Healthcare Reform Resource

Healthcare Reform Resource

2018 Individual Health Insurance Market Open Nov 1 - Dec 15

Dec 2017 –    New IRS Employer ‘Pay or Play’ Penalty Letters

Nov 2017 – How to Select a Broker on NYS of Health marketplace. 

Nov 2017- 2018 Individual Marketplace Guidance. 

Nov 2017- Indiviudal Enrollement  on Oscar or UnitedHealthcare Essential Plan.

Nov 2017 – Emnployer Reporting 2017 Updated 1094 & 1095 Now Available

 


May 2017 –

ACA vs AHCA Comparison

•Change in tax treatment for over-age dependent coverage •Accounting impact of change in Medicare retiree drug subsidy tax treatment •Early retiree medical reinsurance •Medicare prescription drug “donut hole” beneficiary rebate •Break time/private room for nursing moms
•No lifetime dollar limits on essential health benefits

•Restricted annual dollar limits on essentail health benefits, phased amounts until 2014

•No pre-existing condition limitations for enrollees up to age 19 and no rescissions

•No health FSA/HRA/HSA reimbursement for non-prescribed drugs

•Increased penalties for non-qualified HSA distributions

•Additional standards for new or “non-grandfathered” health plans, including preventive care in network with no cost-sharing appeal and external review, provider choice and non-discrimination provisions for insured plans

•Income-based Medicare Part D premiums Pharmaceutical importers and manufacturers’ fees start

•Medicare, Medicare Advantage benefit and payment reforms

•Insurers subject to medical loss ratio rules

•Employers to distribute uniform summary of benefits and coverage (SBC) to participants (deadlines vary with group of recipients)

•60-day advance notice of mid-year material modifications to SBC content

•Form W-2 reporting for health coverage (track in 2012 for W-2 form provided in early 2013)

•Coverage for additional women’s preventive care services

•$2,500 per plan year health FSA contribution cap (plan years on or after January 1, 2013)

•Comparative effectiveness group health plan fees first due

•Annual dollar limits on essential health benefits cannot be lower than $2 million

•Employers notify employees about exchanges •Medical device manufacturers’ fees start •Higher Medicare payroll tax on wages exceeding $200,000/individual; $250,000/couples

•Change in Medicare retiree drug subsidy tax treatment takes effect •Health Insurance exchanges initial open enrollment period

•Health insurance exchanges

•Individual coverage mandate

•Financial assistance for exchange coverage of lower-income individuals

•States Medicaid expansion (possibly only some states)

•Employer shared responsibility

•Dependent coverage to age 26 for any covered employee’s child

•No annual dollar limits on essential health benefits

•No pre-existing condition limits

•No waiting period over 90 days

•Wellness limit increase allowed

•Health insurance industry fees

•Additional standards for non-grandfathered health plans, including limits on out-of-pocket maximums, provider nondiscrimination, and coverage of routine medical costs of clinical trial participants

•Small market, non-grandfathered insured plans must cover essential health benefits with limited deductibles (initially $2,000/individual, $4,000/family), using a form of community rating

•Insurers must apply guaranteed issue and renewability to non-grandfathered plans of all sizes

•Auto enrollment sometime after 2014

•Temporary reinsurance fees first due in late 2014/early 2015

•Additional employee-specific reporting and disclosure of 2014 coverage

•40% excise tax on “high cost” or Cadillac coverage

Updates Obamacare

Click Above

2015 Individual Open Enrollment is Ending

7 Steps: Getting Ready to Buy Health Insurance

Health Care Reform Glossary

Health Care Reform Timeline

Top 10 List – Health  Exchange Marketplace  

Health Reform Nondiscrimination Provision

Lifetime and Annual Limits

Map of State Exchanges Final

Preventive Care Coverage

SEP and Qualifying Event Marketplace

Small Biz Tax Credit Calculator

Taxes in Health Reform

Travel Insurance and Affordable Care Act FAQ

Updates – Health Care Reform

What is an Exchange?

 

Health Reform Explained Video

Health Reform Summary By Kaiser

Health Reform Summary 8061

 

 

Young Adult Affordable Care Option