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Who is Eligible for New Health Insurance Premium Tax Credits?


Category: Compliance and Regulatory, Health Care Reform, IRS, Medicare, PPACA, Taxes,

What premium tax credits and cost-sharing subsidies are available to individuals in 2014 and who is eligible for them?

To assist individuals and families who do not qualify for Medicare or Medicaid and are not offered affordable health coverage by their employers, a refundable tax credit (the “premium tax credit”) and a cost sharing subsidy will be available beginning in 2014 to help pay for insurance purchased through an Exchange.

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Important Information Regarding the PPACA Summary of Benefits and Coverage Requirement


Category: Cafeteria Plans, CDHC, Compliance and Regulatory, DOL, ERISA, Flexible Spending, FSA, Health Care Reform, Health Reimbursement, HRA, HSA, IRS, PPACA,

Group health plans, which include HRAs, MERPs, and non-excepted FSAs, must provide a Summary of Benefits and Coverage (SBC) for all eligible plans to all eligible individuals, participants and beneficiaries.

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IRS Releases Guidance Concerning the 2013 FSA Contribution Limit


Category: Cafeteria Plans, CDHC, Compliance and Regulatory, Flexible Spending, FSA, Health Care Reform, IRS, PPACA, Section 125 Plans, Taxes,

The IRS has released Notice 2012-40 which provides guidance on the effective date of the $2,500 contribution limit to health flexible spending arrangements (FSAs) under IRS Code Section 125(i) and on the deadline for amending plans to comply with the limit. The notice also provides relief for contributions that mistakenly exceed the $2,500 limit provided they are corrected in a timely manner.

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HHS Issues Health Care Exchange Rules


Category: CDHC, Compliance and Regulatory, DOL, Health Care Reform, HHS, IRS, PPACA, State Legislation,

By Joyce Frieden, News Editor, MedPage Today

WASHINGTON — The Department of Health and Human Services has issued the final regulations for implementing the state health insurance exchanges mandated by the Affordable Care Act (ACA).

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HHS issues draft bulletin defining Actuarial Value for Health Plans


Category: CDHC, Compliance and Regulatory, Health Care Reform, Health Reimbursement, Health Savings, HRA, HSA, IRS, Taxes,

The HHS has just issued their draft bulletin on defining the “actuarial value” methodology that will be used to calculate AV for health plans, and it is good news for HSAs and HRAs! The rules DO include the employer contributions to accounts in the calculations, which is tremendously beneficial to the attractiveness of the plans.

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Are You Really Saving Money By Self Administering Your HRA?


Category: Cafeteria Plans, CDHC, COBRA, Compliance and Regulatory, Flexible Spending, FSA, Health Care Reform, Health Reimbursement, HIPAA, HRA, Medicare, Taxes,

Posted by RENEE KUHS, Compliance Attorney

Do you think you’re saving money by administering your health reimbursement arrangement (HRA)?  In our experience, many employers that self-administer an HRA often overlook important compliance obligations that put them at financial risk.  Failure to comply with the following requirements is common and can be costly.

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EBRI Study - HSA and HRA Accounts Continue Growth Trend


Category: CDHC, Compliance and Regulatory, Flexible Spending, Health Care Reform, Health Reimbursement, Health Savings, HRA, HSA, IRS, PPACA, Taxes,

MyHealthGuide Source: Employee Benefit Research Institute (EBRI), 1/2012, EBRI New Release and EBRI Full Text Brief with Charts.

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New FAQ's from DOL for You


Category: Compliance and Regulatory, DOL, Health Care Reform, IRS, PPACA, State Legislation, Taxes,

It wasn't all about the Summary of Coverage documents last Thursday. The Departments of Labor, HHS and Treasury also issued new guidance on frequently asked questions by employers and health plans concerning the auto-enrollment, employer requirements and

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Summary of Benefit Coverage Final Rule Released


Category: CDHC, Compliance and Regulatory, Health Care Reform, IRS, Taxes,

The Obama administration released the final rules for the Patient Protection and Affordable Care Act’s (PPACA) Summary of Benefits and Coverage (SBC) on February 9. The requirements have been the subject of much contention between insurers, employers and consumer groups over the past two years, and the final rules have been much anticipated by the benefits community.One of the most contentious parts of the debate about the new requirements was their effective date.

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Health savings accounts surpass $12.4 billion


Category: CDHC, COBRA, Compliance and Regulatory, Flexible Spending, Health Care Reform, Health Reimbursement, Health Savings, HRA, HSA, IRS, Taxes,

By Jenny Ivy
February 1, 2012

By year-end 2011, health savings accounts surpassed $12.4 billion in nearly 6.8 million accounts, according to market research from broker/dealer firm Devenir.

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Access to Independent Health Insurance Advisors Act of 2012 is Introduced


Category: Compliance and Regulatory, Health Care Reform,

On Friday, February 3, Senators Mary Landrieu (D-LA), Johnny Isakson (R-GA), Ben Nelson (D-NE) and Lisa Murkowski (R-AK), introduced S. 2068, the Access to Independent Health Insurance Advisors Act of 2012. Here is a link to NAHU’s press release about the measure, and here is a link to a fact sheet about the bill.

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House Votes to Repeal the CLASS Act


Category: Compliance and Regulatory, Health Care Reform, IRS, Taxes,

By ASSOCIATED PRESS | 2/1/12 11:46 PM EST

WASHINGTON – The Republican-led House on Wednesday voted to repeal a financially troubled part of the 2010 health care law that was designed to provide affordable long-term care insurance.

The House vote comes months after the Obama administration suspended the Community Living Assistance Services and Support program, known as the CLASS Act.

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Are employers able to waive or opt out of all health care reform?


Category: CDHC, Compliance and Regulatory, Health Care Reform, IRS, Taxes,

We keep hearing about the government issuing waivers, is it possible for employers to opt out of health care reform?  No, there is no waiver from all of health care reform. Employers may be thinking of the term “grandfathered plans,” which refers to plans in existence on March 23, 2010, which have made minimal changes, defined under regulations, and are therefore exempt from some, but not all, of health care reform’s mandates.

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IRS Issues 2011 Version of Publication 969 on HSAs, HRAs, Health FSAs and MSAs


Category: Cafeteria Plans, CDHC, Compliance and Regulatory, Flexible Spending, FSA, Health Care Reform, Health Reimbursement, Health Savings, HRA, HSA, IIAS, IRS, Section 125 Plans, Taxes,

Publication 969 has been updated for use in preparing 2011 tax returns. This publication provides basic information about HSAs, HRAs, health FSAs, Archer MSAs and Medicare Advantage MSAs, including brief descriptions of benefits, eligibility requirements, contribution limits and distribution issues.

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Health Care Benefits Options for Small Business Owners in the New World


Category: CDHC, Compliance and Regulatory, Health Care Reform, Health Reimbursement, Health Savings, HRA, HSA, IRS, PPACA, State Legislation, Taxes,

Offering comprehensive benefits to employees can help you attract, hire, and retain the best workers. Yet many small-business owners believe that health care insurance is a luxury they can’t afford. The good news: Thanks to new incentives, tax credits, industry reform, and nontraditional plans, health care insurance may be within reach.

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