Hickock Boardman Benefits

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Information for All Employers

Reform or no reform, healthcare is complicated. At Hickok & Boardman HR Intelligence, we have always recognized the complexity of healthcare and have consistently made it our priority to expertly assist you in understanding its many intricacies. Below you will find a wealth of resources that we have compiled for the express purpose of making the healthcare process easier for you to navigate.

Available Documents

  • 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.

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.

  • Employer shared responsibility mandate and related penalties for not offering coverage. Does this apply to you?

  • The Affordable Care Act (ACA) imposes different requirements on employers based on whether they qualify as a "large" employer or a "small" employer. However, the healthcare reform law doesn't use a consistent definition for these terms. This Legislative Brief outlines the differences that apply to key provisions of the ACA.

  • The changes made by the healthcare reform legislation will be implemented over the next several years. This article provides effective dates for key ACA reforms that affect employers and individuals. 

  • On Friday, September 13, 2013, the IRS released Notice 2013-54 and the DOL issued Technical Release 2013-03 in substantially identical form. This guidance, which is generally effective January 1, 2014, provides much needed clarification on the application of certain provisions of the ACA (annual limits and preventive care) to account-based plans such as HRAs and FSAs, and other types of arrangements that reimburse premiums (referred to in the guidance as “Employer Payment Plans”).

  • Beginning in 2014, the ACA allows individuals and small employers to purchase health insurance coverage through the Exchanges. The Centers for Medicare & Medicaid Services (CMS) have issued Exchange enrollment guidance for Medicare beneficiaries, which provides that Medicare beneficiaries are ineligible for coverage through the Exchanges' individual market but can enroll in Exchange coverage offered by their small employer. This Legislative Brief summarizes the CMS guidance.

  • 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.

  • This article describes the similarities and differences between the four types of health plans available through the Marketplace. Information about catastrophic plans is also presented.

  • This document contains responses to frequently asked questions concerning the rights and protections afforded by health care reform. It also addresses the individual mandate.

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.
     

  • Found in Section 18B of the Fair Labor Standards Act (FLSA), the ACA requires employers to provide all new hires and current employees with a written notice about the ACA’s Exchanges, which the Department of Labor (DOL) calls the “Notice to Employees of Coverage Options.” Employers were generally required to begin providing employees with an Exchange Notice by Oct. 1, 2013.

Uncategorized Documents

Webinars

Webinars (Recorded)

  • The ACA requires all Applicable Large Employers and various entities that provide health insurance to report information to the IRS AND to the participants of your health plan. We will review the regulations and the forms you will need to report on.

    This is a recorded video. To watch this webinar, please use the following link:

    http://youtu.be/dX73AQB-qmk

  • Understanding which employees you must offer health insurance coverage to is the first step in complying with the Employer Mandate (aka Pay or Play). The ACA requires you as an employer to offer coverage to substantial all (95%) of full time employees or pay a penalty. There is some transition relief for 2015 (only 70% is considered substantial). This webinar will walk you through the steps necessary to measure your employees work time to determine if you must offer coverage.

    This is a recorded webinar. To view this video, please use the following link:

    http://youtu.be/AYN6jkSgUs8