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Category: ACA
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Agencies Issue Final Rule on Grandfathered Health Plans and Other Initiatives | PA Benefits Broker
By Danielle Capilla Chief Compliance Officer at United Benefit Advisors Federal agencies recently issued a final rule that essentially combined a variety of interim final rules and non-regulatory guidance on a variety of Patient Protection and Affordable Care Act (ACA) initiatives such as grandfathered health plans, preexisting condition exclusions, internal and external appeals, rescission’s of…
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Proposed Benefit Payment and Parameters Rule Released | PA Employee Benefits
By Danielle Capilla Chief Compliance Officer at United Benefit Advisors Federal agencies have released the proposed rule for the 2017 Benefit Payment and Parameters. Among other items, it provides updates and annual provisions relating to: Risk adjustments, reinsurance, and risk corridors programs Cost-sharing parameters and cost-sharing reductions User fees for Federally-Facilitated Exchanges (FFEs) The standards…
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Cadillac Tax – Should employers be making changes now? | Duncansville Employee Benefits
By Elizabeth Kay, Compliance & Retention Analyst AEIS Advisors A UBA Partner Firm The Affordable Care Act (ACA) has brought about many changes in employee benefits. Plans have been eliminated, benefits added, rules changed, and rules have been delayed. The ACA has always been a heavily debated topic between the Republicans and Democrats, and now…
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CMS Provides Clarity on PACE Act Implications for States | Pennsylvania Benefits Broker
By Danielle Capilla Chief Compliance Officer at United Benefit Advisors The Providing Affordable Coverage for Employees (PACE) Act amended the Patient Protection and Affordable Care Act (ACA) and redefined small employers as those with 50 or fewer employees; it also gives states the option to expand the definition to include employers with up to 100…
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DOL Issues FAQ on Mental Health Parity and ACA Market Reform Provisions | Duncansville Employee Benefits
By Danielle Capilla Chief Compliance Officer at United Benefit Advisors The Department of Labor (DOL) recently provided an informational FAQ relating to the Mental Health Parity and Addiction Equity Act (MHPAEA) and Patient Protection and Affordable Care Act (ACA) market reform provisions. Non-grandfathered group health plans and individual or group market health insurance must cover…
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2015 UBA Health Plan Survey Executive Summary Now Available! | Duncansville Benefits Broker
By Bill Olson Chief Marketing Officer at United Benefit Advisors The data are in for the 2015 Health Plan Survey! See our news release with the top cost trends. Download the UBA 2015 Health Plan Survey Executive Summary with more detailed findings. For quick reference, here’s a brief punch list of the top trends: Rates…
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Reporting and Plan Documents Under ERISA and Cafeteria Plan Rules | PA Benefits Broker
By Danielle Capilla Chief Compliance Officer at United Benefit Advisors The Employee Retirement Income Security Act (ERISA) was signed in 1974. The U.S. Department of Labor (DOL) is the agency responsible for administering and enforcing this law. For many years, most of ERISA’s requirements applied to pension plans. However, in recent years that has changed,…
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IRS Proposed Regulations Recognize Same Sex Marriage | PA Employee Benefits
By Danielle Capilla Chief Compliance Officer at United Benefit Advisors In June 2015, the Supreme Court ruled in Obergefell v Hodges that the 14th Amendment requires a state to license a marriage between two people of the same sex, and to recognize a marriage between two people of the same sex when their marriage was…
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Cafeteria Plans: How to Handle Participant Contributions | Pennsylvania Benefits Broker
By Danielle Capilla Chief Compliance Officer at United Benefit Advisors Cafeteria plans, or plans governed by IRS Code Section 125, allow employees to pay for expenses such as health insurance with pre-tax dollars. Employees are given a choice between a taxable benefit (cash) and specified pre-tax qualified benefits, for example, health insurance. Employees are given…
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Perfect Attendance! How to Handle Leaves of Absence under the ACA | Pennsylvania Employee Benefits
By Danielle Capilla Chief Compliance Officer at United Benefit Advisors The Patient Protection and Affordable Care Act (ACA) requires applicable large employers (ALEs) to offer full-time employees health coverage, or pay one of two employer shared responsibility penalties. An ALE is an employer with 50 or more full-time or full-time equivalent employees (for 2015, this…
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