This document summarizes a webinar about the impact of the Affordable Care Act (ACA) on small businesses after five years of implementation. The webinar features two experts, Jeffrey Ingalls and Laura Roane, and covers topics like health insurance literacy, the individual and employer mandates, costs of the ACA over time, and how states have implemented the law. It also discusses ongoing legal and policy transitions around the ACA and how the law is disrupting traditional business models in the healthcare industry. Attendees are invited to ask the experts questions during a live Q&A session.
ACA's Impact on Small Business Health Insurance After Five Years
1. Crowds with Cash
Alternative Financing is a Mixed Moneybag
of Opportunity for Small Business
Hello!
Welcome to Manta’s Small Business Expert Series
Thanks for joining us today.
We’ll get started right at 2 p.m. EDT
#mantaexperts
2. Five Years Later
An Updated Look at Health Care Reform and Small Business
#mantaexperts
6. We’ll Talk
About
Five Years Later
An Updated Look at Health Care Reform and Small Business
1. Meet the experts: Jeffrey Ingalls and Laura Roane
2. Health Care Reform
Health insurance literacy and why it matters
The ACA: a law in transition and a disruption of
business-as-usual
3. What you want to talk about: Q&A with Jeffrey & Laura
7. Meet Our Experts
Click on the speaker widget to learn more about Jeffrey & Laura
Jeffrey Ingalls Laura Roane
8. • 6.7 million now buying insurance
through the marketplaces
• Millions have gone online and selected a
plan with varying premiums,
deductibles, copays, provider networks,
and drug formularies
• Surveys show many people have a hard
time understanding what they’re buying
Health Insurance
Literacy
Open the resources widget to link to health care and health
insurance terms, as well as the ADP study
9. Small Biz in the Middle
yesno
Individual mandateEmployer mandate
The Mandates
10. Individual Mandate
For the Self-Employed
• Use the individual Health Insurance
Marketplace to enroll
• You may qualify for tax credits and other
savings, based on your projected net income
and household size
• Varied plans; know what you’re getting
• Use a broker, navigator or DIY
• Penalties if not compliant
Link to the Kaiser Foundation’s individual mandate
coverage requirement chart from the resource widget
11. For Employers With 50 or More
Employees• Defining full-time employees–the count vs.
the penalty
• Part-time and seasonal employees—
included or not included?
• Coverage available to employees and
dependents (children to age 26)—2016
• The $2,000 “no coverage” or “A” penalty
• The $3,000 “unaffordable” or “B” penalty
• Effective date and transitional relief–for plan
year contracts and mid-size employers
Employer Mandate
12. Small Biz in the
Middle
• Essential health benefits
• “Metal” tier plans—platinum, gold, silver, bronze
• The marketplace: Small Health Options Program (SHOP)
• Guaranteed issue coverage
• Member level rating
• Gender not a price variance: only 3:1 ratio for age
and 1:1.5 for tobacco use
• Administrative and compliance issues
• Notice of marketplace options
• Waiting periods
• Definition of FTE
• Summary of benefits and coverage
14. Health Insurance Literacy Resources
Healthcare.gov
• https://www.healthcare.gov/
U.S. Department of Health and Human Services
• http://www.hhs.gov/
Internal Revenue Service
• http://www.irs.gov/Affordable-Care-Act
Kaiser Family Foundation
• http://kff.org/health-reform/
• http://kff.org/understanding-health-insurance/
15. Accredited
Investors
ACA: Law in Transition
• Costs in transition
• Exchanges in transition
• States in transition
• Law in transition
• Disrupting business as usual
16. Costs in
Transition• Reasons for increased costs
• Individual and group markets
• Lack of consumer directed
healthcare
• Guaranteed issue vs previously
underwritten
• Inclusion of essential health
benefits
• Costs are beginning to level out
• Higher deductibles
• Defined contributions
Link to Manta’s latest research through the
resources widget on the platform
17. Exchanges in Transition
The Future of SHOP
• Current limitations
• Future advantages
• How this may
“change the game”
for small employers
18. States in Transition
• Four types of marketplaces: which
type of marketplace exists in your
state?
• The type of marketplace determines
how you enroll
• Only Mississippi, New Mexico and
Utah offer state-based SHOP
marketplaces
• The ACA is a broad law that’s not
always applied broadly
Link to the Kaiser Foundation’s table of state-
based marketplaces from the resource widget
19. Law in Transition
• King vs. Burwell
• 7.5 million people could lose their
subsidies in 34 states that use the
federal health care marketplace
• The status of people in three other
states—Oregon, Nevada and New
Mexico—is unclear
• Effects on the employer mandate
20. Disrupting Business as
Usual• Health care insurance goes retail
• Competitive over quality and price
• Industry more responsive to customers
• Higher quality, lower cost care
• Companies pursuing health care partnerships
• Do it yourself health care, telemedicine
• Next generation expectations of
medicine/insurance delivery
• Small business and retirement benefits
21. Ask the Experts
Connect with other business owners in the Manta community
Chat with Jeffrey and Laura on Twitter immediately following the webinar
#mantaexperts
Open the resources widget to get more information about our upcoming webinars
Jeffrey Ingalls Laura Roane
22. Manta believes in empowering small businesses to achieve success.
We’re inspired by your determination and energy. And we understand
that every company is unique.
We strive to provide the marketing tools and educational resources
you need to stand out, connect with your customers and your peers,
and grow your business.
Send us a note and let us know what you’d like to learn from upcoming
webinars like this one.
events@manta.com