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1094-B and 1095-B – What’s New | PA Employee Benefits Specialist

Abridged from www.irs.gov Filing requirements. Providers of minimum essential coverage are required to file Forms 1094-B and 1095-B for 2015 in accordance with the forms and these instructions to report coverage in 2015. Form revisions. For 2015, Form 1095-B, Part III, was revised to include Covered Individuals Continuation Sheet(s) used when there are more than … Continued

Marketplace Notices Are Coming | PA Employee Benefits Specialist

www.thinkhr.com Under the Affordable Care Act (ACA), each Health Insurance Exchange (Marketplace) must notify employers when they have an employee who has received a government subsidy to enroll in a health plan through the Marketplace. These notices will begin being sent to employers in the coming weeks and months, either individually or in batches. Because … Continued

Small or Large Employer? | PA Benefits Specialist

How do I know if I am a small or large employer? Why does it matter? Abridged from www.irs.gov An employer’s size is determined by the number of its employees. Employer benefits, opportunities and requirements are dependent upon the employer’s size and the applicable rules. Generally, an employer with 50 or more full-time employees or … Continued

New ACA Guidance | Duncansville Benefits Broker

Abridged from www.thinkhr.com On April 20, 2016, the Departments of Labor, Health and Human Services, and the Treasury released the 31st set of Frequently Asked Questions (FAQs) on the implementation of the Affordable Care Act (ACA) and other health plan-related laws. The FAQs address questions on preventive services, coverage rescissions, mental health parity, and more. … Continued

IRS Provides Major Delay in 6055 and 6056 Reporting | PA Benefits Specialist

By Danielle Capilla Chief Compliance Officer at United Benefit Advisors Under the Patient Protection and Affordable Care Act (ACA), individuals are required to have health insurance, while applicable large employers (ALEs) are required to offer health benefits to their full-time employees. In order for the Internal Revenue Service (IRS) to verify that (1) individuals have … Continued

COBRA and the Affordable Care Act | Pennsylvania Employee Benefits

By Danielle Capilla Chief Compliance Officer at United Benefit Advisors The Consolidated Omnibus Budget Reconciliation Act (COBRA) requires employers to offer covered employees who lose their health benefits due to a qualifying event to continue group health benefits for a limited time at the employee’s own cost. COBRA provisions are found in the Employee Retirement … Continued

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 … Continued

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 … Continued

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 … Continued

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