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.
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.
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.
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.
Healthcare Check-in: The Latest Developments in Health and Welfare Plansbenefitexpress
We work in an exciting industry – which means quick changes are the norm, and adaptability is a necessity. Keep your compliance plans up to date with a download of all legislative changes since our last update webinar. This webinar covered legislation that's passed in the last six months, what's on the way, and what it means for your organization.
Financial Planning In Healthcare PowerPoint Presentation Slides SlideTeam
This complete deck is oriented to make sure you do not lag in your presentations. Our creatively crafted slides come with apt research and planning. This exclusive deck with fourtythree slides is here to help you to strategize, plan, analyse, or segment the topic with clear understanding and apprehension. Utilize ready to use presentation slides on Financial Planning In Healthcare PowerPoint Presentation Slides with all sorts of editable templates, charts and graphs, overviews, analysis templates. It is usable for marking important decisions and covering critical issues. Display and present all possible kinds of underlying nuances, progress factors for an all inclusive presentation for the teams. This presentation deck can be used by all professionals, managers, individuals, internal external teams involved in any company organization.
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.
Dane Rianhard from TriBridge Partners presented this slide via webinar on Affordable Care Act Compliance for 2014 and Beyond. The presentation includes information for small companies, companies with 50 - FTEs and companies with over 100 employees. The deck also includes information on private exchanges.
With the landmark healthcare reform legislation now in place, we're sure that you have questions about how it impacts your organization and your employees. At a Pearson Partners International HR Roundtable presentation, Buck Consultants helped decipher the legislation—so you understand, in practical terms, what it means and what you need to do. Presentation includes:
Market Reform:
timeline and play-or-pay penalties
Individual Responsibility:
deadlines, definitions and numbers
Insurance Exchanges:
explanation and eligibility
Financing:
funding, taxes and surcharges
Employer Responsibility:
compliance, reporting and communication
What Does Health Care Reform Mean for You? G&A Partners
Damon Thompson of G& A Partners examines the Patient Protection and Affordable Care Act (PPACA) that was signed into law on March 23, 2010.
G&A Partners is a comprehensive human resource outsourcing provider.
For more great HR webinars and training visit www.gnapartners.com.
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.
http://tastetrekkers.com/podcast -- Greg Nivens tells us what to expect at the Beer Bourbon and BBQ Festival. We discuss the history of bourbon, the barbecue sauces of the South and the secret history of tirmisu.
Healthcare Check-in: The Latest Developments in Health and Welfare Plansbenefitexpress
We work in an exciting industry – which means quick changes are the norm, and adaptability is a necessity. Keep your compliance plans up to date with a download of all legislative changes since our last update webinar. This webinar covered legislation that's passed in the last six months, what's on the way, and what it means for your organization.
Financial Planning In Healthcare PowerPoint Presentation Slides SlideTeam
This complete deck is oriented to make sure you do not lag in your presentations. Our creatively crafted slides come with apt research and planning. This exclusive deck with fourtythree slides is here to help you to strategize, plan, analyse, or segment the topic with clear understanding and apprehension. Utilize ready to use presentation slides on Financial Planning In Healthcare PowerPoint Presentation Slides with all sorts of editable templates, charts and graphs, overviews, analysis templates. It is usable for marking important decisions and covering critical issues. Display and present all possible kinds of underlying nuances, progress factors for an all inclusive presentation for the teams. This presentation deck can be used by all professionals, managers, individuals, internal external teams involved in any company organization.
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.
Dane Rianhard from TriBridge Partners presented this slide via webinar on Affordable Care Act Compliance for 2014 and Beyond. The presentation includes information for small companies, companies with 50 - FTEs and companies with over 100 employees. The deck also includes information on private exchanges.
With the landmark healthcare reform legislation now in place, we're sure that you have questions about how it impacts your organization and your employees. At a Pearson Partners International HR Roundtable presentation, Buck Consultants helped decipher the legislation—so you understand, in practical terms, what it means and what you need to do. Presentation includes:
Market Reform:
timeline and play-or-pay penalties
Individual Responsibility:
deadlines, definitions and numbers
Insurance Exchanges:
explanation and eligibility
Financing:
funding, taxes and surcharges
Employer Responsibility:
compliance, reporting and communication
What Does Health Care Reform Mean for You? G&A Partners
Damon Thompson of G& A Partners examines the Patient Protection and Affordable Care Act (PPACA) that was signed into law on March 23, 2010.
G&A Partners is a comprehensive human resource outsourcing provider.
For more great HR webinars and training visit www.gnapartners.com.
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.
http://tastetrekkers.com/podcast -- Greg Nivens tells us what to expect at the Beer Bourbon and BBQ Festival. We discuss the history of bourbon, the barbecue sauces of the South and the secret history of tirmisu.
Catálogo Oriflame 9 – Power Woman!
www.sonhar.pt
O Catálogo Oriflame 9 é um catálogo muito especial para nós. Além de ter excelentes promoções, é uma verdadeira celebração da Mulher Poderosa, uma mulher ambiciosa, carismática e confiante, uma mulher que controla o seu próprio destino, que sabe o que quer e que nunca baixa os braços, no fundo uma Mulher Oriflame!
Catálogo Oriflame 9
Neste contexto, apresentamos a nova Eau de Toilette Power Woman, uma fragrância fascinante, com notas de gengibre, rosa, jasmim, madeiras e âmbar. Esta nova fragrância está a um excelente preço de lançamento de €18,95. Ainda no segmento de fragrâncias chamo a vossa atenção para o novo design das fragrâncias Midsummer para ela e pare ele, com descontos fantásticos! Seguem-se muitos outros lançamentos, dos quais destaco os novos Batons Triple Core 3D, batons inovadores que criam a ilusão ótica de lábios volumosos, para um efeito 3D surpreendente! Estes batons estão, neste catálogo, a um fantástico preço de €8,95 cada! Ainda no segmento de maquilhagem, apresentamos o novo Eyeliner em Gel Studio Artist, um produto fabuloso e tão apreciado por maquilhadores profissionais.
Apresentamos ainda novos lançamentos na gama Optimals, desta vez o Creme de Dia com SPF20 Optimals Even Out, um creme essencial para atenuar as manchas escuras e evitar o aparecimento de novas manchas, graças ao SPF. E ainda a linha Skin Youth, composta por creme de dia, creme de noite e creme de olhos, esta é uma linha indicada para atenuar os primeiros sinais de envelhecimento da pele. Estes produtos estão com preços fabulosos neste catálogo. No segmento de cuidados do corpo, destaco o lançamento da nova linha Nature Secrets, com ginseng e maracujá, composta por gel de duche, sabonete líquido e deo roll-on. Sinta o agradável aroma destes produtos na pág. 133 do catálogo.
Power Woman
Este Catálogo Oriflame 9 vem também repleto de novos e fantásticos acessórios para o verão. Destaco a Esteira de Praia Exotic Flower, que faz parte da coleção Exotic Flower. Este é também o Motor de Vendas deste Catálogo: Por cada €15,00 de compras que efetuar neste catálogo, poderá adquirir esta Esteira de Praia por apenas €7,95! Esta coleção é também composta por páreo, bolsa térmica, saco e chinelos, todos estes acessórios são inspirados nas cores do pôr do sol e são essenciais para um look de praia original. Não perca, ainda, a Loucura de Última Hora: Na compra de qualquer produto deste catálogo, poderá adquirir 1 creme de mãos Nature Secrets, por apenas €4,45, 2 por €6,95 ou 3 por apenas €7,95!
Saiu também o novo Catálogo Wellness (9-13), cheio de energia e com todos os produtos de que necessita para tirar o máximo partido do verão!
Ações de Apoio às Vendas:
· Prémio de Atividade - Aos 80 VP, recebe Grátis o Creme Tonificante para as Pernas Perfect Body, no valor de €27,00.
· Campanha de
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.
Are you ready for the upcoming 2014 provisions of the new healthcare reform act? Do you know what the implications are to you as a small or midsize company?
Our webinar will help you become familiar with upcoming requirements under the Patient Protection and Affordable Care Act.
Expect to learn the following and more:
What is the Patient Protection and Affordable Care Act
How does an organization determine their 2014 cost to comply?
What should organizations be doing now to prepare?
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.
How to Avoid a Head-on Collision with The Cadillac TaxBill Conlan
The Webinar addressed what state and local governments need to know about how other provisions of reform that take effect beginning in 2010 will complicate the challenge of meeting the thresholds – and that the time to begin planning for the Cadillac tax is now.
The presenters provided details on the Cadillac tax and factors that complicate compliance with premium thresholds such as the removal of traditional coverage limits, the increase in the dependent eligibility age, additional fees, mental health parity and the estimated 16 million more Americans who will receive Medicaid.
Uncertain future of medicare pass throughs and add-onsBESLER
Very few items are still settled on your cost report. With so many changes resulting from the ACA and other potential initiatives being discussed every day, your organization should be acutely aware of the total amount of Medicare Revenue that is at risk. There is talk of eliminating, greatly reducing or completely altering payment methodologies that hospitals have become so reliant on for so long. Revenue potentially at risk includes Medicare Bad Debt, Nursing Allied Health, Graduate Medical Education, Wage Index adjustments, and Transplant.
How to improve operating margins
● What does operating margin tell you about the organization, and how would
you calculate this ratio?
● Select a local medical service organization and describe how it has
specifically improved its operating margins.
HFMA
Financial Reporting Function
Financial Reporting Function
Financial Accounting Standards Board
(FASB)
FASB standards rest on certain
assumptions:
Ø Monetary unit
Ø Economic entity
Ø Time period
Ø Going concern
Financial Reporting Function
FASB
Two key principles
Ø Cost principle
Ø Full disclosure principle
Financial Reporting Function
Generally Accepted Accounting Principles
(GAAP)
Ø Consistency
Ø Relevance
Ø Reliability
Ø Comparability
Financial Reporting Function
Financial Statements
For Profit Not-for-Profit
Balance Sheet Statement of Financial
Position
Income Statement Statement of Operations
Statement of Cash Flows Statement of Cash Flows
Financial Reporting Function
Accepted Accounting Methods
Ø Accrual
Ø Cash
Ø Fund
Financial Reporting Function
Financial Statement Presentation
Ø Two years are displayed
- Prior year to the right of the current year
Ø Statement of Operations or Income Statement are for a period of
time—typically a month
Ø Statement of Cash Flows reflects a period of time consistent with the
Statement of Operations or Income Statement—typically a month
Ø Statement of Financial Position or Balance Sheet reflect the status
of Assets, Liabilities, and Net Assets/Shareholders’ Equity as of a
day.
Financial Reporting Function
Ratio Analysis
Ø Liquidity Ratios
Ø Profitability Ratios
Ø Asset Efficiency Ratios
Ø Capital Structure Ratios
Ø Operating Indicators
Financial Reporting Function
Ratio Analysis
Ø Liquidity
- Current ratio
- Quick ratio
Current ratio = Current Assets/Current Liabilities
Quick ratio = (Cash + Marketable Securities + Net
Accounts Receivable)/Current Liabilities
Financial Reporting Function
Ratio Analysis
Ø Profitability
- Operating margin
- Return on assets
Operating Margin = [(Operating Revenue-Operating
Expenses)/Total Operating Revenues] x 100
Return on Assets = Excess of revenues over expenses/
Total Assets
Financial Reporting Function
Ratio Analysis
Ø Asset efficiency
- Total asset turnover
- Inventory turnover
Total Asset Turnover = Total Operating Revenue/ Total
Assets
Inventory Turnover = Total Operating Revenue/ Inventory
Financial Reporting Function
Ratio Analysis
Ø Capital structure
- Debt to Capitalization
- Debt service coverage
Debt to Capitalization = [Long-term Debt/ (Long-term Debt
+ Unrestricted Net Assets)] x 100
Debt Service Coverage = (Excess of revenues over
expenses + Depre.
Veteran Silicon Valley attorney Roger Royse will discuss, compare and contrast the various options available to entrepreneurs when it comes to funding their startup.
The speaker will address some common questions when it comes to funding for startups, including:
What are the best funding options for entrepreneurs to scale their business?
When should entrepreneurs pursue external funding?
How do entrepreneurs choose the right investor?
What alternative sources of funding are available?
How and why should a founder stage their funding rounds?
When should a founder think about exiting?
How can advisers help with the funding process?
and more!
Crowdfunding crypto - ic os march 12 2018Roger Royse
Block chain, bitcoin and other cryptocurrencies, and ICOs have dominated recent headlines. While excitement continues to grow around this rapidly expanding space, there still seems to be a lot of unanswered questions. Roger Royse, founder of the Royse Law Firm, discusses the legal issues that may determine the future of these emerging technologies.
This workshop helps attendees understand the income taxation of trusts and estates, identify sources of taxable income, calculate distributable net income, and apply the Alternative Minimum Tax.
Presenter: David Spence, Jennifer Han, Allison Kroeker, and Li (Fiona) Xu of Royse Law Firm
The Future of Farming: Ag Subcommittee TestimonyRoger Royse
Roger's testimony before the House Agriculture Subcommittee on General Farm Commodities and Risk Management. He discusses technological innovations, opportunities, and challenges for producers in the agriculture industry.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
2. Introduction
General Overview of Health Care Reform (HCR)
Critical Decisions and Considerations for 2013
• Individual Mandate
• Employer Shared Responsibility (Play or Pay)
• Reporting
• Costs, Taxes & Fees
• State Exchange
2
3. Provisions 2010 – 2018
• Mandates & Statutes
• Access To Affordable, Quality Coverage
• Taxes, Penalties, Fees & Credits
• Reporting & Administration
Impact to Business Owners
• More complexity in purchasing decisions
• Increased compliance requirements
• Rising costs for small businesses
3
5. • Effective January 2014, all individuals must purchase
qualifying health coverage
• Limited exceptions apply
• Penalties for failure to comply collected through
individual’s federal income tax return
Penalty is lesser of above amount or the national average cost of bronze level coverage in the state exchanges
5
6. • Are you prepared to answer employees’ questions?
• Will the penalty change your employees’ behavior?
• Will more employees enroll in your health insurance
offering?
• What is the impact to your plan design and total health
care cost?
6
7. • 40 FTEs*
• Offers Coverage
• 75% Participation
• 10 FTEs currently
not enrolled
• $5,000 contribution
per employee
A. 10 FTEs (currently not enrolled) enroll
because of individual mandate
B. Employer’s costs of offering coverage
increases
C. 10 x $5,000 = $50,000
7
*Full-Time Employees
9. • Employers with 50 or more FTEs (including FTEQs*) are
subject to Play or Pay penalties if certain minimum
requirements are not met (coverage, value and affordability)
• One or more FTEs obtains coverage through a state exchange
and receives a premium tax credit or cost sharing subsidy
9
*Full-Time Equivalents: individual(s), not treated as full-time employees, who in combination are counted as a full-time
employee based on number of hours worked during a fixed time period
10. • Consider controlled group status
• FTE calculation is performed on
month-by-month basis and
requires following data:
– Employment Status (full-time,
part-time or seasonal)
– Hire Date
– Hours Worked
• Ongoing Data Tracking:
– Hours and status for all
employees to determine
coverage eligibility
– FTEs for purposes of
determining eligibility for
coverage
10
11. 60% of minimum
essential benefits costs
covered by the plan*
Not to exceed 9.5% of
household income
*Actuarial plan value
11
12. • Do you offer health insurance?
• Does your health insurance offering meet the minimum
value and affordability requirements?
• How many full-time employees do you have under the
new health care reform calculation?
• Do you think any of your full-time employees will receive
a subsidy for state exchange coverage?
• What is your exposure to play or pay penalties?
12
13. • 50 FTEs (including FTEQs)
• ≠ MEC
A. 1 FTE goes to exchange
B. 1 FTE gets subsidy
C. Penalty on employer is triggered
D. (50 – 30) x $2,000 = $40,000
13
*Minimum Essential Coverage: defined under HCR as (i) an employer-sponsored group
health plan, (ii) certain government programs such as Medicare, Medicaid, CHIP and
TRICARE, (iii) an individual policy
14. • 50 FTEs (including FTEQs)
• Offers Coverage
• ≠ Minimum Value
• ≠ Affordable
A. 10 FTEs go to exchange
B. 5 FTEs get subsidies
C. Penalty on employer is triggered
D. 5 x $3,000 = $15,000
14
16. • Number of full-time employees (FTEs) employed each month
• Name, address and Taxpayer Identification Number of each FTE
during calendar year and months (if any) when employee (and
dependents) were covered under health plans
• Length of any waiting periods
• Certify coverage offered to FTEs and dependents
• Months employer sponsored plan was available
• Monthly premium for the lowest cost options
• Employer’s share of the total allowed costs of benefits
16
17. • State/Local Reporting
• State Exchange Reporting
• Employment and Plan Offering Verifications
• Penalty Appeals
17
18. • Are you prepared to comply with existing or future
reporting requirements?
• Are your payroll processing, benefits administration and
HR services managed by multiple systems and/or
vendors?
• How will you coordinate the tracking of necessary
information and submit the appropriate reports on a
timely basis?
18
20. 20
The Congressional Joint Committee on Taxation recently
identified more than 20 new or increased taxes, totaling
almost $1.1 trillion over the next ten years.
• Nearly double the original 2010 projection
• $25 billion in taxes affecting health insurance costs in 2014
21. Taxes and fees on insurers/health care industry will
increase costs for businesses by 3.5-4% or $400 PEPY*
21
*Per Employee Per Year
22. 22
• Individual and small market reforms:
- States will heavily regulate small group and individual premiums
- Adjusted community rating will limit pricing variables to age, family
size, geography and tobacco use (some states may further limit
variations or eliminate altogether)
- Other rating factors will be prohibited (e.g., prior claims experience,
health status, gender, industry and duration of coverage)
- Pricing of identical medical plans offered inside & outside of state
exchanges must be the same
• Other requirements affecting costs include:
- Guaranteed issue and renewability
- Maximum deductible levels
- Minimum plan values
23. 23
• How will new small group pricing regulations impact your
cost structure?
• How will taxes and fees impact your cost structure?
• How can you modify your plan designs to offset expected
cost increases?
• Should you adjust employee contributions to offset
expected cost increases?
• Can you adjust your product or service prices to cover your
expected cost increases?
25. 25
• State exchanges will be marketplaces for individuals and
small businesses to view, compare and purchase health
insurance
• Creation mandated by HCR
- Open Enrollment - October 1, 2013
- Fully-Operational - January 1, 2014
• Some regulations have yet to be finalized
• Processes, products and pricing still in development
26. 26
• Will include 4 levels of medical plans with varying coverage levels (“metal plans”)
• Some state exchanges are expected to initially offer only medical and
Rx coverage
• Full scope of products and pricing for exchanges is not known in all states
at this time
*% of minimum
essential benefits
costs covered by
the plan
27. 27
• Subsidies will be available through state exchanges for those
earning up to 400% of federal poverty level (FPL)
- $45,960 for individual, $94,200 for family of 4 (2013 FPL)
- Available only for coverage obtained though exchanges
- Unavailable if employer offers qualified coverage
• Subsidy calculations are complex
- Amounts based on a sliding scale using household
income/age/plan value and phased-out as income
approaches 400% FPL
28. 28
• There are two forms of subsidies: Premium Tax Credits &
Cost-Sharing Subsidies, both:
- lower overall cost of health insurance coverage for an
individual/family
- are based on a sliding income scale (those at bottom
receive most assistance, those at top receive least)
- are pegged to Silver Plans in the State Exchanges
30. 30
• Employers relying on state exchanges for employee medical
coverage may be disadvantaged against competitors who attract and
retain top talent through a comprehensive benefits strategy
• State exchange medical plans may be viewed as a lower quality
solution because many believe the exchanges were developed to
serve the uninsured and underinsured
• State exchanges may not provide a consistent health insurance
solution for employees across multiple states
• State exchange products may initially be limited to medical and Rx
only, requiring you to seek other solutions for ancillary insurance
products (e.g., dental, vision, life, etc.)
31. 31
COMPLEXITY: Reduce administrative burdens through a dedicated
service team & best-in-class IT infrastructure
COMPLIANCE: Minimize risk of fines & penalties through continuous
monitoring of changing federal & state regulations
COSTS: Stabilize health care costs through our fully-insured health plan
and its low cost structure
32. 32
The information provided in this communication is for educational and informational purposes only, and is not legal advice.
IRS Circular 230 Disclaimer: To ensure compliance with requirements imposed by the IRS, we inform you that any U.S. federal
tax advice contained in this communication (including any attachments) is not intended or written to be used, and cannot be
used, for the purpose of (i) avoiding penalties under the Internal Revenue Code or (ii) promoting, marketing or recommending to
another party any transaction or matter addressed herein. You should seek advice based on your particular circumstances from
an independent tax advisor with respect to any federal tax transaction or matter addressed herein.
Editor's Notes
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Exceptions:Household income is below threshold requiring filing of a tax returnCost of any available coverage exceeds 8% of income (after taking into account any employer contributions or tax credits)Undocumented immigrantsIncarcerated personsMembers of Indian tribesMembers of various religions