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Infographic: Understanding the Individual Health Insurance Tax Subsidies

Infographic: Understanding the Individual Health Insurance Tax Subsidies

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HIPAA 5010 and ICD-10

Summary The Administrative Simplification provision of the Patient Protection and Affordable Care Act of 2010 (the Act) requires covered entities – health plans, health care clearinghouses and providers – to upgrade to new standards in electroni...

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Small Business Tax Credit

Summary Certain small businesses that offer health benefits are now eligible for health care tax credits. These vary depending on the tax-exempt status of the organization and employer contribution toward health benefits. Eligible emp...

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Pre-Existing Conditions - Healthcare Reform

Summary Beginning Sept. 23, 2010, group health plans cannot exclude enrollees (employees, spouses or dependents) under age 19 based on pre-existing conditions. For other plans, all pre-existing condition exclusions must be removed beginning in 201...

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Dependent (Adult Child) Coverage

Summary Plans that provide coverage for dependents are required to extend the coverage of dependents (adult children) to age 26, regardless of their eligibility for other insurance coverage, effective Sept. 23, 2010. Plans must provide coverage to...

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Annual Limits on Health Insurance

Summary The provision restricts annual limits on the dollar value of Essential Health Benefits . Annual limits may not be less than the following amounts. For plan years beginning before Jan. 1, 2014: $750,000 on or after Sept. 23, 2...

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FSA/HSA/HRA Changes

Summary Beginning Jan. 1, 2011, over-the-counter (OTC) medications are no longer eligible for reimbursement from a Flexible Spending Account (FSA), Health Savings Account (HSA), or Health Reimbursement Account (HRA) unless obtained with a prescrip...

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Taxes and Fees - Healthcare Reform

Review Taxes and Fees - Healthcare Reform

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Health Benefit Exchanges

Summary The Patient Protection and Affordable Care Act (PPACA) requires each state to establish an American Health Benefit Exchange (including a Small business Health Options Program (SHOP) exchange), by Jan. 1, 2014. In 2014-2016, only individuals a...

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Individual Mandate

Summary Beginning in 2014, the health reform law requires most individuals to have health insurance for themselves and their spouses or dependents. The requirement is for each individual to have MEC or pay a potential penalty for noncompliance. Co...

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Medicare Part D Drug Coverage

Summary The Patient Protection and Affordability Act addresses the gap in coverage Medicare Part D enrollees experience when they exceed the initial coverage limit of $2,840. Prior to 2011, most* Medicare Part D enrollees were required to pay 100 ...

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Essential Health Benefits

Summary The Act defines certain categories of benefits as "Essential Health Benefits." The categories of essential health benefits are: Ambulatory patient services Emergency services Hospitalization Maternity and new...

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Patient-Centered Outcomes Research Institute Fee

Summary The Patient Protection and Affordable Care Act (the Act) imposes a new Patient-Centered Outcomes Research Institute (PCORI) fee, formerly the comparative effectiveness research fee, on plan sponsors and issuers of individual and group poli...

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Adjusted Community Rating

Summary On Feb. 22, 2013, the U.S. Department of Health and Human Services (HHS) issued a final rule to implement the Affordable Care Act's (ACA) fair health insurance premium (adjusted community rating), guaranteed availability (issue), guarantee...

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Administrative Simplification: Eligibility and claim status

Summary The Administrative Simplification provision under Section 1104 of the Patient Protection and Affordable Care Act (the Act) intends to improve the standards for electronic transactions mandated by the Health Insurance Portability and Accoun...

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Small Business Health Insurance - What Do Employees Want?

What do small business employees want from health insurance? What keeps them loyal and motivated to stay with the business? How should a small business design their health insurance offerings to match what employees value? Metlife recently surveye...

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Video: Obamacare - Glitch in System Could Favor Smokers

Yet, another delay in the healthcare overhaul due to a glitch in the system last week involving the healthcare law. This means smokers may get at least some relief next year from tobacco use penalties. A fix will take at least a year. ...

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Video: The Obama Administration Delays a Major Section of Obamacare

Employer Mandate was delayed until 2015 by the Obama Administration. This is good news for some employers. It could question the integrity of the law as we move forward as far as how much will actually stick.

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Obamacare: Glitch in System Could Favor Smokers

Yet, another delay in the healthcare overhaul due to a glitch in the system last week involving the healthcare law. This means smokers may get at least some relief next year from tobacco use penalties. A fix will take at least a ye...

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Four Things You Should Know About the Employer Mandate Delay

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 penalty, are being delayed until 2015.  The Treasury...

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