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Changing the Employee Benefit Conversation

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SHRM (November 15, 2017) The IRS plans to begin notifying employers in "late 2017" of their potential liability for failing to provide health coverage compliant with the Affordable Care Act (ACA). The agency recently posted online a new set of frequently asked questions (FAQs) that explains the notification process and how employers can appeal the penalty determination. READ MORE >>

UnitedHealthcare - November 13, 2017 On Oct. 18, 2017, the Internal Revenue Service (IRS) released guidance for individuals answering questions about health coverage on their federal tax return. Beginning in the 2018 reporting year, when individuals prepare their 2017 federal tax return, they must indicate if they and others on their return: READ MORE >>

The Washington Post (11/9, Eilperin, Goldstein) reports the Centers for Medicare and Medicaid Services on Wednesday reported that 601,462 Americans enrolled in health insurance plans under the Affordable Care Act from November 1-4, the start of open enrollment. READ MORE >>

The Washington Post (11/6, Eilperin) reports enrollment “has surged compared to the past,” according to an unnamed official at the Centers for Medicare and Medicaid Services, who said over 200,000 had chosen a plan on the first day, which the Post says is “more than double” last year’s first day. READ MORE >>

The AP (11/3, Fram) reported that on Friday, the US House voted 242-174 to approve “five more years of financing for” the Children’s Health Insurance Program, but “a partisan battle over paying for the extension” is expected to delay Senate approval of the bill. READ MORE >>

NAHU (10/27/17) Senate Finance Committee Chairman and 2015 NAHU Spirit of Independence winner Orrin Hatch (R-UT), and House Ways and Means Committee Chairman Kevin Brady (R-TX) announced a legislative proposal on Tuesday that would temporarily fund the ACA's cost-sharing reduction (CSR) program and eliminate penalties for the individual and employer mandates. READ MORE >>

What’s The Difference between PFL and DBL? The new Paid Family Leave benefit goes into effect in less than 2 months.  In fact, many employees are already making their premium contributions.  PFL will be handled by the same carrier that the employer has its DBL coverage with. READ MORE >>

The AP (10/19, Werner, Fram) reports that on Thursday, the bipartisan bill which seeks to stabilize ACA marketplaces “gained momentum...when enough lawmakers rallied behind it to give it potentially unstoppable Senate support.” The measure’s sponsors, Sens. READ MORE >>

The Hill (10/18, Roubein) reports a bipartisan group of 10 governors called on Congress to vote on the bipartisan legislation to stabilize the Affordable Care Act’s insurance markets. The governors wrote a letter Wednesday that said, “We urge Congress to quickly pass legislation ... READ MORE >>

Oscar is not new to the NY health insurance scene.  Oscar has been a force in the NY Individual market for several years.  This past April they introduced their small group portfolio in downstate NY and they have gotten a lot of attention. READ MORE >>

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