#4980h

Marketplace Data Deficiencies Signal Employer ACA Headaches

By:  Cynthia Marcotte Stamer

Employers, health plans, and individual taxpayers should be concerned and brace for additional headaches in fulfilling their responsibilities under the Patient Protection & Affordable Care Act (ACA) coverage and reporting requirements in light of recent reports of deficiencies in the eligibility and enrollment verification and recordkeeping practices of the…

Employers Face Stiff Obama Care Excise Taxes (aka Penalties)

The Affordable Health Care Act (ACA) (“Obama Care”) may lead to stiff excise taxes for midsize and larger employers that misclassify employees as independent contractors (see §4980H Shared responsibility for employers regarding health coverage).  The term “applicable large employer” means, with respect to a calendar year, an employer who employed an average of at least 50 full-time employees on…

A week before the September 23, 2013 deadline for all health care providers, health plans, health care clearinghouses (Covered Entities) and their business associates to have updated their business associate agreements to comply with the Final Omnibus…

Starting in 2014, the Individual Shared Responsibility mandate of the Patient Protection & Affordable Care Act (ACA) dictates that each individual American either have minimum essential coverage for each month, qualify for an exemption, or make a payment…

Employer and union group health plan sponsors and insurers of group and individual health plans (Health Plans) agonizing over 2014 plan design decisions are running out of time. Impending deadlines to update and deliver the initial Exchange Notice by…

Affinity Health Plan, Inc. (Affinity) will pay $1,215,780 and take other corrective actions to settle alleged violations of the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules under the Affinity Resolution Agreement…

Businesses and workers concerned that the definition of “full-time” employment as 30 hours per week in the “pay-or-play” penalties of the Patient Protection and Affordable Care Act (commonly referred to by the public  as “Obama Care”) is hurting American…

Employers sponsoring self-insured group health plans and insurers are reminded that the deadline to report and pay the fee new fees required by the Patient Protection and Affordable Care Act (ACA) to help fund the Patient-Centered Outcomes Research…