Health & Welfare Plans Newsletter

August 19, 2015

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Employee Benefits Jobs

401(k)/Pension Administrator
Alliance Pension Consultants, LLC
in IL

ERISA Attorney
Loren D. Stark Company
in TX

Retirement Plan Administrator
Third Party Administrator
in FL

Retirement Plan Recordkeeper
Leading Retirement Solutions
in ANY STATE, WA

Retirement Relationship Manager
Alerus Financial
in ND

Senior Counsel
Sheet Metal Workers' National Pension Fund
in VA

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Webcasts and Conferences

Retirement Plan Controlled Group and Affiliated Service Organization Rules
August 26, 2015 WEBCAST
(Wagner Law Group P.C.)

Census Collection can be Easy - See How!
September 1, 2015 WEBCAST
(ASC)

Red Flag Forum
September 16, 2015 in FL
(ASPPA Benefits Council [ABC] of Central Florida)

Ascende Wealth Advisers’ 2015 Investment Conference: Tackling A Volatile Market And Employee Perception
September 24, 2015 in TX
(Ascende)

13th Annual ERISA Update
November 12, 2015 in WA
(ASPPA Benefits Council [ABC] of Great Northwest)

2015 Defined Contribution Health Optimization Summit: Maximizing Private Exchange ROI, Sales and Engagement for an Emerging Class of Healthcare Consumer
December 1, 2015 in FL
(Healthcare Education Associates)

View All Webcasts and Conferences


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[Guidance Overview]

Text of IRS Publication 5223: General Rules and Specifications for ACA Substitute Forms 1095-A, 1094-B, 1095-B, 1094-C and 1095-C
24 pages; August 11, 2015. "If you do not use the official IRS form to furnish statements to recipients, you must furnish an acceptable substitute statement. Information presented in substitute statements should be in a point size large enough to be easily read by recipients. To be acceptable, your substitute statement must comply with the rules in this Part. Generally, information returns may be furnished electronically with the consent of the recipient." (Internal Revenue Service [IRS])  


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[Guidance Overview]

ACA Reporting Requirements for Carriers and Employers (Part 5 of 24): Reporting of Health Reimbursement Arrangements Under Code Section 6055
"The Draft 2015 Instructions contain an unpleasant clarification on the subject of Health Reimbursement Arrangements, saying essentially that an employer that maintains an insured group plan and a self-funded Health Reimbursement Arrangement (HRA) must separately report the HRA coverage." (Mintz Levin)  

Obamacare Reporting: A Risk-Free Way to Ensure Everything Is in Order
"The IRS' testing system allows employers to see if their software is correctly filling out the 2014 Forms 1094 and 1095.... Filing for 2014 was voluntary, and the IRS didn't even release the final versions of the forms until February of 2015. So now the feds are opening up the testing system as a way for firms to make sure everything is in order -- before costly penalties are attached to the filing process in 2016. Then, beginning in November, the ACA Assurance Testing System will be ready for the 2015 reporting forms." (HR Benefits Alert)  

A Cruise Aboard the Love Boat Is Not Protected by the FMLA, Even When the Doc Says It's a Good Idea
"Insights for employers: ... if the employee is not incapacitated and is not seeking treatment wherever she is heading, her absences do not trigger the FMLA, and they should be treated as such.... Use the FMLA tools available to you to obtain more information about the medical condition and the certification.... Be extremely careful about contacting the employee's health care provider directly without the employee's permission." (FMLA Insights)  

The ACA at 5 (PDF)
66 pages. "The following essays will review several technical aspects of the ACA, examining how the intent of the regulations compares to reality, and what we can expect to see in the next five years. We expect that actuaries will continue to play a key role in the implementation of the ACA as it evolves and adapts in the future, and to continue thinking and writing about the systemic changes that may still be needed." (Society of Actuaries)  


[Advert.]

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Comparing Individual Health Coverage on and Off the ACA Insurance Exchanges
"Initial concerns that insurers might seek to enroll lower-risk customers outside the exchanges have not been realized. Instead, more-generous benefit plans, which appeal to people with health problems, constitute a greater portion of plans sold off-exchange than those sold on-exchange." (The Commonwealth Fund)  

Among 23 Health Insurance CO-OPs, Maine Stands Out for Its Success
"The co-ops are particularly important today because five of the largest health insurers could soon be reduced to three if Anthem acquires Cigna and Aetna merges with Humana. In practice, however, co-ops have struggled. Only a co-op in Maine, Community Health Options, has turned a profit. What's the secret to CHO's success? There are several." (Association of Health Care Journalists)  

[Opinion]

What Netflix, Amazon and KKR Tell Us About the Dismal State of Family Leave
"Some companies that have taken steps to modernize their policies to reflect the way the workplace actually is, rather than how it used to be, should be commended. But a handful of improvements at individual companies only points at a larger problem: The ability to be both a parent and an employee is largely dependent on the benevolence of whichever private corporation one happens to work for. Until that patchwork approach to the problem changes, working parents at all levels of the economic spectrum will continue to be in a bind." (Bloomberg)  

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