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The Inside Track: Health care reform

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Distribute Summary of Benefits and Coverage
  • Starts first open enrollment after 9/23/12
  • Provide 60-day advance notice on any material modification

Manage distribution of Medical Loss Ratio (MLR) rebates

Report health coverage value on 2012 employee W-2s (for distribution in 2013)
Information on Report health coverage value on 2012 employee W-2s (for distribution in 2013)
Limit Flexible Spending Account deductions to $2,500

Deduct additional Medicare taxes for high-income employees
Information on Deduct additional Medicare taxes for high-income employees

Notify employees about Health Insurance Exchanges, options and impacts
Information on Notify employees about Health Insurance Exchanges, options and impacts

Understand new fees: medical device manufacturer levy and Patient-Centered Outcomes Research Institute (PCORI) fee
Information on Understand new fees: medical device manufacturer levy and Patient-Centered Outcomes Research Institute (PCORI) fee
Determine whether or not you’ll offer health coverage through the Small Business Health Options Program (SHOP) exchange (if applicable — small businesses only)

Prepare for health insurance sector fee and Transitional Reinsurance Program fee
Information on Prepare for health insurance sector fee and Transitional Reinsurance Program fee

Make sure your health plan meets new requirements:
  • Cover essential health benefits
  • Comply with cost-sharing limits
  • Comply with waiting-period restrictions
  • Do not exclude people based on pre-existing conditions
  • Cover dependents to age 26
Information on Make sure your health plan meets new requirements

Institute auto enrollment for group health plans (effective date to be determined)
Information on Institute auto enrollment for group health plans

Revisit your benefits strategy in light of the individual mandate and the Health Insurance Exchanges
Information on Revisit your benefits strategy in light of the individual mandate and the Health Insurance Exchanges
For employers with 100 or more employees: Decide whether to pay or play.

laptop Our online interactive guide walks you through the steps.
Visit unum.com/healthcarereform
 
Information on Visit unum.com/healthcarereform

Report employer provided health insurance to IRS
Information on Report employer provided health insurance to IRS

Consider new plan options through the SHOP exchanges
Information on Consider new plan options through the SHOP exchanges
For employers with 50-99 employees:
Decide whether to pay or play.

Understand SHOP expansion
Information on Understand SHOP expansion
Check on SHOP for larger employers (100+ lives)
Information on Check on SHOP for larger employers (100+ lives)
Calculate any "Cadillac tax" liability
Information on Calculate any Cadillac tax liability

  • Consult with your benefits attorney/legal counsel to discuss your obligations and options.
  • Consult with your broker to determine communication strategy.