HORAN Health Benefits Compliance Blog

Keeping you up-to-date and on-track with health benefits compliance

Entries for 2017

Time to Reassess Applicable Large Employer (ALE) Status

 August 16 2017     Diane Cross
The future of health care reform may be uncertain, but there is one thing that remains clear - the Affordable Care Act (ACA) is the law of the land and the employer mandate is still in effect. This means it is a great time for employers who are approaching 50 employees to take a proactive approach and reassess their status as an applicable large employer (ALE) under the ACA. Remember, ALEs may be...

Healthcare Reform Update: Senate Introduces New Bill

 June 23 2017     Diane Cross
The Senate revealed their proposed legislation aimed to repeal and replace the Affordable Care Act on June 22, 2017 after drafting it behind-closed-doors.  The Senate’s proposal, the "Better Care Reconciliation Act of 2017" (BCRA), would substitute the House's House Resolution 1628, the "American Health Care Act of 2017" (AHCA).  The proposed legislation is a “discussion draf...

PCORI Fee Reminder: Due July 31st

 May 31 2017     Diane Cross
As a reminder, under the ACA, all medical plans are responsible for paying the Patient-Centered Outcomes Research Institute (PCORI) fee to the IRS. If the plan is fully-insured, the insurance carrier pays the fee on behalf of the policyholder.  However, for self-funded plans including health reimbursement arrangements, the employer/plan sponsor must file the Form 720 and pay the fee to the IR...

Taxing Wellness Incentives

 May 18 2017     Diane Cross
With wellness programs on the rise, there is plenty of opportunity for employees to receive various incentives – from t-shirts and event tickets to gift cards and cash.  As employers consider wellness program design and how to incentivize employees (if at all), they should keep in mind that many wellness incentives are not excluded from income tax.  Does that gift card Johnny recei...

Health Savings Account (HSA) 2018 Limits Announced

 May 16 2017     Diane Cross
The IRS has set the HSA annual limits for 2018, raising the maximum contributions for both self-only and family plans – increased by $50 and $150 respectively. Per the IRS Revenue Procedure 2017-37, the 2018 contribution rates are adjusted for inflation, as are the maximum out of pocket expenses and minimum deductible for the associated high-deductible health plans (HDHPs). 2018 Contribut...

Congress Moves One Step Closer to Repealing and Replacing the Affordable Care Act

 May 4 2017     Diane Cross
Earlier today, the House of Representatives voted (217-213) to pass the American Health Care Act (AHCA), a bill that repeals and replaces many facets of the Affordable Care Act (ACA). For more information on the AHCA, see our previous blog post.    The AHCA was originally pulled from voting consideration in late March, lacking support from Republicans in the House.  Since then, the...

The Summary Plan Description (SPD) Requirement

 May 1 2017     Diane Cross
When reviewing compliance matters with employers, the Summary Plan Description (SPD) requirement often creates questions and confusion. All too frequently, it is a requirement in which employers incorrectly assume they are in compliance or simply are unaware of altogether. So, what is an SPD and why is it so important? An SPD is a document that employers are required to provide to employees...

ACA Individual Market Stabilization: Final Regulations

 April 27 2017     Diane Cross
Recently, the Department of Health and Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) issued its final rule to help increase stability in the individual health insurance market for 2018. The final regulations, effective June 19, 2017, are intended to provide immediate relief by helping to stabilize the Health Insurance Marketplace, providing more flexibility to states and ...

Summary of Benefits and Coverage (SBC) – New Template in Effect

 April 11 2017     Diane Cross
As employers plan for their next open enrollment, the updated Summary of Benefits and Coverage (SBC) template is now in effect. The Affordable Care Act remains the “law of the land” for the employee benefits industry and as such, employers must continue to adhere to the SBC requirement. Notably, the finalized template must be used for health insurers and plan years that have open enr...

House Proposal to Repeal and Replace the Affordable Care Act

 March 8 2017     Shelly Hodges-Konys
Monday, March 6, 2017, the House Ways and Means Committee and the Energy and Commerce Committee released separate legislation with intention to repeal and replace key components of the Affordable Care Act (ACA) through the budget reconciliation process. The budget reconciliation process allows Republicans to propose and pass legislation reducing federal spending, reducing the deficit and streamlin...
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