091813 ppaca slide deck kulp
DESCRIPTION
SEK&Co, Strickler Agency and Capital Blue Cross Presented a Seminar on Affordable Care Act Compliance Issues for Employers and Individuals. Concerned about implementing Obamacare, the Affordable Care Act, at your business. This slide deck can help you understand some of the key issues for 2013, 2014 and beyond. This deck also includes information on penalties for non-compliance.TRANSCRIPT
PPACA: Please Promise AConsistent Announcement!!
John KulpDirector of Business Development
Strickler Agency Inc.
Producer Consulting = Human Capital Management
Surround Yourself w. Knowledgeable Partners & Trusted Advisors
Team Approach Back Office Support w. Extension(s) of your
HR Team Efficient Tracking Tools & Resources Can no longer visit your health plan
annually
Changing the “Face” of the Industry:
HIM Notices disbursed by 10-1-2013 Early Renewal Option(s) Exchanges (SHOP as well) Open October 1st SBC’s (updates as of 1-1-2014) PCORI Fees 90 Day Max Waiting Period Cobra Notices/Audits OOP Max Limits/Limited Benefit Designs
=$2000/$4000 Small Group Deductible Max.=$$6350/$12,7000 Large Group OOP Max.
Adjusted Community Rating (ACR) Individual Mandate
Hot Topic Items:
“Itemized Billing” – Small Groups-Composite vs. Non-Composite Rates
Employer Mandate/Employer Shared Responsibility
30 hrs./week max. eligibility std. Employer Reporting to IRS & HHS (Section
6056 under IRS) & Annual EE Statements W-2 reporting for all size groups Transitional Re-Insurance Fees (ASO)
Future Items of Consideration:
Wellness Enhancements1)Activity Only (participation only)2)Outcomes Based (ex. Maintain weight)3)Rewards to not to exceed 30% of total cost, 50% for tobacco usage control
Small Employer Tax Credit (SHOP) Automatic Enrollment for Large Groups
(200+ Full Time) in 2015 Tiered Networks & Possible Provider Fall-Out
Other “Food for Thought”:
