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Congressional aides from both chambers of Congress and both parties said they do not expect immediate action on changing health care reform’s 30-hour a week definition of a full-time workers, or on banning “skinny” health plans that do not cover major categories of health benefits. The staffers predicted that even if enrollment is lower than […]
United Parcel Service plans to remove thousands of spouses from its health plan because they are eligible for coverage elsewhere. The health care reform law requires large employers to offer coverage to employees and their dependents, but it does not require companies to cover spouses. Some 15,000 working spouses eligible for coverage at their own […]
The Centers for Medicare and Medicaid Services responded to doubts over whether health insurance exchanges (now formally referred to as “marketplaces”) would verify incomes consumers applying for health-insurance subsidies, which come in the form of: (1) advances on tax credits for premiums; and (2) reduced cost-sharing. Marketplaces will always use data from tax filings and […]
In spite of its one-year suspension of the employer mandate under health care reform, the government added implementation and compliance materials for employers to government websites. Meanwhile Republican legislators attacked not only reform’s revenue and penalty collection functions, but also its definition of full-time employees as 30 hours per week, saying it must become 40 hours a […]
Small businesses may participate in several federally facilitated Small Business Health Option Program exchanges — for example, if an employer has offices in different states — but each small employer is limited to establishing one FF-SHOP account per state. If an employer has worksites in several states, it may: (1) establish an account in each […]
For-profit, secular corporations cannot argue that they are exercising religious beliefs to avoid the contraceptive coverage mandate under health care reform, the 3rd U.S. Circuit Court of Appeals ruled July 26. Such entities are “artificial beings” created to make money and cannot exercise religion,” which is an inherently “human” right,” the 3rd Circuit opined. Accordingly, […]
The government’s costs to implement health care reform is expected to rise by $12 billion as a result of the recently announced delay in the employer mandate and information reporting requirements, according to a July 30 letter by the Congressional Budget Office and the Joint Committee on Taxation. In addition, the letter to the House […]
Stop-loss insurers for self-funded health plans are among the entities excluded from assisting consumers and small businesses in researching health insurance exchange options under health care reform. Those insurers, as well as individuals and other entities with too close a financial relationship to such insurers, cannot be “Navigators,” according to final rules issued July 17 from the […]
An official announcement on transition relief for employers from information reporting requirements under health care reform, as well as on the delay of key provisions of the employer play-or-pay mandate, was issued July 9 in Notice 2013-45 from the U.S. Department of the Treasury and IRS. In unofficial announcements last week on the White House and U.S. […]
In a startling move, the Obama administration delayed the employer mandate (for companies with 50 or more workers) to offer health insurance to workers or pay a penalty, until January 2015 (a one-year delay) while it reassesses employer reporting burdens and gives employers more time to arrange compliance with the health care reform statute and […]