HORAN Health Benefits Compliance Blog

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

Entries for 2017

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...

Transition Policy Extended for Non-ACA Compliant Health Plans

 March 6 2017     Diane Cross
Once again, the Department of Health and Human Services (HHS) has extended the transition policy for certain small employer health plans that do not comply with the Affordable Care Act (ACA) for an additional year. Health insurance issuers can renew non-ACA compliant coverage through 2018 for those plans that have so far avoided community rating and other ACA provisions if the state chooses to ex...

Model Notice for Health Insurance Marketplace Coverage

 February 28 2017     Diane Cross
Employers are required to provide a written notice to each employee about the Health Insurance Marketplace per the Affordable Care Act (ACA).  Model notices are provided by the Department of Labor (DOL) for both employers that offer a health plan and employers that do not offer a health plan. Each model notice provides an OMB expiration date at the top right corner, which creates confusion o...

Medicare Part D Creditable Coverage Disclosure Due to CMS

 February 24 2017     Diane Cross
As a reminder, there are two disclosures required annually for certain employers related to Medicare Part D.  Employers with group health plans that provide prescription drug coverage to individuals that are eligible for Medicare Part D must disclose whether their drug benefit is creditable coverage to (1) individuals eligible for Medicare Part D and (2) to the Centers for Medicare & Medi...

President Trump's Executive Order and its Impact on the ACA

 January 23 2017     Diane Cross
As he promised, President Trump is continuing to demonstrate his commitment to repeal and replace the Affordable Care Act (ACA).  Shortly after his inauguration on January 20, 2017, one of President Trump’s first acts as president was signing an executive order, Minimizing the Economic Burden of the Patient Protection and Affordable Care Act Pending Repeal.  What does this exactly...

Senate Takes Major Step Forward in Repealing the Affordable Care Act

 January 12 2017     Diane Cross
The Senate took the first major step toward repealing the Affordable Care Act during a vote session that ended early this morning. As anticipated, the Senate passed a resolution for a reconciliation bill (budgeting tool), their first step in the repeal and replace process. Utilizing reconciliation provides the legislative tools necessary to repeal significant parts of the ACA. Republican leader...