Healthcare Reform Newsletter - September 2013 October 1st Deadline for Employers to Provide Required Exchange NoticesAs a reminder, employers are required under Health Care Reform to provide each employee a written notice with information about a Health Insurance Exchange (also known as a Marketplace). Below are three important points about the notice. 1. Notices must be provided to each current employee no later than October 1, 2013, and to each new employee at the time of hiring beginning October 1, 2013. In general, a notice will be considered provided "at the time of hiring" if it is provided within 14 days of an employee's start date. Employers may distribute the notice by first-class mail, or electronically if certain requirements are met. 2. The U.S. Department of Labor has provided two sample notices employers may use to comply with this requirement. The law requires that specific information be included in each notice. One model notice is available for employers that offer a health plan to some or all employees, and another model notice may be used by employers that do not offer a health plan. 3. Employers must provide the notice to each employee, regardless of plan enrollment status (if applicable) or of part- time or full-time status. Employers are not required to provide a separate notice to dependents or other individuals who are or may become eligible for coverage under the plan but who are not employees. The notice requirement applies to all employers covered by the federal Fair Labor Standards Act. Be sure to visit our section on Health Care Reform for information on other notices required to be provided and to download additional model notices available for employers and group health plans.
Provide Medicare Part D Creditable Coverage Notices by October 15th In preparation for the Medicare fall open enrollment period, employers sponsoring group health plans that include prescription drug coverage are required to notify all Medicare-eligible individuals whether such coverage is creditable. Creditable coverage means that the coverage is expected to pay, on average, as much as the standard Medicare prescription drug coverage. This written disclosure notice must be provided annually prior to October 15th, and at various other times as required under the law, to the following individuals:
Model notices are available from the Centers for Medicare & Medicaid Services (CMS). Additionally, employers are required to complete an online disclosure to CMS to report the creditable coverage status of their prescription drug plans. This disclosure is also required annually, no later than 60 days from the beginning of a plan year, and at certain other times. Baby Boomers 'Boom' Up the Health Care Industry The health care industry is entering an unprecedented era of change and growth…and risk.
Consider the following numbers: These numbers show the potential of this industry as well as what is expected to come next: the growing need that providers will have for coverage. With the baby boomer generation slowly approaching retirement, this group will have an increasing need for health care. The generation is not only at the age of needing additional health care options, but these people control a large percentage of personal financial assets in the U.S., implying that they have a powerful impact on the growth of the health care industry. While Allied Healthcare providers are already plentiful, the baby boomer generation's quest for better and more specialized health care solutions is driving very strong growth in many professions, including:
Newtek Insurance Agency provides an Allied Healthcare Professional and General Liability product that provides insurance coverage for these professions in addition to many other classes. Same-Sex Marriage Ruling Prompts Guidance from Federal Agencies New agency guidance is beginning to emerge in the wake of the U.S. Supreme Court ruling that invalidated part of the Defense of Marriage Act (DOMA), which defined "spouse" as a person of the opposite sex who is a husband or wife for purposes of federal law. All Legal Same-Sex Marriages Recognized for Federal Tax Purposes
Same-sex couples, legally married in jurisdictions that recognize their marriages, will be treated as married for all federal tax purposes (including employee benefits), according to an IRS Revenue Ruling. The ruling applies regardless of whether the couple lives in a jurisdiction that recognizes same-sex marriage or a jurisdiction that does not recognize same-sex marriage. Updated FML
A Guidance Recognizes Benefits for Same-Sex Spouses Additional Information To learn more about the eligibility requirements and qualifying reasons for FMLA leave, visit our section on the Family and Medical Leave Act. For guidance on same-sex marriage laws specific to your state, visit our State Laws section, click on your state, and select "Same-Sex Relationships" from the left-hand navigation menu.
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