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PoP offers a wide range of functionality beginning with a financial assessment of each employee and health coverage offered by an employer. PoP forecasts health plan affordability, sufficiency, employee migration, and potential penalty risks using a robust actuarial evaluation tool. It also includes analysis of exchange subsidy and expanded Medicaid qualification for employees, considerations for grandfathered plans, and calculation of any expected excise, or ‘Cadillac’, tax.PoP’s actuarial engine includes features such as rate and contribution forecasting, alternate benefit design modeling, and estimated actuarial plan value. Users can easily target any ‘Metal level’ plan value and view its impacts to premium, employer cost, penalties, and incremental corporate income taxes. Packaged with a library of reports, PoP provides detailed analysis and executive summary information for each year from the present plan year through 2018 needed to navigate ACA and make critical business decisions. Reports include legislative background as well as a tutorial of the decisions and processes PoP uses to arrive at its results.Further information regarding PoP Navigator, its features, sample reports, and purchasing a subscription may be obtained by visiting Apothegm’s website or at www.shouldipayorplay.com.
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Health Care Reform ‘Pay or Play’ Employer Mandate Modeling Application
PPACA legislation requires that large employers offer each eligible full time employee qualified coverage that meets the ACA affordability and sufficiency requirements or incur a “Play penalty”, or alternatively, not offer ACA qualified coverage and incur a “Pay penalty”; also referred to as the “Pay or Play Employer Mandate”
Should I Play… I sponsor health coverage, how will Health Care Reform affect my company? There are taxes and penalties if your coverage does not meet ACA requirements. Your employees, plan benefits, and contributions need to be continuously evaluated to assure they meet ACA standards now and in the future.Health Care Reform will not be fully implemented until 2018, so you’ll need a tool that can project costs well into the future. …or Should I Pay? What would be the financial impact of not offering coverage? This may be an option that you need to consider under ACA. Aside from employee perception and competitiveness in the labor market, not offering health benefits carries its own costs under ACA. You’ll need a tool that can project and compare the cost of not offering benefits versus offering benefits to help determine the best course of action.
What will I learn from ? PoP will analyze your employee information… PoP evaluates the key employee measures of ACA PoP will forecast which employees will seek coverage under ACA PoP projects which employees are “At Risk” of triggering a Play Penalty
What will I learn from ? View financial analysis for 2014 through 2018… Estimated baseline cost without applying ACA regulations Projected cost under ACA for your sponsored plan; “Play” Estimated financial impact of eliminating your plan; “Pay”. Use PoP to model changes to benefits and contribution PoP will forecast premium using an actuarial model Government Penalties are trended into the future. Forecast impacts to Corporate Taxes The “Cadillac” Excise Tax starts in 2018. Compare total Employer cost.
What will I learn from ? Comparemultiple scenarios side-by-side… Review your current situation, projected to ACA Create a scenario that would eliminate penalties Create another scenario that would eliminate penalties and help control costs • Model scenarios like… • Changes in staffing levels • Changes in wages • Modified working hours • Changes in contribution • Benefit plan changes • And more…
What else do I get from ? PoP contains a wealth of information about ACA legislation and how to get the most out of the tool… Online informational and instructional videos… … and quick-reference ‘PoP’ ups Legislative and business information with diagrams help guide your decisions on key concepts Just look for the askPoP™ logo and click for help…
What else do I get from ? Health Care Reform regulations will continue to be issued… …and PoP will be constantly updated to meet the challenge Return to PoP at any time and simply click ‘Analyze’ on any of your prior scenarios to view updated results… Create and save your scenarios Copy and modify scenarios to quickly model alternate outcomes Copy and modify scenarios to quickly model alternate outcomes Click ‘Analyze’ and instantly update results View your results in PoP’s easy to use library
Getting started with PoP is four steps away… #1Gather Employee Information #2Gather Health Plan Information #3Gather Company Information For more details, review our Pre-Analysis Preparation Checklist, available free on our website… #4Purchase a subscription to ….
Purchase … • PoP is available on a subscription basis renewing monthly or annually. • Customers with an annual subscription receive our PoP Newsletter, containing updates regarding legislative and regulatory changes that impact your company. • Pay for each company you wish to analyze. Discounts are available for customers that need to process multiple companies. • You may create up to six scenarios for each company. • There are no limits on the number of analysis performed. • There are no limits on the number of reports and extracts created. Contact us for subscription pricing… Visit us at shouldipayorplay.com for more details and to create an account!
