The Individual Mandate: Noteworthy Numbers
For 2013: The tax filing threshold is $10,000 if filing single and $20,000 if married and filing jointly. Federal Poverty Level (FPL) in the 48 contiguous states is $11,490 for […]
Individual Mandate: Who Is Exempt?
While most people must obtain coverage or pay penalties, individuals in these situations will not be penalized if they do not obtain coverage: They do not have access to […]
Individual Mandate: Who Is Eligible For Premium Subsidies?
To help lower-income people meet the requirement to have insurance, a premium subsidy will be available to a person who: Purchases coverage through a public marketplace/exchange; and Has a household […]
PPACA And The Individual Shared Responsibility Requirement
Although the employer shared responsibility requirements have been delayed to 2015, the individual responsibility requirement (also known as the individual mandate) is still scheduled to take effect in 2014. Under […]
MLR REBATE CONSIDERATIONS – GOVERNMENT AND CHURCH PLANS
As was the case last year, insurers with medical loss ratios (MLRs) that were below the prescribed levels on their blocks of business must issue rebates to policyholders. Insurers must […]
MLR REBATE CONSIDERATIONS – PRIVATE PLANS
As was the case last year, insurers with medical loss ratios (MLRs) that were below the prescribed levels on their blocks of business must issue rebates to policyholders. Insurers must […]
IRS Confirms Play or Pay Delay
On July 9, 2013 the Internal Revenue Service issued Notice 2013-45, which confirms that the employer shared responsibility penalties and reporting requirements will not apply until 2015. Last week the […]
Play It Safe Outside!
BUGS BEWARE! Mosquitoes, ticks and people all share the great outdoors as their playground. The insects may be more than a nuisance to be swatted away. In the U.S., mosquitoes […]
Spanish Version of Notice of Exchange is Now Available
The DOL has provided Spanish versions of the model notice regarding the exchange/health insurance marketplace. While employers are not specifically required to provide the Spanish version to Spanish-speaking employees, since […]
Play or Pay Penalty Delayed To 2015
On July 2, 2013 the Department of the Treasury and the White House used their blogs to announce that the employer reporting requirements, and the employer shared responsibility/Play or Pay […]
