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August 26, 2013          Get Retirement News  |  Advertise
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Employee Benefits Jobs

Regional Sales Manager
for ASPire Financial Services LLC in IL, MA, NH, NY

Inside Sales Desk Manager
for ASPire Financial Services LLC in CO

401k Internal Wholesaler
for ASPire Financial Services LLC in CO

Account Manager
for The Newport Group in NC

Director, Implementation & Conversions
for The Newport Group in FL

Implementation Specialist
for The Newport Group in CA, FL, TX

401(k) Administrator
for Nicholas Pension Consultants in CA

401(k) Plan Administrator
for Qualified Pension Services, Inc. in MO

Legal Director
for Pension Rights Center in DC

Pension Plan Administrator
for Total Benefit Services, Inc. in CA

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Webcasts and Conferences

Small Business Health Insurance Options Program (SHOP) Overview
September 19, 2013 WEBCAST
(Centers for Medicare & Medicaid Services (CMS))

Health Care Reform for Employers: Now What?
November 14, 2013 in CT
(Lorman Education Services)

Advanced Cross-Tested Plans: Adding More Tools
September 20, 2013 in IL
(SunGard Relius)

Behavior Economics/Social Security Seminar
September 19, 2013 in MA
(ASPPA Benefits Council of New England)

Healthcare Reform Challenge: Improving Depression Care
August 26, 2013 WEBCAST
(Wellness & Prevention, Inc.)

2014 Retirement Industry Conference
April 9, 2014 in IL
(LIMRA)

View All Webcasts and Conferences


  LinkedIn   Twitter   Facebook Hand-picked links to the web's best news articles,
official guidance, jobs, webcasts and more.
[Official Guidance]

Text of Supporting Statement Submitted by IRS to OMB on Reporting Required by Final Regs for Individual Mandate (.DOCX File)
"Liability for the penalty for failing to maintain minimum essential coverage is reported on a federal income tax return. The notice of proposed rulemaking (NPRM) REG-148500-12, published February 1, 2013, stated that the actual collection of information and the associated burden would be reflected on a form to be created by the IRS (since identified as Form 8965).... At the time the NPRM was published, it was thought that [this Form 8965] would be finalized as of the issuance of the final regulations. Now that the regulations are in the final clearance process, it is evident that the form will not be completed in time, and it is necessary to reflect the burden associated with the collection of exemption certificate numbers in the final regulations." [PDF version provided by BenefitsLink.] (Internal Revenue Service)  

[Guidance Overview]

Why Health Law's 'Essential' Coverage Might Mean 'Bare Bones'
"[A]ny company that does not offer 'minimum essential coverage' is liable for a $2,000-per-worker penalty ... But what is minimum essential coverage? Not as robust as you might think.... [H]ow good does that employer insurance have to be? The regulations are obscure, defining minimum essential coverage largely in terms of what it is not." (Kaiser Health News)  

Bare Bones Health Plans Expected to Survive Health Law
"Consumer Reports calls it 'junk health insurance.' A California regulator described them as 'skeleton policies.' To an expert from the American Cancer Society, they 'are a perfect example of why health care reform is so crucial.' They are bare-bones health plans, and critics say they could leave consumers who become seriously ill on the hook for tens of thousands of dollars in medical costs. The [ACA] was supposed to do away with them." (Kaiser Health News)  

[Guidance Overview]

Implementing Health Reform: The Small Employer Tax Credit
"It was originally thought that between 1.4 and 4 million small employers would be eligible for the program. Enrollment has been far below that number, however. Only 170,300 employers claimed the credit for 2010. By mid-May 2011, only 228,000 employers had claimed the credit. The limited incentives offered by the credit to employers not currently offering coverage and the complexity of the program seem to be the major reasons why more employers have not signed up." (Timothy Jost in Health Affairs Blog)  

No-Shopping Zone: Medicare Is Not Part of New Insurance Marketplaces
"Enrollment in health plans offered on the marketplaces, also called exchanges, begins Oct. 1 and runs for six months. Meanwhile, the two-month sign-up period for private health plans for millions of Medicare beneficiaries begins Oct. 15. In that time, seniors can shop for a private health plan known as Medicare Advantage, pick a drug insurance policy or buy a supplemental Medigap plan. And in nearly two dozen states, some Medicare beneficiaries who also qualify for Medicaid may be choosing private managed care plans. None of these four kinds of coverage will be offered in the health law's marketplaces." (Kaiser Health News)  


[Advert.]

National Business Coalition on Health Annual Conference

Sponsored by National Business Coalition on Health

Register now for the National Business Coalition on Health's (NBCH) 17th Annual Conference, November 18-20, 2013 in Scottsdale, AZ to gain insight and learn best practices for improving health and transforming health care.



Fifth Circuit Finds Employee Who Left Drug Rehab Not Entitled to FMLA Protection
"[An] individual's right to reinstatement under FMLA is not unlimited, the [Fifth Circuit] said. That right can be overridden by an employer's prerogative to terminate an employee for 'otherwise appropriate' reasons, such as violating the workplace policy requiring him to complete addiction treatment ... No reasonable jury could find that [this employee] was denied reinstatement for any reason other than his refusal to continue his FMLA leave period for the express purpose for which it was taken -- completing his drug treatment[.]" [Shirley v. Precision Castparts Corp., No. 12-20544 (5th Cir. Aug. 12, 2013)] (Thompson SmartHR Manager)  

Inside the Last-Minute Scramble before Rollout of Exchanges
"Five of the six state marketplaces (about a third of all the state-run marketplaces total) ... said they had finished waves of testing with the federal government. Idaho is relying on the federal government to run its technology backend so did not go through this testing.... There were some bumps for some states, but nothing that derailed testing from completion, the exchange officials say." (The Washington Post; subscription may be required)  

[Opinion]

How to Charge $546 for Six Liters of Saltwater
"It is no secret that medical care in the United States is overpriced. But... it is secrecy that helps keep prices high: hidden in the underbrush of transactions among multiple buyers and sellers, and in the hieroglyphics of hospital bills. At every step from manufacturer to patient, there are confidential deals among the major players, including drug companies, purchasing organizations and distributors, and insurers. These deals so obscure prices and profits that even participants cannot say what the simplest component of care actually costs, let alone what it should cost. And that leaves taxpayers and patients alike with an inflated bottom line and little or no way to challenge it." (The New York Times; subscription may be required)  

[Opinion]

In the Eleventh Hour: Significant Concerns for October 1 Rollout of Health Insurance Marketplace
"Some states are electing to use the HIX itself as their eligibility system of record, funneling all eligibility determinations ... through one platform. Other states are designing their marketplaces as entry points, from which eligibility decisions flow to a legacy system for determination decisions. Either way, states are finding that the project is akin to remodeling a 747 while it's in the air. The legacy systems need to be updated so they can coordinate and speak to the HIX. That's a massive undertaking on its own, but it also has to be done while the HIX is still being designed.... The federal hub is being built and rolled out at the same time that states are designing the rules for how their marketplaces will speak to and integrate with it." (The Health Care Blog)  

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