Frequently Asked Questions about Employees’ Reduction in Hours

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The Section 125 cafeteria plan regulations and the Patient Protection and Affordable Care Act (ACA) require employers to take certain actions when an employee reduces hours. Below are answers to some common questions. Coverage During a Stability Period Q1: An employer has an employee who is reducing hours below 30 hours per week. The employee […]

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IRS Updates

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IRS Updates Health Coverage Affordability Calculation for Individuals for 2018 The Internal Revenue Service (IRS) issued Revenue Procedure 2017-36, adjusting the calculation determining whether an individual can afford employer-sponsored health coverage, which affects whether the individual would be eligible for a premium tax credit on the public health exchanges. This could affect employers who are […]

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ACA Market Stabilization Final Rule

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On April 18, 2017, the Department of Health and Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS) published its final rule regarding Patient Protection and Affordable Care Act (ACA) market stabilization. The rule amends standards relating to special enrollment periods, guaranteed availability, and the timing of the annual open enrollment period in the […]

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SBC Template and Required Addendums for Covered Entities under ACA Section 1557

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Updated March 2017 A Summary of Benefits and Coverage (SBC) is four page (double-sided) communication required by the federal government. It must contain specific information, in a specific order, and with a minimum size type, about a group health benefit’s coverage and limitations. If an employer providing an SBC is a covered entity under the […]

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Health Insurance Marketplace Notice and OMB Expiration Date

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Under the Patient Protection and Affordable Care Act (ACA), an applicable employer must provide a written notice about the Health Insurance Marketplace to each employee. The Department of Labor (DOL) provides a model notice for employers that offer a health plan and a model notice for employers that do not offer a health plan. Can […]

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ACA – Employer Mandate Reporting Reminder

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The following applies to employer groups that are considered Applicable Large Employers (ALEs) for the 2015 calendar year and subject to ACA Employer Mandate reporting for 2016. MARCH 2, 2017: ACA Forms 1095-C to Employees Applicable Large Employers must submit Forms 1095-C to employees no later than March 2, 2017. FEBRUARY 28, 2017 or MARCH […]

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