United Benefit Advisors Insight and Analysis Blog

IRS Reporting: Now What?

Posted by: Danielle Capilla    Jun 24, 2016 10:00:00 AM

Applicable large employers and self-funded employers of all sizes have now completed the first round of required IRS reporting under the Patient Protection and Affordable Care Act (ACA). The ACA requires individuals to have health insurance, while applicable large employers (ALEs) are required to offer health benefits to their full-time employees.

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Topics: ACA, PPACA, IRS Reporting Rules, premium tax subsidy, employer shared responsibility, minimum value coverage, applicable large employers

Extra, Extra! ACA Tax News, Read All About It!

Posted by: Jennifer Stanley    Jun 10, 2016 10:30:00 AM

The Patient Protection and Affordable Care Act of 2010 (ACA) has many tax provisions written within its 906 pages. I’ll give a brief overview of the taxes, and sprinkle in some good news among some not-so-good news.

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Topics: ACA, PPACA, Patient Centered Outcomes Research Institute, Transitional Reinsurance Fee, Jennifer Kupper, Play or Pay, Cadillac Tax, employer shared responsibility, ACA excise tax, ACA penalties, health insurers providers fee

Nondiscrimination Regulations Relating to Sex, Gender, Age, and More Finalized

Posted by: Danielle Capilla    Jun 2, 2016 10:00:00 AM

The Department of Health and Human Services (HHS) recently issued a final rule implementing Section 1557 of the Patient Protection and Affordable Care Act (ACA), which will take effect on July 18, 2016. If entities need to make changes to health insurance or group health plan benefit design as a result of this final rule, such provisions have an applicability date of the first day of the first plan year beginning on or after January 1, 2017.

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Topics: ACA, PPACA, Affordable Care Act, ACA Section 1557, nondiscrimination rules, diverse workforce

DOL Issues 31st FAQ on ACA Implementation

Posted by: Danielle Capilla    May 17, 2016 10:00:00 AM

The U.S. Department of Labor (DOL) has issued its 31st FAQ on the implementation of the Patient Protection and Affordable Care Act (ACA), dedicated to coverage of preventive services, rescissions of coverage, out-of-network emergency services, clinical trial coverage, cost-sharing limitations, the Mental Health Parity Act, and the Women's Health and Cancer Rights Act. Some highlights are provided below.

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Topics: ACA, PPACA, preventive services, Danielle Capilla, Affordable Care Act, rescissions of coverage, out-of-network services, cost-sharing limitations

Employers Ask: What Prevents Me from Reimbursing Individual Health Insurance Policies?

Posted by: Danielle Capilla    May 10, 2016 10:00:00 AM

In serving 36,000 employers and 5 million employees, our UBA Partners get this question frequently: What federal guidance prohibits employers from reimbursing individual health insurance policies?

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Topics: ACA, PPACA, employer payment plans, premium reimbursement, Danielle Capilla, individual health plans

ACA Regulations Roundup (and Free Resources)

Posted by: Danielle Capilla    May 5, 2016 10:00:00 AM

The government was busy recently, issuing the massive Benefit Payment and Parameters rule in addition to numerous other updates. Our recent blog reviews the updates to the Benefit Payment and Parameters rule; for more detailed information as it relates to standardized plans, small employer definition, reinsurance fees, rating areas, guaranteed availability, exemptions, and more, download UBA’s ACA Advisor, “Benefit and Payment Parameters Rule and HIP FAQ”.

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Topics: ACA, PPACA, Danielle Capilla, Affordable Care Act, Benefit Payment and Parameters rule, HIPAA audit

IRS Reporting Tip: Check the Right Boxes on Your Cover Sheet

Posted by: Danielle Capilla    Mar 31, 2016 12:00:00 PM

Under the Patient Protection and Affordable Care Act (ACA), individuals are required to have health insurance while applicable large employers (ALEs) are required to offer health benefits to their full-time employees.

In order for the Internal Revenue Service (IRS) to verify that (1) individuals have the required minimum essential coverage, (2) individuals who request premium tax credits are entitled to them, and (3) ALEs are meeting their shared responsibility (play or pay) obligations, employers with 50 or more full-time or full-time equivalent employees and insurers will be required to report on the health coverage they offer.

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Topics: ACA, PPACA, PPACA reporting, applicable large employers, IRS Form 1094-C

What Is COBRA, and Does It Apply to My Business?

Posted by: Jennifer Stanley    Mar 29, 2016 12:00:00 PM

In the earlier days of the Patient Protection and Affordable Care Act (ACA), a common question among employers and benefit advisors was whether there would still be a need for COBRA, the Federal Consolidated Omnibus Budget Reconciliation Act of 1985. Many people speculated that COBRA would be a thing of the past. This was a logical step for those in the insurance industry. When an employee was faced with the option of paying full cost for continued employer coverage or possibly qualifying for heavily subsidized care on the Marketplace, it seemed to be a “no brainer.” Six years after the passage of the ACA, which was signed into law on March 23, 2010, and three years after the initial launch of the Marketplace in October 2013, COBRA is still a law with which to be reckoned. In a series of articles, I will address COBRA in general and also delve into other related issues, such as mini-COBRA, COBRA and account-based plans, and the interaction of COBRA and Medicare.

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Topics: ACA, PPACA, COBRA, group health insurance, COBRA continuation coverage

2017 Benefit and Payment Parameters Rule and HIP FAQ

Posted by: Danielle Capilla    Mar 24, 2016 12:00:00 PM

The 2017 Benefit and Payment Parameters (BPP) rule, an annual rule that sets policies relating to the Patient Protection and Affordable Care Act (ACA), has been released by the Centers for Medicare and Medicaid Services (CMS). The 2017 rule contains numerous updates, including the annual open enrollment periods for the individual market, rating areas for small group health plans, guaranteed availability and renewability, broker and agent registration to assist consumers with applying for Exchange coverage, the employer notice system when its employees are determined to be eligible for a tax credit, and exemptions to the individual mandate. The rule also set cost sharing limits for 2017.

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Topics: ACA, PPACA, Affordable Care Act, HIP fee, Benefit and Payment Parameters Rule, Health Insurance Provider fee

When it comes to the "Cadillac" tax, there's no escaping death and taxes

Posted by: Carol Taylor    Mar 22, 2016 12:00:00 PM

The 2015 UBA Health Plan Survey data reveals who will not escape the 40% excise tax to take effect in 2020. The “Cadillac” tax, now called the excise tax, was originally set to start in 2018, but legislation passed the end of 2015 delayed the start date by two years.

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Topics: ACA, PPACA, excise tax, Cadillac Tax, UBA Health Plan Survey, Affordable Care Act, health care cost