Hickock Boardman Benefits

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Benefits: Resource Center

Available Documents

Overview Information

  • The Affordable Care Act (ACA) created a number of federal reporting requirements for employers and health plans. The additional reporting is intended to promote transparency with respect to health plan coverage and costs.

  • The controlled group and affiliated service group rules apply to many employee benefit laws, such as nondiscrimination testing and the Affordable Care Act’s (ACA) employer shared responsibility rules, in order to discourage employers from setting up multiple companies to avoid the laws’ requirements.

  • 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.

  • The ACA provides basic eligibility criteria for individuals to enroll in “qualified health plans” (QHPs) through the Exchanges. The Centers for Medicare & Medicaid Services (CMS) has issued Exchange enrollment guidance for Medicare beneficiaries, which provides that Medicare beneficiaries are ineligible for coverage through the Exchanges’ individual market.

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.

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