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Top 10 Questions about the Minimum Value Penalty | Team Kaminsky

An employer that offers minimum essential coverage to substantially all of its full-time employees may still owe penalties if the coverage it offers is inadequate because it is not “affordable” or it does not provide “minimum value.” It also may owe penalties on the employees it does not offer coverage to who receive a premium … Continued

Cadillac Tax – Should employers be making changes now? | Ohio Employee Heath Insurance

By Elizabeth Kay, Compliance & Retention Analyst AEIS Advisors, A UBA Partner Firm The Affordable Care Act (ACA) has brought about many changes in employee benefits. Plans have been eliminated, benefits added, rules changed, and rules have been delayed. The ACA has always been a heavily debated topic between the Republicans and Democrats, and now … Continued

Question of the Month: How is PPACA’s “IRS Form W-2 safe harbor” regarding affordability calculated? | Ohio Employee Benefits

By Danielle Capilla, Chief Compliance Officer at United Benefit Advisors Answer: Under PPACA, coverage is considered affordable if it costs less than 9.5 percent of an employee’s household income. Because employers are often unaware of an employee’s household income, there are three safe harbors that an employer can use to determine affordability. One is the … Continued

Top 5 Questions about Medicare Secondary Payer Rules | Ohio Employee Benefits Advisor

By Danielle Capilla, Chief Compliance Officer at United Benefit Advisors Under federal regulations, Medicare is a secondary payer for many individuals who have an employer group health plan available to them, either as an employee or the dependent spouse or child of the employee. Generally the Medicare Secondary Payer rules prohibit employers with more than … Continued

IRS Provides Details on Reimbursing Premiums for Individual Health Coverage or Medicare Part B, Part D, or Medigap for Active Employees | Health Insurance Ohio

By Linda Rowings, Chief Compliance Officer at United Benefit Advisors On February 18, 2015, the Internal Revenue Service (IRS) issued Notice 2015-17. This Notice addresses employer payment or reimbursement of individual premiums in light of the requirements of the Patient Protection and Affordable Care Act (PPACA). For many years, employers were permitted to reimburse premiums … Continued

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