Health care reform
Unum in the post-reform era
Key changes to the law
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The Inside Track: Health care reform
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)
Limit Flexible Spending Account deductions to $2,500
Deduct additional Medicare taxes for high-income employees
Notify employees about Health Insurance Exchanges, options and impacts
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
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
Institute auto enrollment for group health plans
(effective date to be determined)
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.
online interactive guide
walks you through the steps.
Report employer provided health insurance to IRS
Consider new plan options through the SHOP exchanges
For employers with 50-99 employees:
Decide whether to pay or play.
Understand SHOP expansion
Check on SHOP for larger employers (100+ lives)
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.