Blog Archives

Health Care Reform Update

Reminder: 2018 ‘Pay or Play’ Affordability Percentage is 9.56% Percentage Down from 2017 Under the employer shared responsibility (“pay or play”) provisions of the Affordable Care Act, applicable large employers—generally those who had 50 or more full-time employees (including full-time equivalent employees) …

ACA Deadline Extension by the IRS for Tax Year 2017

The IRS has published Notice 2018-06 regarding an ACA deadline extension for employers and providers to issue Form 1095-C to eligible employees for Tax Year 2017. This extension is automatic and will not require any submitted request. The deadline to distribute employee …

Tax Year 2017 Deadlines

These reminders don’t do much for our popularity. But, the only thing worse than doing the work of complying with IRS mandates is stressing over penalties after the IRS has already knocked on your door (see IRS sample letter 226J). …

Play or Pay Penalty Notices Are Coming

The Internal Revenue Service (IRS) has started the process of levying penalties on employers under the Affordable Care Act (ACA) employer shared responsibility provision. Often called the employer mandate or play or pay, the ACA provides for the IRS to …

Play or Pay: Is Your Health Plan “Affordable” for 2018?

The Affordable Care Act’s employer shared responsibility provision—often called the employer mandate or “play or pay”—requires large employers to offer health coverage to their full-time employees or face a potential penalty. (Employers with fewer than 50 full-time and full-time-equivalent employees …

Preview Marketplace Plans and Prices for 2018!

We can now preview Marketplace plans and prices for 2018 using the See Plans & Prices tool on HealthCare.gov! Open Enrollment starts in one week on Wednesday, November 1. Make sure you are ready to make informed choices about health …

Level Premium Self Funding

Here is a quick video explanation for a concept that is gaining in popularity. Take a look and let us know if you have any questions:

Ready for Healthcare.gov Open Enrollment?

Each year, Marketplace Open Enrollment Notices (MOENs) are sent to all consumers currently enrolled in Marketplace plans. These notices remind consumers about the upcoming Open Enrollment period and provide guidance on how to update personal information and either select a new …

The Individual Market in 2018: Steep Renewals and Fewer Options!

With open enrollment season looming just around the corner and memory of individual healthcare premiums increasing by an average of 17 percent in Louisiana in 2017, you may be wondering what is to come for 2018! Unfortunately, the forecast for …

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Latest Proposed Health Care Repeal Empowers States

In an effort to repeal the Affordable Care Act, Senators Lindsey Graham (SC) and Bill Cassidy (LA) have released a plan that would essentially allow states to come up with their own health care plans using a federal block grant. The grant …

What are CSR Payment Plans?

There is quite a bit of talk these days about how uncertainty around CSR Payments could cripple the individual health insurance market (see article). This brings up a good question – What are CSR Payment Plans? Cost Sharing Reduction (CSR) …

The New Summary of Benefits and Coverage (SBC)

As open enrollment season approaches, employers and their advisors are getting ready to use the new Summary of Benefits and Coverage (SBC) format required under federal rules. The basic rules have been in place for several years, but 2017 is …