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Anchor benefit consulting, inc.
AFFORDABLE CARE ACT
| Plan Sponsor | Reporting for Minimum Essential Coverage | Reporting for Applicable Large Employer |
|---|---|---|
| Self-Insured with less than 50 full-time employees including full-time equivalents | YES | NO |
| Self-Insured with 50 or more full-time employees including full-time equivalents | YES | YES |
| Fully-Insured with less than 50 full-time employees including full-time equivalents | Health insurance issuer has the responsibility to report | NO |
| Fully-Insured with 50 or more full-time employees including full-time equivalents | Health insurance issuer has the responsibility to report | YES |
Resource: SPBA
EMPLOYER MANDATE PROVISIONS: FORMS AND INSTRUCTIONS
Draft 1094-B (Transmittal of Health Coverage Information
Draft 1095-B (Health Coverage (Non-ALE MEC Reporting)
Draft Form 1094-C (Transmittal of Employer Provided Health Insurance Offer & Coverage
Draft Form 1095-C (Employer provided Health Insurance - Employee Statement)
Instructions for Form 1094 & 1095-C
Instructions for Form 1094 & 1095-B
No Surprises Act/Transparency
- ACA Transparency in Coverage Disclosure Deadline for Health Plans Is Around the Corner. Are You (and Your Provider) Ready? [Jones Walker]
- Benefits compliance: Changes making major impact on 2022 [HR Morning]
- New Guidance On Transparency Requirements, Advanced Explanations Of Benefits, And More [Health Affairs]
- Unpacking The Executive Order On Health Care Price Transparency And Quality [Health Affairs]
Fees & Taxes
- Health Plans: PCORI Fee Is Due August 1, 2022 [Verrill]
- Biden Administration Proposes To Fix The Family Glitch [Health Affairs]
- ACA Penalties Are Increasing in 2022 [The ACA Times]
Preventive Care
- Preventive Care May Be Free, but Follow-Up Diagnostic Tests Can Bring Big Bills [Kaiser Health News]
- HRSA Expands Preventive Care Coverage Under ACA for Women, Children [Health Payer Intelligence]
Section 1557 Non-discrimination Rules
- Georgia court rules against employers that deny transgender health coverage [NBC News]
- HHS Issues Guidance Regarding Civil Rights Protections Under Rehabilitation Act and Affordable Care Act for Persons with Disabilities [JD Supra]
- Proposal seeks to address health coverage barriers for transgender community, impact uncertain [JD Supra]
- How Pandemic, Political Shifts have Affected Affordable Care Act [HR Daily Advisor]