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Health Care Reform Resource Page 

To avoid penalties under the Patient Protection and Affordable Care Act, employers must comply with the law's myriad complex requirements as outlined in the timetable below and in the articles archived on this resource page.

Health Care Timeline 

 Latest Articles

DOL Issues Model COBRA Election and Exchange Notices
On May 8, the Department of Labor (DOL) issued an updated model COBRA continuation notice and a m
odel notice of coverage options through the soon-to-launch health care exchanges. The exchange notice must be provided to current and new employees beginning Oct. 1. 

SHOP Exchange Delay Limits Small Employers' Options
With a one-year delay in the launch of competitive marketplaces through the Small Business Health Options Program (SHOP), smaller employers may need to re-think their health coverage choices.

Proposed Rule Clarifies Minimum Value Determinations
On May 3, the IRS published a proposed rule that provides additional guidance on what constitutes the minimum value of an employer-sponsored health plan. The rule addresses wellness incentives and health savings accounts, among other factors.

For 2014, Higher Limits for HSA Contributions
The IRS announced higher limits for 2014 on contributions to health savings accounts (HSAs) and for out-of-pocket spending amounts under the high-deductible health plans (HDHPs) linked to them.

New Guidance and Template for SBCs
On April 23, the Department of Labor (DOL) posted a new set of frequently asked questions that extends certain safe harbors for required summaries of benefits and coverage (SBCs). The DOL also provided an updated SBC template and sample completed form.

Employer-Provided Coverage Declined Over Decade
The percentage of Americans who receive health insurance through employers fell significantly over the past decade, according to a new report, both because fewer employers offered coverage, and fewer employees agreed to pay for it when available.

Tax Implications of Wellness Rewards
While there are many laws governing wellness programs, federal income tax implications for employers and employees are often overlooked.

Fewer Health Plans Retain Grandfathered Status
The percentage of U.S. employers that offer a grandfathered health plan is roughly 20 percent, down from 58 percent a year ago, a finding attributed to employers' need to provide competitive health benefits.

On Private Health Exchange, Choice Drives Satisfaction
The launching of private (corporate) health exchanges is leading to confusion about how they will differ from  public (government-run) exchanges.

SHRM Calls for Flexibility in Applying Employer Mandate
On March 18, SHRM submitted comments to the IRS on the proposed “shared responsibility” rule, which addresses the employer mandate to provide health care. SHRM called for maintaining or expanding proposed safe harbors and flexible options for transitioning to group coverage that complies with the new requirements.

Let Strategy Guide Health Benefits Decisions
Before making decisions on how to comply with the requirements of health care reform, employers should first stand back and evaluate what they want to achieve through their pay and benefits package.

Levers of Change: Employers Respond to Shifting Landscape
In the wake of health care reform, employers remain committed to providing health care benefits but are taking aggressive actions to improve accountability and manage costs.

Newly Eligible May Forgo Health Benefits in 2014
Low-income workers may opt to remain uninsured, creating challenges for employers.

 Compliance Updates

 SHRM Webcasts

Archived:

Your Path for Offering Health Care Benefits -- Or Not -- Under PPACA
Presenter: Gary Kushner, Kushner & Co.
In addition to thoroughly reviewing the Patient Protection and Affordable Care Act's (PPACA) "pay-or-play" provisions, benefits expert Gary Kushner lays out a timeline for 2013 and 2014 implementation requirements, so you have time to fully think out your 2014 benefits package and open-enrollment communication strategy, in this 90-minute webast.

Everything You Wanted to Know About Health Care Reform, but Were Afraid to Ask
Presenter: Gary Kushner, Kushner & Co.
This highly interactive 90-minute program addresses your questions about health care reform.

 SHRM Q&As

 SHRM VIDEOS

SHRM Videos

Focus on Health Care
Gary Kushner gives HR professionals five health care strategies that will not work. Also, three HR practitioners share insights on how their companies are adapting to reform.
 

Drop Health Care?
Does it make sense for employers to eliminate health care benefits? That will depend on a company’s business model and strategies for rewards and retention, argues Gary Kushner, CEO of Kushner & Co.

Doing the Math
Eliminating health care is not a simple decision, says Gary Kushner, CEO of Kushner & Co. To prove his point, he walks viewers through a scenario that presents potentially unanticipated costs for employers.

Working with Insurers
Health care reform requires employers to partner closely with their insurers on plan design issues, says Dr. Jeffrey Kang, chief medical officer at Cigna Healthcare.

Medical Payment Reform
Employers and insurers should pay health care providers for the quality of outcomes, not the quantity of services, says Andy Webber, CEO of the National Business Coalition on Health.

 FEATURED VIDEO

Play Featured Video
Focus on Health Care Reform
Five strategies to avoid; insights on compliance.

 Topic Index

 Overviews, Deadlines & Tools

Major Health Care Reform Deadlines
Many health care reform law changes kick in during 2013 and 2014. Here's a roundup. Via SHRM Online Legal Issues.

Health Care Reform Compliance Checklist for Plan Sponsors
The principal requirements that apply to employer-sponsored group plans through 2018. Via Snell & Wilmer LLP. 

Full-Time Employee Worksheet
A worksheet for calculating the number of full-time equivalents.
Via BenefitMall.

Health Mandate Cost Calculator
Calculate your potential mandate penalty exposure. Via the National Retail Federation.

Actuarial Value Calculator and  Minimum Value Calculator
Downloadable spreadsheet calculators: Actuarial Value Calculator  (XLSM – 1.4 MB), Actuarial Value Calculator Methodology  (PDF - 214 KB), Minimum Value Calculator  (XLSM –  590 KB), Minimum Value Calculator Methodology   (PDF - 154 KB). Via the Centers for Medicare and Medicaid Services.

DOL's Self-Compliance Tool
Intended to assist those involved in operating a group health plan to understand the health care law and its related responsibilities.  Via the Department of Labor. 

Losing 'Grandfathered' Status
Understand how certain plan design changes will trigger loss of grandfathered status. Via Sibson Consulting

Small Businesses Resources

A breakdown of key reform provisions, based on business size (fewer than 25 employees; fewer than 50; and 50 or more). Via the U.S. Small Business Administration.

A Small Business Guide to Health Care Reform
A timeline that details what smaller business need to know. Via the Small Business Council of America.

State Decisions on Health Exchanges
Track state-by-state actions regarding health insurance exchanges. Via Kaiser Family Foundation.

Basics of the Employer Shared Responsibility Provisions
An overview of the employer mandate to provide health coverage, which takes effect on Jan. 1, 2014. Via the IRS.

Modeling the Impact of “Pay or Play” Strategies on Employer Health Costs
H
ow different benefit designs can affect employers' bottom-line operating costs and the impact on employees. Via Truveen Health Analytics.

Department of Labor (DOL)
The DOL has created a health care reform webpage with links to compliance information (proposed, interim and final rules, factsheets, model notices, etc.) relating to all major health care reform provisions.

Health & Human Services (HHS)
HHS's healthcare.gov website provides updates on complying with health care reform rules and regulations.