Health Care Reform Bulletin

IRS Releases Final Forms and Instructions for ACA Reporting

Quick Facts

• On Feb. 8, 2015, the IRS issued final forms and instructions for Section 6055 and 6056 reporting.

• Final instructions provide a new option for some ALEs reporting information for non-employees.

• Although these forms are not required to be filed for 2014, employers may voluntarily file in 2015 for 2014 coverage, using these forms and instructions.

To read the entire bulletin and for links to the forms and instructions click here

Health Care Reform – Legislative Brief

Affordable Care Act (ACA) Year-end Checklist for 2015 Compliance

The Affordable Care Act (ACA) has made a number of significant changes to group health plans since the law was enacted over four years ago. Many of these key reforms became effective in 2014, including health plan design changes, increased wellness program incentives and reinsurance fees.

To read the entire Legislative Brief click here.

Health Care Reform – Legislative Brief

Affordable Care Act (ACA) Violations – Penalties and Excise Taxes

The Affordable Care Act (ACA) includes numerous reforms for group health plans and creates new compliance obligations for employers and health plan sponsors. The ACA, for example, requires health plans to eliminate pre-existing condition exclusions and provide coverage for preventive care services without cost-sharing. Some of the reforms for health plans apply to all health plans, while others apply only to nongrandfathered plans or to insured plans in the small group market.

To read the entire Legislative Brief click here.

Legislative Brief – Reinsurance Fees

Reinsurance Fees Will Cost Group Health Plans

Beginning in 2014, the Affordable Care Act (ACA) establishes the following three risk-spreading programs to provide payments to health insurance issuers that cover higher-risk populations and to more evenly spread the financial risk carried by issuers: a transitional reinsurance program, a temporary risk corridor program and a permanent risk adjustment program.

The transitional reinsurance program is intended to help stabilize premiums for coverage in the individual market during the first three years of Exchange operation (2014, 2015 and 2016) when individuals with higher-cost medical needs gain insurance coverage. This program imposes a fee on health insurance issuers and self-insured group health plans.

To read the entire Legislative Brief click here.