Since the deployment of the Affordable Care Act (ACA), often called Obamacare, it 
has been much confusion and frustration on the part of small businesses. Perhaps one of the most frustrating aspects of the law was written by the IRS rule that eliminates the ability of an employer to reimburse employees for health insurance purchased in the individual market (although this rule not be included in the CBA).
in mid-2015, the IRS announced that it would start implementing the violations of this law with a crippling penalty of up to $ 100 per employee per day, with a fine of $ 36,500 per year.
As group health insurance plans are costly to administer, which left many small businesses that serve to provide refunds employees reeling premiums. Fortunately, there are ways around these limitations, but the details are a bit technical, so it is usually best to work with a knowledgeable health insurance broker.
The market health insurance
people without group health insurance provided by the employer can now go online on the insurance market shop for the private health insurance plans. These plans vary depending on total monthly premiums, deductibles and other costs out of pocket, but all of them meet the minimum requirements under the Affordable Care Act.
The market reforms
Obamacare is born from the desire to reform the health insurance market to make it more of a "level playing field . "for all consumers the end result is the market reform of creation that include a variety of protections, examples of which include:
- No annual limits on things like pharmacy benefits, physician and hospital care
- coverage for adult children in terms of a relative up to the age of 26
- More transparency and fairness in the premium price
- minimum coverage requirements for all plans (10 essential benefits)
- the bill of patients' rights to provide coverage to people with pre-existing conditions, limits of the end of life on the cover, and allow more choice of doctors
- preventive services covered at 100 percent
- student health plans for young adults where family coverage are not available
- full respect of Article 105 means respecting these market reforms and meet other eligibility criteria.
When the broker Comes In
Provide Medicare benefits is a huge draw for employees and can help you recruit and retain the best talent to your business, but the group plans are often expensive and difficult to administer. A broker can help you determine if you are able to set up a specific type of a plan called an arrangement premium refund or a health plan reimbursement (HRP) under Article 105 which complies all reforms, rules of health plan market ACA group and federal regulations as the PHS Act section 2711 and section 2713, ERISA and COBRA.
What limits have you, regarding the administration of benefits, the broker may be able to help? Tell us in the comments below.
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