obama care compliance aca
DESCRIPTION
TRANSCRIPT
NEW RESULTS WHAT WE DO NEXT GEN BENEFITS OUTCOME BASED
Population Health Management Retirement Health to Wealth
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EMPLOYERSTRATEGIES
BROKERSERVICES
VENDORS& TPAs
CONSULTINGSERVICES
Lifestyle Risk Calculator
This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.
Scott Hettesheimer Suite 1002 513-661-7581 [email protected]
AFFORDABLE CARE ACT
Employers: What Will non-Compliance With PPACA Cost You???
Penalties for non-compliance are significant.
Unaffordable Careless Act
Scott Hettesheimer is a health industry executive with more than 37 years of experience in organizational leadership, strategy consulting, process improvement, system development, implementation, and operations for health care delivery, health plans, and employer purchasing.
This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.
Agenda
Health Care Reform: Compliance Requirements in Effect Preparing for the DOL Audit Primary Issues of Concern:
• Compliance• Organizing Compliance• Proving Intent to Comply
Strategy for All Employers
This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.
Unaffordable Careless Act
Facts: • ObamaCare is the law-it was passed - 2010• The Supreme Court Ruled-ObamaCare is the law• The President was re-elected• Compliance dates are clearly illustrated
Our business is to provide compliance services for ObamaCare. Compliance requirements have to be met as written in the law that was passed in 2010. PPACA compliance is on top of previous Federal & State compliance requirements.
This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.
Unaffordable Careless Act
Concerns:Laws can only be written by Congress. Are Executive Orders that change laws Constitutional?
NOMany groups, including Doctors, members of Congress and others are bringing lawsuits against the government questioning the constitutionality of these Executive Actions.
This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.
Unaffordable Careless Act
What happens to employer compliance requirements if Executive Orders changing a written law are
determined illegal, then reversed?
This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.
Unaffordable Careless Act
Compliance reverts back to original date as written in the law. Do you agree?
Some people believe that new prejudice will be created, postponing compliance with the law.
Do you believe? It is better to be prepared.
This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.
Unaffordable Careless Act
It is better and easier to become compliant today.It is not a good strategy to see if congress can or
will change compliance requirements.The odds are the Unaffordable Careless Act will not be
repealed.
This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.
How Does the Law Apply to You?
No
Do you have at least 50 FTE’s?
Are any of your FULL TIME employees receiving a
subsidy?
Do you have more than 30 Full Time Employees?
Do you provide health insurance?
No
No
NoNo Penalty
Penalty: 1/12 x $2,000 x # Full Time Employees - 30
NoPenalty: lesser of 1/12 x $2,000 x # Full time employees - 30
or1/12 x $3,000 x # full time employees receiving subsidy
Yes
Notification of ESR Penalty
How?IRS will contact employers to inform them of potential liability and provide opportunity for response. If ESR liability is confirmed, IRS will send notice and demand for payment.
When?After the employees’ individual tax returns are due claiming premium tax credits and after the due date employers must file the information returns identifying their FTE’s and describing any coverage offered.
This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.
Unaffordable Careless Act
Beginning January 1, 2014, employers who had an average of 50 full-time employees in the previous year must offer “minimum
essential coverage” or pay a fine of $2,000 per employee. If you offer coverage that fails to meet a multi-step definition of
“minimum essential coverage,” the fine gets bumped to $3,000 per employee.
Obama did present an “Executive Order” delaying compliance to 1-1-2015, however the order is being challenged by congress
and the Government is being sued by several groups.
This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.
Best Practices
Make Changes to Become Compliant Today!Save Time and Money!
Create your Compliance Manual Today!Become a Prepared Employer!
This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.
NEW RESULTS WHAT WE DO NEXT GEN BENEFITS OUTCOME BASED
Population Health Management Retirement Health to Wealth
Replace Open Enrollment Paper Docs with our CD Rom!
EMPLOYERSTRATEGIES
BROKERSERVICES
VENDORS& TPAs
CONSULTINGSERVICES
Lifestyle Risk Calculator
This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.
Contact:
Advanced Benefit Design Institute, LLC
3254 Montana Ave., Suite 1003
Cincinnati, Ohio 45211
513-661-7581 [email protected]
http://www.AdvancedBenefitDesignInstitute.com
This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.