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Author: Brian M. Pinheiro Publisher: Aspen Publishers ISBN: 9781454825494 Category : Law Languages : en Pages : 592
Book Description
Employer's Guide to Health Care Reform, 2014 Edition is the premier step-by-step practical guide for employers struggling to keep up with the rapid pace of changes affecting their health benefit plans. Specifically, it will help you: Grasp every implication of health care reform from the employer's perspective Fully understand even the most complex rules Achieve significant cost savings Meet deadlines and take advantage of opportunities to delay implementation And much more! The 2014 Edition of Employer's Guide to Health Care Reform has been updated to include discussions of the latest health care reform developments and detailed explanations of these important topics: The U.S. Supreme Court's landmark decision in National Federation of Independent Business v. Sebelius, which upholds the constitutionality of the Affordable Care Act Other legal challenges, including claims brought by religious organizations seeking exemptions from the requirement to cover contraceptive services in employer-sponsored group health plans When is a plan a "grandfathered" health plan--and how to keep it that way Whether an employer-sponsored health plan covering solely retirees is subject to the Affordable Care Act design changes, such as the requirement to cover children through age 26 What types of subsidies and tax credits are available to employers that provide health coverage to employees Which health plans and benefits are subject to new prohibitions on annual and lifetime limits, and what exemptions are available The extent to which health reimbursement accounts (HRAs) qualify for an exemption from the prohibition on annual limits How and when the Affordable Care Act restricts preexisting-condition exclusions When must an employer-sponsored health plan provide full coverage for preventive health services without cost sharing What are the consequences of offering health plan coverage to children up to age 26 What are the new claims and appeals processes mandated by the Affordable Care Act for health plans What additional changes to health plan design will be required beginning in 2014 How the Affordable Care Act is encouraging the use of wellness programs to control health benefit costs What are the restrictions on eligibility waiting periods that may be imposed in an employer-sponsored group health plan How will employer-sponsored health plans need to change their employee communications to address the Affordable Care Act requirements What new types of reporting are required for health plans How employers can use premium rebates received from insurance companies under the medical loss ratio (MLR) rebate rules What is the "individual mandate" to enroll in health coverage Which employers must pay a penalty if they do not provide adequate and affordable health plan coverage The impact of the delay in implementation of the employer pay-or-play rules until 2015 How employers determine which employees are full-time employees for purposes of applying the pay-or-play penalties How much flexibility employers havein structuring their workforces to avoid thepay-or-play penalties How employers can determine whether their coverage is adequate and affordable What is a health care Exchange, and how will it affect the U.S. health care system What types of "essential health benefits" will be included in health insurance policies offered through an Exchange What states will need to do to set up a health care Exchange How the Affordable Care Act affects retiree prescription drug coverage und
Author: Brian M. Pinheiro Publisher: Aspen Publishers ISBN: 9781454825494 Category : Law Languages : en Pages : 592
Book Description
Employer's Guide to Health Care Reform, 2014 Edition is the premier step-by-step practical guide for employers struggling to keep up with the rapid pace of changes affecting their health benefit plans. Specifically, it will help you: Grasp every implication of health care reform from the employer's perspective Fully understand even the most complex rules Achieve significant cost savings Meet deadlines and take advantage of opportunities to delay implementation And much more! The 2014 Edition of Employer's Guide to Health Care Reform has been updated to include discussions of the latest health care reform developments and detailed explanations of these important topics: The U.S. Supreme Court's landmark decision in National Federation of Independent Business v. Sebelius, which upholds the constitutionality of the Affordable Care Act Other legal challenges, including claims brought by religious organizations seeking exemptions from the requirement to cover contraceptive services in employer-sponsored group health plans When is a plan a "grandfathered" health plan--and how to keep it that way Whether an employer-sponsored health plan covering solely retirees is subject to the Affordable Care Act design changes, such as the requirement to cover children through age 26 What types of subsidies and tax credits are available to employers that provide health coverage to employees Which health plans and benefits are subject to new prohibitions on annual and lifetime limits, and what exemptions are available The extent to which health reimbursement accounts (HRAs) qualify for an exemption from the prohibition on annual limits How and when the Affordable Care Act restricts preexisting-condition exclusions When must an employer-sponsored health plan provide full coverage for preventive health services without cost sharing What are the consequences of offering health plan coverage to children up to age 26 What are the new claims and appeals processes mandated by the Affordable Care Act for health plans What additional changes to health plan design will be required beginning in 2014 How the Affordable Care Act is encouraging the use of wellness programs to control health benefit costs What are the restrictions on eligibility waiting periods that may be imposed in an employer-sponsored group health plan How will employer-sponsored health plans need to change their employee communications to address the Affordable Care Act requirements What new types of reporting are required for health plans How employers can use premium rebates received from insurance companies under the medical loss ratio (MLR) rebate rules What is the "individual mandate" to enroll in health coverage Which employers must pay a penalty if they do not provide adequate and affordable health plan coverage The impact of the delay in implementation of the employer pay-or-play rules until 2015 How employers determine which employees are full-time employees for purposes of applying the pay-or-play penalties How much flexibility employers havein structuring their workforces to avoid thepay-or-play penalties How employers can determine whether their coverage is adequate and affordable What is a health care Exchange, and how will it affect the U.S. health care system What types of "essential health benefits" will be included in health insurance policies offered through an Exchange What states will need to do to set up a health care Exchange How the Affordable Care Act affects retiree prescription drug coverage und
Author: Lisa Campbell Publisher: Aspen Publishers ISBN: 9781543810332 Category : Languages : en Pages : 0
Book Description
Employer's Guide to Health Care Reform, 2020 Edition is the premier step-by-step practical guide for employers struggling to keep up with the rapid pace of changes affecting their health benefit plans. This practical guide helps you strategize about how to design your employee health plans to satisfy ACA requirements; design your workforce to minimize penalty exposure; achieve significant cost-savings; understand new notice requirements; meet deadlines and take advantage of opportunities to delay implementation; and more! Specifically Employer's Guide to Health Care Reform will help you: Design your employee health plans to satisfy ACA requirements Design your workforce to minimize penalty exposure Understand new notice requirements that apply in 2015 Achieve significant cost savings Meet deadlines and take advantage of opportunities to delay implementation Plan ahead to avoid or minimize Cadillac tax exposure Employer's Guide to Health Care Reform, 2020 Edition provides in-depth discussion and detailed explanations on critical topics, including: An explanation of the U.S. Supreme Court's watershed decision in King v. Burwell, allowing subsidies to be paid on federally facilitated Exchanges The IRS's efforts to prevent employers from offering low-value "skinny" health plans that provide minimum essential coverage to satisfy ACA requirements, but provide little or no coverage for basic health services The Small Business Health Options Program (SHOP) that allows small businesses to obtain health insurance for employees through an Exchange The new requirement for employers with self-funded health plans and insurers to report information to the IRS on Forms 1094 and 1095 The employer's limited ability to offer supplemental coverage that "wraps around" an employee's individual health insurance coverage The penalties that apply to insurers and employers if plan coverage does not satisfy the ACA market reforms Various ACA exemptions for limited scope dental, vision, and long-term care benefits Discussion of the IRS proposed guidance on the Cadillac tax, which will apply to excessive health coverage beginning in 2018 And much more Previous Edition: Employer's Guide to Health Care Reform, 2019 Edition, ISBN 9781454890102
Author: Brian M. Pinheiro Publisher: Aspen Publishers ISBN: 9781454872689 Category : Languages : en Pages : 0
Book Description
Employer's Guide to Health Care Reform, 2017 Edition is the premier step-by-step practical guide for employers struggling to keep up with the rapid pace of changes affecting their health benefit plans. This practical guide helps you strategize about how to design your employee health plans to satisfy ACA requirements; design your workforce to minimize penalty exposure; achieve significant cost-savings; understand new notice requirements; meet deadlines and take advantage of opportunities to delay implementation; and more Specifically Employer's Guide to Health Care Reform will help you: Design your employee health plans to satisfy ACA requirements Design your workforce to minimize penalty exposure Understand new notice requirements that apply in 2015 Achieve significant cost savings Meet deadlines and take advantage of opportunities to delay implementation Plan ahead to avoid or minimize Cadillac tax exposure Employer's Guide to Health Care Reform, 2017 Edition provides in-depth discussion and detailed explanations on critical topics, including: An explanation of the U.S. Supreme Court's watershed decision in King v. Burwell, allowing subsidies to be paid on federally facilitated Exchanges The IRS's efforts to prevent employers from offering low-value "skinny" health plans that provide minimum essential coverage to satisfy ACA requirements, but provide little or no coverage for basic health services The Small Business Health Options Program (SHOP) that allows small businesses to obtain health insurance for employees through an Exchange The new requirement for employers with self-funded health plans and insurers to report information to the IRS on Forms 1094 and 1095 The employer's limited ability to offer supplemental coverage that "wraps around" an employee's individual health insurance coverage The penalties that apply to insurers and employers if plan coverage does not satisfy the ACA market reforms Various ACA exemptions for limited scope dental, vision, and long-term care benefits Discussion of the IRS proposed guidance on the Cadillac tax, which will apply to excessive health coverage beginning in 2018 And much more Previous 2016 Edition: ISBN #9781454856313 / SKU #1454856319
Author: Ballard Spahr LLP Publisher: CCH ISBN: 9781454884354 Category : Languages : en Pages : 0
Book Description
Employer's Guide to Health Care Reform, 2018 Edition is the premier step-by-step practical guide for employers struggling to keep up with the rapid pace of changes affecting their health benefit plans. This practical guide helps you strategize about how to design your employee health plans to satisfy ACA requirements; design your workforce to minimize penalty exposure; achieve significant cost-savings; understand new notice requirements; meet deadlines and take advantage of opportunities to delay implementation; and more! Specifically Employer's Guide to Health Care Reform will help you: Design your employee health plans to satisfy ACA requirements Design your workforce to minimize penalty exposure Understand new notice requirements that apply in 2015 Achieve significant cost savings Meet deadlines and take advantage of opportunities to delay implementation Plan ahead to avoid or minimize Cadillac tax exposure Employer's Guide to Health Care Reform, 2018 Edition provides in-depth discussion and detailed explanations on critical topics, including: An explanation of the U.S. Supreme Court's watershed decision in King v. Burwell, allowing subsidies to be paid on federally facilitated Exchanges The IRS's efforts to prevent employers from offering low-value "skinny" health plans that provide minimum essential coverage to satisfy ACA requirements, but provide little or no coverage for basic health services The Small Business Health Options Program (SHOP) that allows small businesses to obtain health insurance for employees through an Exchange The new requirement for employers with self-funded health plans and insurers to report information to the IRS on Forms 1094 and 1095 The employer's limited ability to offer supplemental coverage that "wraps around" an employee's individual health insurance coverage The penalties that apply to insurers and employers if plan coverage does not satisfy the ACA market reforms Various ACA exemptions for limited scope dental, vision, and long-term care benefits Discussion of the IRS proposed guidance on the Cadillac tax, which will apply to excessive health coverage beginning in 2018 And much more Previous Edition: Employer's Guide to Health Care Reform, ISBN 9781454872689
Author: Lisa Campbell Publisher: Aspen Publishers ISBN: 9781454890102 Category : Languages : en Pages : 0
Book Description
Employer's Guide to Health Care Reform, 2019 Edition is the premier step-by-step practical guide for employers struggling to keep up with the rapid pace of changes affecting their health benefit plans. This practical guide helps you strategize about how to design your employee health plans to satisfy ACA requirements; design your workforce to minimize penalty exposure; achieve significant cost-savings; understand new notice requirements; meet deadlines and take advantage of opportunities to delay implementation; and more! Specifically Employer's Guide to Health Care Reform will help you: Design your employee health plans to satisfy ACA requirements Design your workforce to minimize penalty exposure Understand new notice requirements that apply in 2015 Achieve significant cost savings Meet deadlines and take advantage of opportunities to delay implementation Plan ahead to avoid or minimize Cadillac tax exposure Employer's Guide to Health Care Reform, 2019 Edition provides in-depth discussion and detailed explanations on critical topics, including: An explanation of the U.S. Supreme Court's watershed decision in King v. Burwell, allowing subsidies to be paid on federally facilitated Exchanges The IRS's efforts to prevent employers from offering low-value "skinny" health plans that provide minimum essential coverage to satisfy ACA requirements, but provide little or no coverage for basic health services The Small Business Health Options Program (SHOP) that allows small businesses to obtain health insurance for employees through an Exchange The new requirement for employers with self-funded health plans and insurers to report information to the IRS on Forms 1094 and 1095 The employer's limited ability to offer supplemental coverage that "wraps around" an employee's individual health insurance coverage The penalties that apply to insurers and employers if plan coverage does not satisfy the ACA market reforms Various ACA exemptions for limited scope dental, vision, and long-term care benefits Discussion of the IRS proposed guidance on the Cadillac tax, which will apply to excessive health coverage beginning in 2018 And much more Previous Edition: Employer's Guide to Health Care Reform, 2018 Edition, ISBN 9781454884354
Author: Lisa Campbell Publisher: Aspen Publishers ISBN: 9781543818109 Category : Languages : en Pages : 824
Book Description
Employer's Guide to Health Care Reform, 2021 Edition is the premier step-by-step practical guide for employers struggling to keep up with the rapid pace of changes affecting their health benefit plans. This practical guide helps you strategize about how to design your employee health plans to satisfy ACA requirements; design your workforce to minimize penalty exposure; achieve significant cost-savings; understand new notice requirements; meet deadlines and take advantage of opportunities to delay implementation; and more! Specifically Employer's Guide to Health Care Reform will help you: Design your employee health plans to satisfy ACA requirements Design your workforce to minimize penalty exposure Understand new notice requirements that apply in 2015 Achieve significant cost savings Meet deadlines and take advantage of opportunities to delay implementation Plan ahead to avoid or minimize Cadillac tax exposure Employer's Guide to Health Care Reform, 2021 Edition provides in-depth discussion and detailed explanations on critical topics, including: The repeal of the ACA's individual mandate penalty, the Fifth Circuit's decision determining the ACA's individual mandate provision unconstitutional, and the impending oral argument before the U.S. Supreme Court on the constitutionality of the individual mandate and the ACA. Update on the maximum out-of-pocket requirements relating to drug manufacturer coupons for group health plans A summary of group health plan requirements under the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act, and the Tri-Agency COVID-19 sub-regulatory guidance implementing these laws. Update on Tri-Agency Proposed Rule providing more flexibility for grandfathered health plans. Tri-Agency Proposed Rule on Transparency in Coverage requiring group health plans to provide costsharing information to participants and beneficiaries upon request, and to publish pricing information on a public website. Update on challenge to Final Rule on transparency of hospital charges. An update on the litigation relating to the constitutionality of the ACA, due to the repeal of the individual mandate penalty. An update on the ACA's requirement to cover contraception under the Trump Administration. An update on the challenges to ACA Section 1557 Nondiscrimination Final Rule provision requiring transgender services. An update on the challenges to the ACA's risk corridors program. And much more Previous Edition: Employer's Guide to Health Care Reform, 2020 Edition, ISBN 9781543810332
Author: Paul Zane Pilzer Publisher: John Wiley & Sons ISBN: 1119012112 Category : Business & Economics Languages : en Pages : 288
Book Description
How to save 20 to 60 percent on health insurance! The End of Employer-Provided Health Insurance is a comprehensive guide to utilizing new individual health plans to save 20 to 60 percent on health insurance. This book is written to ensure that you, your family, and your company get your fair share of the trillions of dollars the U.S. government will spend subsidizing individual health insurance plans between now and 2025. You will learn how to navigate the Affordable Care Act to save money without sacrificing coverage, and how to choose the plan that offers exactly what you, your family and your company need. Over the next 10 years, 100 million Americans will move from employer-provided to individually purchased health insurance. The purpose of The End of Employer-Provided Health Insurance is to show you how to profit from this paradigm shift while helping you, your family, and your employees get better and safer health insurance at lower cost. It will help you save thousands of dollars per person each year and protect you from the greatest threat to your financial future—our nation's broken employer-provided health insurance system. We are at the beginning of a paradigm shift in the way businesses offer employee health benefits and the way Americans get health insurance—a shift from an employer-driven defined benefit model to an individual-driven defined contribution model. This parallels a similar shift in employer-provided retirement benefits that took place two to three decades ago from defined benefit to defined contribution retirement plans. Written by a world-renowned economist and New York Times best-selling author, this insightful guide explains how individual health insurance offers more to employees than employer-provided plans. Using the techniques outlined in this book, you and your employer will save money on health insurance by migrating from employer-provided health insurance coverage to employer-funded individual plans at a total cost that is 20 percent to 60 percent lower for the same coverage. That's $4,000 to $12,000 in savings per year for a family of four for the same hospitals, same doctors, and same prescriptions.
Author: Brian M. Pinheiro
Author: Brian M. Pinheiro
Author: Pinheiro
Author: Lisa Campbell
Author: Brian M. Pinheiro
Author: Ballard Spahr LLP
Author: Lisa Campbell
Author: King County Bar Association (Wash.)
Author: Lisa Campbell
Author: Paul Zane Pilzer
Author: