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Showing posts with the label employer health insurance mandates

Private Employer Health Plans and Implementation of the Public Health Services Act and ACA:DOL & Wellness

Private Employer Health Plans- and Implementation of the   Public Health Services Act and the Accountable Care Act Mandates in 2014 Department of Labor requirements mandate that employers who offer ERISA health and welfare plans must report plan data in an annual Form 5500, which includes plan enrollment, funding, and other information. Form 5500 filings are required for pension and health and welfare plans. Generally employers who have 100 or more employees in their health plan must report, but self-funded plans with fewer participants must also report. And some other types of benefit programs, like Section 125, 127, or   129 flexible benefit plans may also require Form 5500 reporting, depending on the benefit program.   This article uses information from Form 5500 filing data to provide a profile of private employer health plan status, with a view toward changes next year. [1] Department of Labor Health & Welfare Plan Reporting Department of Labor(DOL)   Form ...

Employer Rules for PPACA Grandfathered Health Care Plans

Rules for Employers with Grandfather Exceptions for the Health Care Mandates The Patient Protection and Affordable Care Act mandates that employers with health care programs meet certain requirements for employee participation, coverage limits, and treatment of pre-existing conditions upon enrollment. Having just spent the past few days studying the grandfather provisions for the health care reform implementation in 2014, this article is meant to provide a bit of illumination to any confused employers or their staff. Generally grandfathered group health care programs will have a calendar year or a fiscal year plan renewal date. Since this is the time when changes are introduced each year, if a plan has a June anniversary date, it would have had to apply for grandfather status by the June 2011 anniversary. Hence the first anniversary of a grandfathered plan is likely to have occurred by now and this is the time when a plan administrator may be required to show the plan meets the PPACA ...