Capital Group August 2021.pdfpchutichetpong
The U.S. economy is continuing its impressive recovery from the COVID-19 pandemic and not slowing down despite re-occurring bumps. The U.S. savings rate reached its highest ever recorded level at 34% in April 2020 and Americans seem ready to spend. The sectors that had been hurt the most by the pandemic specifically reduced consumer spending, like retail, leisure, hospitality, and travel, are now experiencing massive growth in revenue and job openings.
Could this growth lead to a “Roaring Twenties”? As quickly as the U.S. economy contracted, experiencing a 9.1% drop in economic output relative to the business cycle in Q2 2020, the largest in recorded history, it has rebounded beyond expectations. This surprising growth seems to be fueled by the U.S. government’s aggressive fiscal and monetary policies, and an increase in consumer spending as mobility restrictions are lifted. Unemployment rates between June 2020 and June 2021 decreased by 5.2%, while the demand for labor is increasing, coupled with increasing wages to incentivize Americans to rejoin the labor force. Schools and businesses are expected to fully reopen soon. In parallel, vaccination rates across the country and the world continue to rise, with full vaccination rates of 50% and 14.8% respectively.
However, it is not completely smooth sailing from here. According to M Capital Group, the main risks that threaten the continued growth of the U.S. economy are inflation, unsettled trade relations, and another wave of Covid-19 mutations that could shut down the world again. Have we learned from the past year of COVID-19 and adapted our economy accordingly?
“In order for the U.S. economy to continue growing, whether there is another wave or not, the U.S. needs to focus on diversifying supply chains, supporting business investment, and maintaining consumer spending,” says Grace Feeley, a research analyst at M Capital Group.
While the economic indicators are positive, the risks are coming closer to manifesting and threatening such growth. The new variants spreading throughout the world, Delta, Lambda, and Gamma, are vaccine-resistant and muddy the predictions made about the economy and health of the country. These variants bring back the feeling of uncertainty that has wreaked havoc not only on the stock market but the mindset of people around the world. MCG provides unique insight on how to mitigate these risks to possibly ensure a bright economic future.
Even tho Pi network is not listed on any exchange yet.
Buying/Selling or investing in pi network coins is highly possible through the help of vendors. You can buy from vendors[ buy directly from the pi network miners and resell it]. I will leave the telegram contact of my personal vendor.
@Pi_vendor_247
2. Guidance and Updates
• As October 1st fast approaches, the government
is busy issuing a plethora of guidance. October
1st is an important date in that it is the date the
marketplace, sometimes referred to as an
exchange, is open for business. What this
means is that individuals and small businesses
can begin to enroll in health coverage through
these newly implemented vehicles. Coverage
purchased through these marketplaces will
become effective Jan. 1, 2014, at the earliest.
3. Elections and the Supreme Court
• National elections and most legal
challenges are over. What was settled?
–The individual mandate
–Employer mandates
–Medicaid expansion
–Public health insurance exchanges
4. Key Things to Know
Coverage
Mandates
Market
Reforms
Insurance
Exchanges
Disclosures &
Communications
5. Key Things to Know
Individual
Mandate
Individuals will be required to obtain
qualified health insurance coverage
Employer
Mandate
Employers will be required to offer their
employees qualified health insurance
coverage
Exempt
Employers
Employers with fewer than 50
employees will be exempt from the
coverage mandate
Penalties for
Individuals
The greater of a dollar amount or
percent of income. In 2014 – $95 or 1%.
In 2016 – $695 or 2.5%.
Penalties for
Employers
Penalties for employers are based on
whether insurance is offered at all, or at
an affordable cost.
Coverage
Mandates
Market
Reforms
Insurance
Exchanges
Disclosures &
Communications
These mandates do not apply to
Colonial Life products
6. Qualified Health Plan
• Under the Affordable Care Act, starting in
2014, an insurance plan that is certified by
the Health Insurance Marketplace,
provides essential health benefits, follows
established limits on cost-sharing (like
deductibles, copayments, and out-of-
pocket maximum amounts), and meets
other requirements. A qualified health plan
will have a certification by each
Marketplace in which it is sold
7. Key Things to Know
Immediate Reforms – Prior to 2014
No lifetime limits; annual limits restricted
Dependent Coverage extended to age 26
Minimum Medical Loss Ratios (MLR)
Summary of Benefits and Coverage (SBC)
Coverage
Mandates
Market
Reforms
Insurance
Exchanges
Disclosures &
Communications
Colonial Life products are not
subject to these reforms
8. Key Things to Know
Reforms Beginning January 2014
No pre-existing conditions applied
Guaranteed Issue policies
Adjusted Community Rating
Essential Health Benefits (EHB)
Maximum Deductible Limits
Coverage
Mandates
Market
Reforms
Insurance
Exchanges
Disclosures &
Communications
Colonial Life products are not
subject to these reforms
9. Key Things to Know
Coverage
Mandates
Market
Reforms
Insurance
Exchanges
Disclosures &
Communications
W-2 Reporting Requirements
Requirement
Employers filing 250+ W-2 Forms must disclose the
value of certain health insurance plans on W-2 Forms
(January 2013)
Impact to Colonial Life Products
The value of hospital indemnity and specified disease
products are reported if pre-taxed or employer-paid
What we’re doing
We’re assisting employers to meet the new reporting
requirements for our products. We developed W-2
reports for impacted employers.
10. Key Things to Know
Coverage
Mandates
Market
Reforms
Insurance
Exchanges
Disclosures &
Communications
Summary of Benefits and Coverage (SBC)
Requirement
Medical insurers must provide summaries of major
medical coverage in a format dictated by HHS (Health
and Human Services) (September 2012)
Purpose
To provide individuals with standard information so they
can compare medical plans as they make decisions
SBCs provide useful information for our benefits
counselors when performing core enrollments*
* Please refer to next slide for “Do’s and Don’ts for SBC Documents”
11. Key Things to Know
Coverage
Mandates
Market
Reforms
Insurance
Exchanges
Disclosures &
Communications
Public Exchanges for
Small Employers and Individuals
Online Market for Health Insurance
• State or federally owned and managed
• 4 defined plan levels with mandated components
• Subsidies for income below 400% of poverty (Family
of three= $19,530)
Agents, Brokers and Navigators
• Agents and brokers can access public exchanges
through certification process
• Navigators are contracted and trained by exchanges
No voluntary products allowed on public exchanges
Colonial Life products are still needed to fill gaps in
coverage from exchange plans
Seize opportunity to help employees navigate
through the new public exchanges
12. Qualified Insurance Plans
Plan Level
Actuarial
Value
Description
Bronze 60%
Actuarial value equals the total value
of health care expenses paid by the
plan, ranging from 60% to 90%.
Actuarial values may be achieved by
varying the level of cost-sharing
across deductibles, co-payments
and specific benefit offerings.
Silver 70%
Gold 80%
Platinum 90%
Catastrophic
Limited to individuals under age 30 or in a defined
financial hardship category
13. Distribution of Marketplace
Notice to Employees
• One of the most immediate matters for
employers to attend to is distribution of the
market place notice.
• If you have not done this already please
let me know and I will get you the
notification letter ASAP.
14. Small Business Tax Credit
(SBTC) Updates
• The Affordable Care Act includes a small
employer health insurance tax credit that
has been in effect for several years now.
• The Following are highlights of these
proposed regulations. These changes
begin January 1, 2014.
15. Eligible Employers.
• Employers entitled to the credit remain the
same. To be eligible, the employer must
employ fewer than 25 full-time equivalent
employees whose average annual wages
are less than $50,000 (adjusted for
inflation beginning in 2014). In addition,
the small employer must cover at least
50% of the cost of single (not family)
health care coverage for each employee.
16. Qualifying Coverage
• The credit is only available for qualified
health plan (QHP) coverage purchased
through the Small Business Health
Options Program (SHOP) and is only
available for 2 consecutive years.
17. Qualifying Coverage
• The small employer does not relinquish its
right to the credit by not taking it
immediately. In other words, the employer
could decide to claim the credit in 2017
and 2018, even though it may have
qualified for the credit earlier.
18. Amount of Credit
• For tax years beginning in 2014 and
beyond, the maximum credit will increase
from 35% to 50% of premiums paid by
small business employer, and from 25% to
35% paid by small tax-exempt employers.
19. Uniform Contributions
• To be eligible for the credit the employer
must make a uniform contribution toward
health coverage. The regulations give
several examples of how to determine a
uniform percentage.
20. Example1.
• An eligible small employer (Employer)
offers a QHP on a SHOP Exchange, Plan
A, which uses composite billing. The
premiums for Plan A are $5,000 per year
for self-only coverage, and $10,000 for
family coverage. Employees can elect self-
only or family coverage under Plan A.
21. • Employer pays $3,000 (60% of the
premium) toward self-only coverage under
Plan A and $6,000 (60% of the premium)
toward family coverage under Plan A. In
this example, the Employer's contributions
of 60% of the premium for each tier of
coverage satisfy the uniform percentage
requirement.
22. Example 2
• Same scenario as Example 1, except that
Employer pays $3,000 (60% of the
premium) for each employee electing self-
only coverage under Plan A and pays
$3,000 (30% of the premium) for each
employee electing family coverage under
Plan A..
23. • In this example, the Employer's
contributions of 60% of the premium
toward self-only coverage and the same
dollar amount toward the premium for
family coverage satisfy the uniform
percentage requirement, even though the
percentage is not the same
24. • Small Business Tax Credit Calculator
http://www.aetna.com/employer-
plans/small-business/tax-credit-
calculator/index.html
• AND
• http://www.irs.gov/uac/Small-Business-
Health-Care-Tax-Credit-for-Small-
Employers
25. Transition Relief.
• If a small employer health plan year is
different from a taxable year, the employer
would be able to take the full 50% credit in
2014 even if it does not offer QHP
coverage though a SHOP until its plan
anniversary occurring in 2014, as long as:
26. – As of August 26, 2013, the small employer
offers coverage in a plan year that begins on
a date other than the first day of its taxable
year;
– The employer offers coverage during the
period before the first day of the plan year
beginning in 2014 that would have qualified
the employer for the credit under the rules
otherwise applicable to the period before
January 1, 2014; and
27. • The employer begins offering coverage through
a SHOP as of the first day of its plan year that
begins in 2014
28. Small group rates approved
• Thirteen carriers filed to sell health benefit
plans in the small group market through
Maryland Health Connection, including:
29. • Aetna Health Inc.;
• Aetna Life Insurance Co.;
• CareFirst BlueChoice Inc.;
• CareFirst of Maryland Inc.;
• Coventry Health and Life Co.;
• Coventry Health Care of Delaware Inc.;
30. • Evergreen Health Cooperative
• Group Hospitalization and Medical
Services Inc.;
• Kaiser Foundation Health Plan of the
Mid-Atlantic;
• MAMSI Life and Health Insurance Co.;
• Optimum Choice Inc.;
• UnitedHealthcare
31. The goal is clear
• To make health insurance affordable and
accessible for all Maryland residents,
including the approximately 800,000 or 14
percent of Maryland’s 5.8 million residents
who currently are uninsured.