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Group Planners Inc. Blog: aca

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(SHRM)- Prior to each year's Medicare Part D annual enrollment period, plan sponsors that offer prescription drug coverage must provide notices of creditable or non-creditable coverage to Medicare-eligible individuals. The required notices may be provided in annual enrollment materials, separate mailings or electronically. READ MORE >>

The House is expected to vote on the much anticipated Save American Workers Business Act (H.R. 3798) in the next few weeks.  The bill would amend the definition of a Full-time employee and suspend ACA penalties for Applicable Large Employers. READ MORE >>

USC study shows that patients overpay for drug prescriptions 23 percent of the time By Sydney Lupkin, Kaiser Health News As a health economist, Karen Van Nuys had heard that it’s sometimes cheaper to pay cash at the pharmacy counter than to put down your insurance card and pay a copay. READ MORE >>

Provider Health Insurance Fraud Schemes, Settlements Top $310M According to HealthPayer Intelligence (January 18, 2018) Law enforcement agencies and federal healthcare administrators including HHS, the Office of the Inspector General (OIG), the FBI, and US Attorney's Offices across the country i... READ MORE >>

The IRS has started sending Applicable Large Employers (ALE) which are subject to Employer Shared Responsibility Payments (ESRP) notice 226J.  The notice attempts to calculate penalties based on forms 1094C and 1095C.  The notice is not a bill, but rather an attempt to confirm information based on the forms that were filed and employee tax returns. READ MORE >>

SHRM (May 5, 2017) The U.S. Department of Health and Human Services (HHS), in one of the Obama administration's closing health care-related actions, has finalized the 2018 out-of-pocket (OOP) maximums for health care coverage. READ MORE >>

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 >>

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 >>

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 >>

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