Hickock Boardman Benefits

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Benefits: Resource Center

Available Documents

Overview Information

  • To determine if a company is an ALE, aggregation rules apply for companies that are related or commonly owned. Under these rules, all employees of a controlled group of businesses or an affiliated service group are taken into account to determine if an employer is subject to the employer shared responsibility rules.

  • The Affordable Care Act (ACA) includes numerous reforms affecting the health coverage that employers provide to their employees. Many of these reforms apply to all group health plans, regardless of their method of funding. Plans that have grandfathered status under the ACA, however, are not required to comply with select ACA requirements. In addition, self-insured plans are exempt from certain ACA requirements.

  • As private exchanges get more and more media attention, our firm determined that Vermont employers needed clear information to understand what private exchanges are, and aren’t, and how they’re coupled with a defined contribution strategy.  Understanding Defined Contribution and Private Health Exchange Solutions:  What Employers Need to Know is a whitepaper by H&B HRI Principal Bob Crews and serves as a primer for employers to educate themselves on the topic and to begin developing strategies for this emerging trend.

Employee Communications

  • In 2017, plans and issuers will begin using a new template for the summary of benefits and coverage (SBC). The Departments of Labor (DOL) and Health and Human Services (HHS) issued the updated template and related materials on April 6, 2016.

  • The individual shared responsibility provision of the Affordable Care Act (ACA) requires you, your spouse, and your dependents to have qualifying health insurance for the entire year, report a health coverage exemption, or make a payment when you file your tax return.  Many people already have minimum essential coverage and do not need to do anything more than maintain that coverage and report their coverage when they file their tax returns. This chart explains how the Affordable Care Act affects you.

  • The individual shared responsibility provision of the Affordable Care Act (ACA) requires you, your spouse and your dependents to either have qualifying health insurance for the entire year, report a health coverage exemption, or make a payment when you file your tax return.

Implementation and Checklists

Notices and Reporting Requirements

  • The ACA requires plans and issuers to keep the SBC up to date by giving at least 60 days’ advance notice of changes to information reflected in the SBC. The changes that must be disclosed are material modifications in plan terms or coverage that would affect the content of the SBC and are not reflected in the most recent SBC.
     

Analytics & Tools

  • The Health Care Reform Toolkit is your one stop guide for upcoming health care reform concerns. This toolkit is designed to help you address health care reform issues topic by topic.

Want to Learn More?

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