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Category: Health Insurance

featured image How Individual Insurance Subsidies Will Be Reconciled

The Affordable Care Act enacts that individuals under a certain income threshold will be eligible to receive Advanced Premium Tax Credits to help offset the cost of health insurance coverage, starting January 2014. They will be paid from the federal government directly to insurance companies. At the end of each year, reconciliation between an individual’s…

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featured image Credit Reporting Agency to Verify Income for the Federal Healthcare Marketplace

It’s been recently announced that Equifax Workforce Solutions, a division of Equifax, Inc., has been hired by the Obama administration to verify income for those applying for subsidies within the federal healthcare exchange. This action is believed to be a result of skepticism about basing billions of dollars’ worth of premium subsidies on the honor…

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featured image Business Owner Update: What is the PCORI Fee?

A new fee imposed by the Affordable Care Act will be required for some insurance companies and employers starting on July 31, 2013. The Patient-Centered Outcomes Research Institute (PCORI) will be the main beneficiary of the revenue produced by the fee in order to fund their medical research program. One example of PCORI’s projects includes…

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featured image Health Insurance Trends, 2010-2013

The ADP Research Institute recently released a detailed report on employer sponsored healthcare trends spanning 2010-2013. This report is an important benchmark considering the changes to come in 2014 with the implementation of the Affordable Care Act (ACA). The extensive report which spans four years is comprised of 175 American companies with 1000+ employees. Feel…

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featured image System Glitch May Delay Tobacco Use Penalties

Another possible adjustment to the Affordable Care Act has been announced. The new law allows insurers to charge up to 50% more in premium to a tobacco user than a non-user. (Currently, tobacco premiums can be up to 20% of the user’s premium.) The new law also enacts another regulation on the amount charged, in…

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featured image Exchanges to Use Honor System for Income Reporting

Another important delay was announced last week closely following the report that the employer mandate would be postponed for a year. (Read about the delay of the employer mandate here.) It was originally planned that there would be a verification system in place for people whose reported income differed significantly from what the federal government…

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featured image Defense of Marriage Act Deemed Unconstitutional by the Supreme Court

On June 26, 2013, Section 3 of the federal Defense of Marriage Act (DOMA) was found to be unconstitutional by the Supreme Court, effective immediately. DOMA went into effect in 1996, and Section 3 contained a statement that marriage is defined as the union of one man and one woman. The implications of this change…

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featured image Upcoming Health Care Reform Seminars

Health care reform has created much uncertainty for employers. Do you know if you are in compliance with the current requirements of the law and are you prepared for 2014? Do you know the financial impact of reform on your bottom line?  Do you know the tax impacts? Join us for one of these free seminars where the…

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featured image Why do we have so many uninsured people in the United States?

According to a recent Gallup poll, 43% of uninsured Americans report the reason they do not have health insurance is due to the high cost. The Affordable Care Act was designed to lower insurance premiums in order to make coverage accessible to all. It remains to be seen if this will be the case. (Read…

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featured image What Income Counts for the Advance Premium Tax Credit for Individuals?

When health care reform goes into effect in 2014, people under a certain income threshold will qualify for subsidies in the form of tax credits to help offset the price of health insurance, if they buy a plan through an exchange. Individuals whose earnings are less than about $46,000 per year will benefit from the…

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