Health & Welfare Plans Newsletter

September 9, 2014

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Employee Benefits Jobs

Employee Benefits Sales Consultant
Nyhart
in IN

401(k) Compliance Administrator
The Savitz Organization
in ANY STATE, PA

Associate Vice President & Regional Sales Consultant
United Retirement Plan Consultants
in WA

Retirement Director
Tacoma Employees' Retirement System - Tacoma, WA
in WA

Salesperson
Pension Advisors
in OH

Director of Compliance
ftwilliam.com - Wolters Kluwer
in ANY STATE

Retirement Plan Coordinator
T. Rowe Price
in MD

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Webcasts and Conferences

Building Resilience Through Brain Health
September 24, 2014 in IL
(Worldwide Employee Benefits Network [WEB] - Chicago Downtown Chapter )

Filing Health Care Reform Forms 1094 and 1095: Line-by-Line Guidance on the IRS Forms and Instructions
October 2, 2014 WEBCAST
(Thomson Reuters / EBIA)

Payer Strategies to Manage the Impending Flood of Costly Specialty Drugs
October 6, 2014 WEBCAST
(Atlantic Information Services, Inc)

ACA Plan Sponsor Roadmap for 2015 - Current and Upcoming Compliance Challenges
October 10, 2014 WEBCAST
(MCOL)

Translate 2015 Star Ratings Into Your Plan’s New MA/Part D Strategies
October 30, 2014 WEBCAST
(Atlantic Information Services, Inc)

View All Webcasts and Conferences



[Guidance Overview]

So What, Exactly, Is an 'Offer of Coverage'?
"In at least one instance, the Treasury Department and IRS let us know what an offer of coverage is not, when they clarified that an employer cannot foreclose the possibility of all penalties by providing coverage to all its full-time employees at no cost.... [For] employers with high turnover and large cohorts of contingent and temporary workers, these rules are game-changing. And offers of coverage, at least to sometimes significant portions of their workforce, are new." (Mintz Levin)  


[Advert.]

Answers to Your Health Care Reform Questions

Sponsored by International Foundation of Employee Benefit Plans [IFEBP]

In an easy-to-read Q&A format, the newly published 2015 Healthcare Reform Facts addresses all your PPACA questions about the implementation, compliance and tax implications of healthcare reform. Order Now!



Employers Struggle with Upcoming HPID Requirement for Group Health Plans
"ERIC's poll of its members, who are large employers that sponsor benefit plans for millions of workers, reflects that the vast majority of these companies have not even tried to obtain a HPID yet.... [N]early half of the respondents (45%) are waiting until HHS publishes relevant guidance. For those members who have attempted to obtain an HPID, 100% found the process to be 'very difficult' or 'difficult.' Common problems included the lack of guidance from HHS regarding the manner in which self-insured plans should calculate the number of plans that need a HPID." (The ERISA Industry Committee [ERIC])  

2014-2015 Benefits Open Enrollment Guide for Employers (PDF)
14 pages. "The savvy employer's guide to benefits enrollment includes: [1] Answers to tough benefits enrollment questions.... [2] Employees spend more time on vacation planning than on choosing benefits. [3] What is voluntary insurance -- and why do employees need it? [4] Out-of-pocket costs 101. [5] Key changes to tax-free savings accounts for employers. [6] Tools to help put your companies' benefits to work." (Aflac)  

Ten Things Self-Funded Plans Need to Know About ACA Reinsurance in 2014 (PDF)
"If you sponsor (or sponsored) a Major Medical plan that is self-funded for any portion of the 2014 calendar year that includes January 1 - September 30, 2014, here are 10 important facts you need to know about the ACA reinsurance program and how to comply by the November 15, 2014 deadline." (Cherry Bekaert Benefits Consulting, LLC)  

State Not Immune to Suit in Capacity as Employer If Late-Term Pregnancy Falls Under FMLA 'Family-Care' Provision
"Refusing to dismiss a state employee's FMLA claim on sovereign immunity grounds, a federal district court in Connecticut noted that the state might be immune from suit under the self-care provision, but considering that the employee here was approaching full-term pregnancy, she might be covered by the family-care provision relating to the birth and care for a son or daughter." [Craig v. Univ. of Connecticut Health Center, No. 3:13-cv-00281- WWE (D. Conn. Sept. 3, 2014)] (Wolters Kluwer Law & Business)  


[Advert.]

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Sponsored by IHC [The Institute for HealthCare Consumerism]

Come to the ONLY national event 100% dedicated to health care consumerism progress, collaboration and educational content. We'll provide a real-time look in at this year's open enrollment results and much more. Sign up today for the lowest rates!



ACA Developments: Medicaid Eligibility, 2015 Navigator Grants, and More FAQs
"[CMS FAQ 4199] provides that if an employer covered through the SHOP changes its business address and moves to a different rating area during the course of a year, the employer may continue to receive coverage as long as it is in the same state without a change in premiums. FAQ 4220 provides that an employer covered through the SHOP exchange has a grace period of 31 days to make payment after a premium due date before it will be terminated, but if the employer pays up in full within 30 days of termination, it will be reinstated in coverage." (Health Affairs)  

Stop Loss Insurance, Self Funding and the ACA (PDF)
A white paper in draft form; 23 pages. "Many articles have been written discussing the potential for and consequences of small employer self-insurance in the post-ACA environment, however, at this point, the increase in small employer self-funding is not known.... One of the areas states are seeing evidence of this interest is in the stop loss insurance policies being developed for and specifically marketed to small employers. This paper explores trends in stop loss insurance seen by state departments of insurance and the regulatory issues they raise. This paper also identifies issues about which state insurance departments need to be aware when regulating stop loss insurance policies." (National Association of Insurance Commissioners [NAIC])  

Press Releases

Aspire Unveils Enhanced 403(b) Portal
Aspire Financial Services

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