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Health Care Reform

Health Care Reform. Mandatory Notifications – Marketplace Notices. Presented by: Annette Bechtold – SVP, Regulatory Affairs and Reform Initiatives NAHU Legislative Council. Health Care Reform Discussion Topics. Exchange Marketplace Notice The Basics

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Health Care Reform

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  1. Health Care Reform Mandatory Notifications – Marketplace Notices Presented by: Annette Bechtold – SVP, Regulatory Affairs and Reform Initiatives NAHU Legislative Council

  2. Health Care Reform Discussion Topics • Exchange Marketplace Notice • The Basics • Content and delivery • Options for compliance • Resources • Q & A

  3. Exchange Marketplace NoticeHealth Care ReformPatient Protection and Affordable Care Act of 2010 (PPACA)

  4. The Basics Employer Notice RequirementACA – Section 1512

  5. ContentDept. of Labor (DOL), Technical Release 2013-2http://www.dol.gov/ebsa/pdf/FLSAwithplans.pdf • Notices must include information on: • Existence of the Marketplace/Exchange • Description of services • How to contact • Subsidies available through the Marketplace/Exchange • Potential loss of employer contributions if purchasing coverage through the Marketplace/Exchange

  6. Model Notice - employers w/o plansDept. of Labor (DOL), Technical Release 2013-2 http://www.dol.gov/ebsa/pdf/FLSAwithoutplans.pdf

  7. Model Notice - employers with plansDept. of Labor (DOL), Technical Release 2013-2 http://www.dol.gov/ebsa/pdf/FLSAwithplans.pdf

  8. Model Notice - employers with plansDept. of Labor (DOL), Technical Release 2013-2 http://www.dol.gov/ebsa/pdf/FLSAwithplans.pdf

  9. Notice Considerations 1 Subsidies are available to those with household incomes between133% and 400% FPL who do not have access to affordable, minimum essential coverage.

  10. Compliance Information • Minimum standard • Use CMS template Part A (page 1) • Create alternative template incorporating the three items described as required by the Department of Labor • Minimum standard with additional information for employee use • Use CMS template Parts A & B (page 1 and 2, with or without page 3) • Penalties for non-compliance • No penalty specific to this provision • May be subject to the standard ACA penalty of $100 per day per failure • Minimum Value Responses: • Check “Yes” if: • Purchasing small group plan on 1/1/14 • Result of minimum value calculator exceeds 60% • Check “No” if plan for 1/1/14 will not meet minimum value • Enter “Unknown at this time” or “TBD” if: • Plan not selected for 1/1/14 • Unsure of calculation results

  11. Resources

  12. Questions?

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