Focus on analysis and planning that companies need to do in dealing with Health Care Reform. The purpose is to go beyond simply telling you what the law requires.
This issue's articles include: The Importance of Benefits in Total Compensation; Committing to Wellness; Retirement Check-Up for the New Year; How to Build Credibility
Using Social Media; It’s Really Just a Matter of Attraction; and Court of Appeals Agrees that Severance Payments Are Not Subject to FICA.
Taxation implications for company paid healthcare for large employersSimplyhealthUK
This communication is directed at commercial customers only and is not aimed at consumers.
Please note that these examples are for illustrative purposes only. They are not intended to constitute tax advice, but are a representation of current legal provisions. For specific advice on how this affects your company, you should speak to your Tax Advisor, or your local HM Revenue and Customs office.
Further information on tax rates and how this affects you can be found at: www.hmrc.gov.uk
In this presentation, we will understand the meaning and factors of industrial relations, analyze the three aspects of industrial relations, meaning and functions of trade unions and discuss the influence of trade unios on business and human resource management.
To know more about Welingkar School’s Distance Learning Program and courses offered, visit:
http://www.welingkaronline.org/distance-learning/online-mba.html
In this presentation, we will understand concept theories and types of wages, compensations and earnings.
To know more about Welingkar School’s Distance Learning Program and courses offered, visit:
http://www.welingkaronline.org/distance-learning/online-mba.html
This issue's articles include: The Importance of Benefits in Total Compensation; Committing to Wellness; Retirement Check-Up for the New Year; How to Build Credibility
Using Social Media; It’s Really Just a Matter of Attraction; and Court of Appeals Agrees that Severance Payments Are Not Subject to FICA.
Taxation implications for company paid healthcare for large employersSimplyhealthUK
This communication is directed at commercial customers only and is not aimed at consumers.
Please note that these examples are for illustrative purposes only. They are not intended to constitute tax advice, but are a representation of current legal provisions. For specific advice on how this affects your company, you should speak to your Tax Advisor, or your local HM Revenue and Customs office.
Further information on tax rates and how this affects you can be found at: www.hmrc.gov.uk
In this presentation, we will understand the meaning and factors of industrial relations, analyze the three aspects of industrial relations, meaning and functions of trade unions and discuss the influence of trade unios on business and human resource management.
To know more about Welingkar School’s Distance Learning Program and courses offered, visit:
http://www.welingkaronline.org/distance-learning/online-mba.html
In this presentation, we will understand concept theories and types of wages, compensations and earnings.
To know more about Welingkar School’s Distance Learning Program and courses offered, visit:
http://www.welingkaronline.org/distance-learning/online-mba.html
The Consumer Financial Protection Bureau (CFPB) recently celebrated its second birthday. During its first two years of existence, the CFPB has shown itself to be an aggressive consumer-protection agency. It is particularly noteworthy because its broad jurisdictional mandate could impact virtually any business that makes a loan to any consumer. Consumer lenders need to be alert to the sweeping implications this agency will have for their future business activities.
In this issue, new SFE&G partner Theresa Borzelli and guest co-author Mary B. Anderson of ERISAdiagnostics Inc. discuss the timely issue of shared responsibility regarding health coverage (Pay or Play). Mychelle Holloway explains why your record keeper requests certain information from the plan sponsor. Also read about SES' recent promotions and new hires
The recently enacted federal healthcare legislation will affect virtually everyone and will mean significant changes for patients, insurers, employers, hospitals and physicians. This is one of the largest changes to the tax laws in the past 30 years. Are you interested in finding out how the Reform will affect you or your business? We want to help. We are offering presentations to businesses and groups to provide information on how the Reform may impact you.
For more information visit our website at www.kl-cpa.com.
HEALTH CARE REFORM - GETTING READY FOR 2014
On June 19, 2013, the Minnesota Chamber of Commerce hosted a workshop on the new health care reform law. This presentation outlines what small employers need to know about the law changes.
Healthcare Reform – The State of the Union AlphaStaff
Participants will be brought up to date on implementation of the Affordable Care Act’s provisions. What’s been implemented in 2012 and what’s on the way for 2013 and 2014. Employers will learn about the pre-existing condition, claims and appeals, automatic enrollment and “play or pay” provisions of the law. Presented by Jackson Lewis.
This presentation addresses employee benefit plan exposure arising from employer use of a contingent workforce. Included is a discussion of employer liability arising from use of independent contractors to avoid or minimize ACA's "play or pay" coverage requirements.
Reporting Requirements for Every Business
At the minimum, the IRS requires every employer to document, track and prove their employer status. Get the complete break down of requirements for employee counts from 0 to 100+.
Learn Critical Terms You Need to Know
From Form 1095-C to Safe Harbor Rules, we break down the most frequently used ACA terms employers will encounter.
Get A Blueprint for Measurement Periods
Break down the who, what, and how of ACA reporting to learn how to measure data for new hires and current employees.
Break Down the Form 1095-C by Sections
Get a clear understanding of the Form 1095-C and navigate the tougher sections to know what information you’ll need to file to avoid costly penalties.
Affordable Care Act: Preparing for the 2015 Tax ProvisionsSkoda Minotti
This presentation discusses issues that employers who will be subject to the Affordable Care Act must prepare for, including:
1. Determining which employees must be offered coverage
2. Analyzing payroll to determine the amount that can be charged to employees
3. Creating a record to respond to potential IRS assessments of excise tax
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.
Similar to Let’s Get Serious About Health Care Reform (20)
Dee J. Kelly. Honored to Support His Community. By Amile Wilson. Photography by Shirley Che. Kelly Hart & Hallman is a law firm rooted in the belief that it serves the community in which its lawyers work...
When Sharon S. Millians made the SMU Law Review during her first semester at Southern Methodist University, she attended a reception held by one of the big local law firms.
“One lawyer asked me what I was going to do after law school,” Millians explained last from her corner office on the 28th floor of the Wells Fargo Tower in downtown Fort Worth...
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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Let’s Get Serious About Health Care Reform
1. Let’s Get Serious
About
Health Care Reform
Kelly Hart & Hallman, LLP
1421150_1.PPTX
2. Presenter:
Henry Robinson, Partner
Kelly Hart & Hallman, LLP
201 Main Street, Suite 2500
Fort Worth, Texas 76102
(817) 878-3558
henry.robinson@kellyhart.com
2
3. Purpose
Focus on Analysis and Planning That
Companies Need to Do in Dealing with
Health Care Reform. The Purpose is to
Go Beyond Simply Telling You What
the Law Requires.
3
5. Today’s Topics
1. State/Federal Exchanges and Subsidies: Prerequisite to Understanding
Penalties Against Employers
2. Searching for Ways to Avoid Being Covered by the Employer Mandate
3. How Can an Employer Minimize the Mandate Penalties?
4. What Management Discretion Remains to Allow an Employer to Minimize
Health Care Costs?
5. Why Employers Should Know and Understand the Individual Mandate with
its Premium Tax Credits and Cost-Sharing Reductions?
6. Are Small Employer Tax Credits Worth the Effort?
7. Do We Wait Until 2018 to Get Ready to Deal with the Cadillac Tax?
8. Managing Turning Health Care Reform as a Positive or Negative
5
6. This Session Covers Only Part of the
Employer’s Role in the Pervasive
Changes of Health Care Reform
1. Expansion of Scope of Who Has Health
Coverage and Eliminating Coverage Gaps
6
16. TOPIC ONE
State/Federal Exchanges:
Knowledge About Exchanges and
Subsidies Is Prerequisite to
Understanding When Large
Employers May be Subject to
Penalties
16
17. Review of Exchanges
Small
Employers
(with 100 or
fewer workers)
may browse
through
policies and
select one or
Insurance more
Negotiate Exchange
Carriers (employers
remain free not
to use services
of Exchange)
Policies must have (1) at least
minimum benefit categories of an Individuals may browse through
essential health benefits package, (2) approved policies and select one
maximum deductibles (individuals remain free not to use
($2,000/$4,000), and (3) cover costs services of Exchange).
at 60%, 70%, 80% or 90% rate Potential Subsidies.
17
18. Government Subsidies Available to Some
of the Individuals Who Obtain Insurance
Through a State/Federal Exchange
Premium Tax Credit: Employee’s receipt of
premium tax credit may lead to penalty against
employer.
Cost-Sharing Reduction: Employee’s receipt of
cost-sharing reduction may lead to penalty
against employer.
18
19. Limited Availability to Employers
2014-2016
Limited to employers with
100 or fewer employees.
19
20. Simplicity/Uniformity of Insurance
Policies Offered Through Exchanges
Minimum Specified Benefit Categories
Maximum Annual Deductibles
Standardized Levels of Cost Coverage
20
22. Review of What May Subject a Large
Employer to an “Assessable Payment”
Covered “large employers” divided into two categories:
1. Those offering employees and their dependents
opportunity to enroll in “minimum essential coverage”
under an “eligible employer-sponsored plan”
1. Those not offering employees and their dependents
opportunity to enroll in “minimum essential coverage”
under an “eligible employer-sponsored plan”
22
23. “Assessable Payment” (Penalties or Taxes)
is Hammer for Employer Mandate
Large employers offering and not
offering employees (and their
dependents) the opportunity to
enroll in “Minimum Essential
Coverage” under an “Eligible
Employer-Sponsored Plan” are
potentially subject to an “Assessable
Payment.”
23
24. Law for Employer Sponsoring a Plan
“Assessable payment” is imposed on employer
for any month in which at least one full-time
employee is certified as having enrolled in a
qualified health plan with respect to which a
premium tax credit or cost-sharing reduction is
allowed or paid to the employee.
Internal Revenue Code § 4980H(a)
24
25. Similar Law for an Employer
Not Sponsoring a Plan
“Assessable payment” is imposed on employer
for any month in which one or more full-time
employee is certified as having enrolled in a
qualified health plan with respect to which a
premium tax credit or cost-sharing reduction is
allowed or paid to the employee.
Internal Revenue Code § 4980H(b)
25
27. Translation: Generally, employer
faces potential penalty if an employee
goes to an exchange, takes out
individual or family insurance, and
qualifies for a subsidy.
27
32. Effort #2 to Avoid Coverage
of Employer Mandate: Have Only
Part-Time Employees
32
33. Problem With Effort #2: Full-
Time Equivalent Formula that
Includes Part-Time Employees
33
34. Effort #3 to Avoid Coverage
of Employer Mandate: Convert
All Employees to Independent
Contractors
34
35. Problem With Effort #3: Calling
a Person an Independent
Contractor Does Not Mean the
Person is Not an Employee.
35
36. TOPIC THREE
How Can a Covered Large Employer
Avoid or Minimize Mandate
Penalties? Will They Become an
Acceptable Part of Doing Business?
36
37. Overview of Formula for Calculation of
Monthly Penalties for Different
Categories of Covered Employers
Employer Not Offering Minimum Essential Coverage (Calculation based
on total of full-time employees, not based on full-time equivalents)
(1/12 x $2,000) x (Number of Full-Time Employees – 30)
Employer Offering Minimum Essential Coverage (Calculation based on
total of full-time employees, not based on full-time equivalents)
(1/12 x $3,000) x (Number of Employees Allowed or Paid
Premium Tax Credit and/or Cost-Sharing
Reduction)
[aggregate is capped at number of
employees allowed or paid premium tax
credit and/or cost-sharing reduction – 30]
26 USC § 4980H
37
38. Choice One of Two Choices: Do
Not Offer Minimum Essential
Coverage
Likely consequence: Pay a
penalty and bear indirect costs
38
39. Choice Two of Two Choices: Offer
Minimum Essential Coverage and
Try to Minimize Any Penalties
With this alternative, options are
available to try to minimize
penalties.
39
40. What are the Available Options to Try to
Minimize Penalties for Employers Who Offer
Minimum Essential Coverage?
Employers have not lost all discretion.
Significant options remain available to curtail
costs. We will cover five examples.
40
41. Example One: Adjust Wages of
Lowest Paid, Full-Time Employees
So Their Premium Payment is
“Affordable” as Defined in the
Health Care Reform Law.
41
42. Example Two: Adjust
Employer Premium
Contributions for Lowest
Paid, Full-Time Employees So
That those Employees’
Premium Contribution
Becomes “Affordable,” as
Defined in the Health Care
Reform Law
42
43. Example Three: Offer Multiple
Products and Ensure that One is
“Affordable” for Low-
Wage, Full-Time Employees
43
60. Review of Individual Mandate
• Individual and applicable dependents
must have minimum essential coverage
for each month.
• If no minimum essential coverage during
a month, individual pays penalty/tax.
60
62. Another Potential Impact
on Employer: Individual
Mandate Will Drive
Employees to Engage in
Acts that May Lead to
Penalties Against
Employers.
62
63. TOPIC SIX
Are Small Employer Tax
Credits Worth the Effort?
63
64. Review: Small Employer Tax Credits
• Covered small employer:
˃ Fewer than 25 full-time employees
˃ Average annual wage: less than $50,000 per
full-time employee
˃ Employer pays at least 50% of premium cost
• Maximum credit: 35% of employer’s contribution
• Tax credit phased out as wages and number of
employees increase (employers with 10 or fewer
FTEs get full 35%) [Non-profits get only 25%.]
64
65. Relatively Few Small Employers are
Taking Advantage of the Tax Credits
• Over 90% do not use
˃ Federal government estimated that for
2010, 1.4 to 4.0 million small employers were
eligible for small employer tax credits.
˃ 170,300 small employers claimed a tax
credit.
• Average credit claimed: $2,700
(GAO-12-549, May 2012)
65
66. Statements Reported in GAO Report Raise
a Question as to Whether Small Employer
Tax Credits Are Worth the Effort
• Small employers with low paid employees and
low profit margins generally do not pay 50% of
premium costs.
• The claim form is too complicated for the credit.
• Small employers get excited but then do the
phase out calculations and eventually do not
file because the amount is not worth the effort.
66
67. TOPIC SEVEN
Should Companies Wait Until 2018 to
Think About the Excise Tax on High-Cost
Plans (Cadillac Tax)?
67
68. Amount of Excise Tax
40% of aggregate value that
exceeds threshold amounts.
68
69. Threshold Amounts to
Qualify as a High-Cost Plan
Persons 55+ and/or high-risk professions
Individual coverage: $11,850
Family coverage: $30,950
Other Persons
Individual coverage: $10,200
Family coverage: $27,500
69
70. Potential Significance
Example: Company with 1,000 employees, of which 500
employees have individual coverage at premium rate of $15,000
per year, and 500 have dependent coverage at $30,500 per year:
Individual Dependent
$15,200 - $10,200 = $5,000 $30,500 - $27,500 = $3,000
x .4 x .4
$2,000 $1,200
$2,000 x 500 employees = $1,200 x 500 employees =
$1,000,000 $600,000
Summary: $1,600,000 (which is on top of any contribution
employer has already contributed toward premiums).
70
71. Project Your Circumstance
Every company should project whether its premium costs
are likely to cross the threshold amount in 2018.
2012 Averages According to Kaiser:
Individual: $5,615
Family: $15,745
Average does not tell the story because of the wide ranges
of premiums for individual and family coverage. Within that
range, there is a broad distribution. As a result, many
companies are expected to be hit by Cadillac Tax.
71
73. Option 1: Wait until 2018 and then
make one big change all at once.
73
74. Option 2: Over the next five
years, plan and implement an
incremental change that ratchets
down your plan costs to a level
likely to be below the high-cost
threshold.
74
75. Option 3: Continue with your
high-cost plan and pay the
excise tax starting 2018.
75
78. How You Manage Health Care
Reform Will Impact Image
1. Drag your feet and curse and scream but comply.
2. Silently comply.
3. Inform employees about each coming change and
give the impression of making every effort to
comply.
4. Refuse to comply with anything, challenge the
government to come after you, and fight to your
death.
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79. Not Realistic to Hope You
Will Not Be Caught
Reporting requirements starting
2014
W-2 must show cost of coverage.
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