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FINAL RULES – Employer Shared Responsibility Rules

The IRS has released final regulations in regard to the employer shared responsibility rules set forth under section 4980(H) of the Affordable Care Act (ACA). In addition to formally adopting many of the proposed regulations that were provided back in January 2013 (e.g. the optional look-back measurement method), the final rules also provide several clarifications and amendments, including various transition relief provisions.

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W-2 Health Insurance Reporting Review

It’s that time of year again, and large employers need to remember to include the cost of health insurance in employee W-2s. The ACA requires employers to report the “aggregate cost” of certain types of employer provided health coverage on an employee’s W-2. The reporting requirement does not affect the tax status of the benefits, but was designed to assist in collecting the data necessary to administer various provisions of the ACA. The reporting requirement has been delayed by the IRS for small employers.

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Final Mental Health Parity Regulations Released

The DOL, IRS and HHS jointly released final rules regarding the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). For those group health plans offering both medical/surgical benefits and mental health (MH) or substance abuse (SA) benefits, the plans must provide MH and SA benefits at least equal (“in parity”) to the medical/surgical benefits provided.

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Affordable Care Act Update: 2014 Seminar

It is important for Parker, Smith & Feek to break through the rhetoric and help businesses large and small fully understand and comply with the Affordable Care Act (ACA). That’s why we brought in Bob Radecki, the expert we go to when we have complicated ACA questions. After a brief introduction, Radecki, President of Benefit […]

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Online Enrollment in Federal SHOP Exchange Delayed One Year

The Department of Health and Human Services (HHS) has announced a one year delay of online enrollment for small businesses purchasing group health coverage through the Federal SHOP Marketplace (Exchange). The delay does not affect small group plans offered through a state run SHOP. See below for a list of states operating their own Marketplace not subject to the delay.

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Marketplace (Exchange) Subsidies for Adult Children

According to Affordable Care Act (ACA) regulations, if employer-sponsored group health coverage is affordable’ (based on the employee cost for employee-only coverage), then employees, and any of their dependents who are eligible for the plan, are not eligible for subsidies when purchasing individual coverage through a public Marketplace (Exchange).

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Guidance Issued on HRAs, FSAs, and Premium Reimbursement Plans

The DOL recently issued Technical Release 2013-03 which answers a question that has been unclear since the Affordable Care Act (ACA) was passed. Can employers pay for the purchase of individual health insurance plans for employees on a tax-free basis? The DOL’s answer to this question is no.

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IRS Issues Proposed Employer Reporting Rules

The IRS has released proposed rules related to Affordable Care Act (ACA) employer and insurance carrier reporting requirements. The ACA created two new sections in the Tax Code, section 6055 and 6056.

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Medicare Part D Notice Reminder- Deadline of October 14th

As you may recall, with the introduction of Medicare Part D prescription drug benefits, the Centers for Medicare and Medicaid Services (CMS) imposed certain notice requirements on employers. Employers are required to notify all Medicare beneficiaries of the “creditable” or “non creditable” coverage status of their prescription drug plan.

 

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