Archive for ACA’ Category

What Employers Need to Know about the Senate Proposed Healthcare Bill | Houston Benefit Advisors
Jun

28

2017

What Employers Need to Know about the Senate Proposed Healthcare Bill | Houston Benefit Advisors

On June 22, 2017, the United States Senate released a “Discussion Draft” of the “Better Care Reconciliation Act of 2017” (BCRA), which would substitute the House’s House Resolution 1628, a reconciliation bill aimed at “repealing and replacing” the Patient Protection and Affordable Care Act (ACA). The House bill was titled the “American Health Care Act of 2017” (AHCA). Employers with group health plans should continue…

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Jun

22

2017

Senate Releases Health Care Proposal | Houston Benefit Advisors

This morning, Senate Republicans released their proposal to repeal and replace the Affordable Care Act (ACA). Called the Better Care Reconciliation Act of 2017 (BCRA), the Senate proposal adopts H.R. 1628, the bill narrowly passed last month by the House of Representatives, but replaces all the text. The Senate proposal was released without going through committee review or being scored by the Congressional Budget Office…

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Jun

13

2017

What Happens to Coverage When Employees Reduce Their Hours? | Houston Benefit Advisors

The Section 125 cafeteria plan regulations and the Patient Protection and Affordable Care Act (ACA) require employers to take certain actions when an employee reduces hours. Consider this scenario: An employer has an employee who is reducing hours below 30 hours per week. The employee is performing the same job and duties. The employee was determined to be full-time during the most recent measurement period….

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May

1

2017

ACA Market Stabilization Final Rule | Houston Benefit Advisors

On April 18, 2017, the Department of Health and Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS) published its final rule regarding Patient Protection and Affordable Care Act (ACA) market stabilization. The rule amends standards relating to special enrollment periods, guaranteed availability, and the timing of the annual open enrollment period in the individual market for the 2018 plan year, standards related to…

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An Employer’s Guide to Navigating the ACA’s Strong Headwinds | Houston Benefit Advisors
Apr

17

2017

An Employer’s Guide to Navigating the ACA’s Strong Headwinds | Houston Benefit Advisors

One might describe the series of events leading to the death of the American Health Care Act (Congress’s bill to repeal and replace the Affordable Care Act) as something like a ballistic missile exploding at launch. The Patient Protection and Affordable Care Act (ACA) repeal debate began nearly a decade ago with former President Barack Obama’s first day in office and reemerged as a serious…

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Congress Abandons Effort to Repeal the ACA | Houston Benefit Advisors
Apr

1

2017

Congress Abandons Effort to Repeal the ACA | Houston Benefit Advisors

On Friday, Republicans in the U.S. House of Representatives pulled pending legislation, known as the American Health Care Act, from further consideration. The bill had been scheduled for a vote on the House floor Friday afternoon but, recognizing that it was headed for defeat, the House leadership cancelled the vote. It is now unlikely that Congress will pursue any legislation to repeal or replace the…

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Long-Awaited Repeal and Replacement Plan for ACA Unveiled | Houston Benefit Advisors
Mar

15

2017

Long-Awaited Repeal and Replacement Plan for ACA Unveiled | Houston Benefit Advisors

On March 6, 2017, the U.S. House of Representatives Ways and Means Committee released a proposed budget reconciliation bill, entitled the American Health Care Act, to replace portions of the Affordable Care Act (ACA). If enacted, the American Health Care Act would provide some relief from provisions of the ACA for employers and make other significant changes to employee benefits. While the proposal is 53…

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The “Line 22” Question: Which Box(es) Do I Check? | Houston Benefit Consultants
Mar

10

2017

The “Line 22” Question: Which Box(es) Do I Check? | Houston Benefit Consultants

Under the Patient Protection and Affordable Care Act (ACA), individuals are required to have health insurance while applicable large employers (ALEs) are required to offer health benefits to their full-time employees. In order for the Internal Revenue Service (IRS) to verify that (1) individuals have the required minimum essential coverage, (2) individuals who request premium tax credits are entitled to them, and (3) ALEs are…

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Keeping Pace with the Protecting Affordable Coverage for Employees Act | Houston Benefit Advisors
Feb

22

2017

Keeping Pace with the Protecting Affordable Coverage for Employees Act | Houston Benefit Advisors

Last fall, President Barack Obama signed the Protecting Affordable Coverage for Employees Act (PACE), which preserved the historical definition of small employer to mean an employer that employs 1 to 50 employees. Prior to this newly signed legislation, the Patient Protection and Affordable Care Act (ACA) was set to expand the definition of a small employer to include companies with 51 to 100 employees (mid-size segment) beginning January…

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Cafeteria Plans: Qualifying Events and Changing Employee Elections | Houston Benefit Advisors
Feb

18

2017

Cafeteria Plans: Qualifying Events and Changing Employee Elections | Houston Benefit Advisors

Cafeteria plans, or plans governed by IRS Code Section 125, allow employers to help employees pay for expenses such as health insurance with pre-tax dollars. Employees are given a choice between a taxable benefit (cash) and two or more specified pre-tax qualified benefits, for example, health insurance. Employees are given the opportunity to select the benefits they want, just like an individual standing in the…

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