HR Questions and Answers on Health Care Reform

Actuarial value: What is the actuarial value of a benefit plan and how is it determined?

Adult-Child Coverage: Is the value of employer-provided health insurance for an employee's child under the age of 26 treated as taxable income for the employee?

Appeals: What are the internal claims and appeals and external review process requirements under the Patient Protection and Affordable Care Act (PPACA)?

Annual and Lifetime Limits: What annual and lifetime limits does the health care reform place on essential health benefits?

Automatic Enrollment: Is automatic enrollment required under the PPACA?

Dependents: Definition of "dependent" under the PPACA

Dependents: Are grandfathered plans required to cover dependents up to age 26?

Dependents: Are self-insured plans required to cover dependents to age 26?

Dependents: Can marital status or student status be considered in dependent child eligibility?

Dependents: Does the Patient Protection and Affordable Care Act (PPACA) require employers to provide coverage for the children of dependent children (grandchildren)?

Dependents: How do state laws on dependent child coverage interact with the Patient Protection and Affordable Care Act (PPACA)?

Dependents: Under the Patient Protection and Affordable Care Act (PPACA), does an employer have to pay a penalty tax if the employer fails to offer group health plan coverage to employees' dependents?

Eligibility: Do applicable large employers (ALEs) have to provide coverage to full-time seasonal employees if they do not wish to pay a penalty?

Eligibility: What is a standard measurement period under PPACA, and why would an employer select a longer (12-month) period rather than a shorter period?

Employer Reporting and Fee Requirements: What government reporting and fee requirements are imposed by the PPACA?

Exchanges: What is the Health Insurance Marketplace Notice requirement under the PPACA?

Fees: How do patient-centered outcome fees affect self-insured health plans?

FSA, HRA, HSA Changes: FSA grace periods and PPACA: How does the PPACA affect FSA grace periods?

FSA, HRA, HSA, Changes: What are the consequences under the PPACA for withdrawals from HSAs or MSAs for non-health-related expenses?

FSA, HRA, HSA Changes: What is the impact of the PPACA on FSAs, HSAs, Archer MSAs and HRAs?

FSA, HSA , HRA Changes: Does the PPACA no annual maximum provision apply to health FSA, HSA or HRA plans?

Grandfathered Plans: How does the PPACA affect grandfathered plans?

Medicare Part D Subsidy: How does the PPACA affect Medicare Part D notice requirements?

Non-Discrimination Rules: How does the health care reform affect nondiscrimination rules for group health plans?

Part-Time Employees: How has the Patient Protection and Affordable Care Act (PPACA) affected employers that use part-time employees?

Part-Time Employees: How do we calculate the average hours worked to determine the number of full-time equivalents under the Patient Protection and Affordable Care Act

Preventive Services: What are the preventive services provisions under the federal Patient Protection and Affordable Care Act, and what plans must comply?

Qualified Health Plans: What benefits are required to be included in a plan under the PPACA?

Rebates: How should employers disburse medical loss ratio (MLR) rebates from insurance carriers?

Rescinding Coverage: What is the no-rescission of coverage provision under health care reform?

Summary of Benefits and Coverage (SBC): What is the Summary of Benefits and Coverage under Patient Protection and Affordable Care Act?

Union Employees/Collective Bargaining Agreements: When does PPACA affect collectively bargained plans?

W-2 Reporting: W-2 Reporting for Employer-Sponsored Health Plans

W-2 Reporting: What are the new reporting requirements for W-2s under PPACA?

W-2 Reporting: Will an employee be taxed when the employer reports the cost of health benefits on his or her W-2 form?

Waiting Periods: How does the Patient Protection and Affordable Care Act (PPACA) affect waiting periods for health insurance coverage?

 


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