Archive for Affordable Care Act’ Category

President Trump Ends ACA Cost Sharing Reductions | Houston Benefit Advisors
Oct

20

2017

President Trump Ends ACA Cost Sharing Reductions | Houston Benefit Advisors

On the evening of October 12, 2017, President Trump announced that cost sharing reductions for low income Americans in relation to the Patient Protection and Affordable Care Act (ACA) would be stopped. The Department of Health and Human Services (HHS) has confirmed that payments will be stopped immediately. While there is no direct impact to employers at this time, UBA will continue to educate employers…

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October 2017 Executive Order on Healthcare | Houston Benefit Advisors
Oct

13

2017

October 2017 Executive Order on Healthcare | Houston Benefit Advisors

On October 12, 2017, the White House released an Executive Order, signed by President Trump, titled “Promoting Healthcare Choice and Competition Across the United States.” It is important to note that the Executive Order (EO) does not implement any new laws or regulations, but instead directs various federal agencies to explore options relating to association health plans, short term limited-duration coverage (STLDI), and health reimbursement…

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PCORI Fee Increase for Health Plans | Houston Benefit Advisors
Oct

9

2017

PCORI Fee Increase for Health Plans | Houston Benefit Advisors

On October 6, 2017, the Internal Revenue Service (IRS) released Notice 2017-61 to announce that the health plan Patient-Centered Outcomes Research Institute (PCORI) fee for plan years ending between October 1, 2017 and September 30, 2018 will be $2.39 per plan participant. This is an increase from the prior year’s fee of $2.26 due to an inflation adjustment. Background The Affordable Care Act created the…

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IRS Roundup: What Employers Need to Know about the Latest ACA Notices | Houston Benefit Advisors
Oct

2

2017

IRS Roundup: What Employers Need to Know about the Latest ACA Notices | Houston Benefit Advisors

In spite of the recent efforts by Congress to change or repeal the ACA, its provisions are still in effect. The IRS has issued continuing guidance on the affordability rate for coverage, the employer shared responsibility provisions and reporting, and the individual mandate provision. IRS Released the 2018 Affordability Rate The Internal Revenue Service released its Revenue Procedure 2017-36, which sets the affordability percentage at…

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Court Remands Wellness Regulations to EEOC for Reconsideration | Houston Benefit Advisors
Sep

22

2017

Court Remands Wellness Regulations to EEOC for Reconsideration | Houston Benefit Advisors

On August 22, 2017, the United States District Court for the District of Columbia held that the U.S. Equal Employment Opportunity Commission (EEOC) failed to provide a reasoned explanation for its decision to adopt 30 percent incentive levels for employer-sponsored wellness programs under both the Americans with Disabilities Act (ADA) rules and Genetic Information Nondiscrimination Act (GINA) rules. The court declined to vacate the EEOC’s…

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What You Need to Know about Health Flexible Spending Accounts | Houston Benefit Advisors
Sep

6

2017

What You Need to Know about Health Flexible Spending Accounts | Houston Benefit Advisors

A health flexible spending account (FSA) is a pre-tax account used to pay for out-of-pocket health care costs for a participant as well as a participant’s spouse and eligible dependents. Health FSAs are employer-established benefit plans and may be offered with other employer-provided benefits as part of a cafeteria plan. Self-employed individuals are not eligible for FSAs. Even though a health FSA may be extended…

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Jun

30

2017

DOL Asks for MHPAEA Related Comments; Clarifies Eating Disorder Benefit Requirements | Houston Benefit Advisors

Earlier this month, the Department of Labor (DOL) provided an informational FAQ relating to the Mental Health Parity and Addiction Equity Act (MHPAEA) and the 21st Century Cures Act (Cures Act). This is the DOL’s 38th FAQ on implementing the Patient Protection and Affordable Care Act (ACA) provisions and related regulations. The DOL is requesting comments on a draft model form for participants to use…

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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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