May 1st, 2013 § Comments Off § permalink

Your 2014 Health Plan
PPACA provides for two different Play or Pay penalties that may be assessed against a large employer beginning 1/1/2014. The first may generally be determined with a yes/no answer; the second is likely to be more challenging to determine and therefore to comply with; however to assist employers, the agencies have created two calculators and are soon to publish design-based safe harbors.
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FMLA Final Rule
In February, the Department of Labor issued its Final Rule to Implement Statutory Amendments to the Family and Medical Leave Act (FMLA); the prior amendments expanded protections for military families and airline flight crews. The Final Rule, effective 3/8/13, included modifications to the prior amendments that further expand employees’ leave rights thus it is important for you to familiarize yourself with the regulations. 
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Final Regulations on Essential Health Benefits
In February, HHS issued Final Regulations establishing the standards for coverage of essential health benefits (EHBs). Small employers with non-grandfathered/fully-insured plans now have a blueprint for the core benefits and services that must be offered in 2014. Large employers, employers with self-funded plans and grandfathered plans of any size are not subject to the EHB requirement; however the Final Regulations do address some requirements that apply and will affect them. 
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PPACA – 2013 Compliance Checklist
Keep our checklist handy to assure you are complying with 2013 requirements and proactively preparing for 2014. 
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DOL Issues Self-Compliance Tool
Take a minute to review and answer the following questions. If you answer no or I don’t know, then the Department of Labor (DOL) has a new tool you should want to know more about.
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SHOP Exchanges Delayed
Most of you are likely aware that small employers in the 33 states where the federal government will be running the states’ Exchanges will be limited to a single plan for their employees if they choose to purchase through the Exchange. States operating their own Exchanges have the option to also delay.
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The Quarterly Review is intended to provide accurate and authoritative information on the subject matter covered. It is distributed with the understanding that neither the authors nor FBMC are rendering legal, accounting, or other professional advice and assume no liability in connection with its use. No portion of this article may be reprinted or used without written permission from FBMC. Copyright 2013, FBMC.
May 1st, 2013 § Comments Off § permalink
Will it be Affordable? Provide Minimum value?
How do you avoid those Play or Pay Penalties?
Trish Neely, CFCI & Florrie Jones, CFCI
PPACA provides for two different Play or Pay penalties that may be assessed against a large employer beginning 1/1/2014. The first may generally be determined with a yes/no answer; the second is likely to be more challenging to determine and therefore to comply with; however to assist employers, the agencies have created two calculators and are soon to publish design-based safe harbors. 
May 1st, 2013 § Comments Off § permalink
Trish Neely, CFCI
In February, the Department of Labor issued its Final Rule to Implement Statutory Amendments to the Family and Medical Leave Act (FMLA); the prior amendments expanded protections for military families and airline flight crews. The Final Rule, effective 3/8/13, included modifications to the prior amendments that further expand employees’ leave rights thus it is important for you to familiarize yourself with the regulations. 
May 1st, 2013 § Comments Off § permalink
Trish Neely, CFCI
In February, HHS issued Final Regulations establishing the standards for coverage of essential health benefits (EHBs). Small employers with non-grandfathered/fully-insured plans now have a blueprint for the core benefits and services that must be offered in 2014. Large employers, employers with self-funded plans and grandfathered plans of any size are not subject to the EHB requirement; however the Final Regulations do address some requirements that apply and will affect them. 
May 1st, 2013 § Comments Off § permalink
Keep our checklist handy to assure you are complying with 2013 requirements and proactively preparing for 2014. 