Under the health care law, there are Medicare requirements for employers 
all sizes. Failure to follow these requirements may result in costly fees. To help, this article provides a summary of the main requirements of health insurance for small businesses, with links to delve deeper.
General requirements Small Business
All small businesses should be well informed about these insurance requirements General disease:
Obligation to offer health insurance (FTE 50+ only)
law on health care requires larger employers either offer affordable health insurance coverage or pay a penalty. But remember, the "Employer Shared Responsibility Payment" applies only to employers with 50+ full-time equivalent employees. For small employers with fewer than 50 FTE employees, there is no requirement and no penalty, not to offer health insurance coverage. Learn more about the requirements for 2016.
Opinion market
All employers, regardless what the offered size or health benefits, are required to provide certain information to employees about coverage options markets. See notice requirements here
health offers services requirements
small businesses that offer formal health benefits should be informed on the following requirements :.
Group health Plan reforms ( "market reforms")
under the health care law, all group health plans must meet the requirements of the standard:
- cost sharing Not for preventive health services
- No more than 0 days waiting period
- Extension of dependent coverage
- Summary of benefits and coverage (SBC)
for more information on these requirements and their impact on different types of group health plans, see this article in depth.
Health care on
employers who have the equivalent of 50 or more full-time employees, is a health insurance issuer or offer a self-insured health plan must complete annual health care information. Read more on the reporting requirements.
Limits of Flexible Spending Accounts (FSA) Contributions
For years, plans beginning on or after January 2013, the maximum amount an employee can choose pay annually to a health care flexible spending arrangement (FSA) is $ 2,500, subject to adjustments in the cost of living. The contribution limit applies only to employee contributions elective and does not cover employer contributions. In addition, there is a new use-it-or-lose rules, in force since 2013. Learn more here.
Rules welfare program workplace
The maximum reward for employers with a wellness program contingent on the health of employees is currently 30 percent of the cost of health coverage. The maximum reward for programs to prevent or reduce tobacco consumption is 50 percent. Read more about the rules of well-being here.
Ratio of medical claims reimbursements
Under the Law on health care, insurance companies must spend at least 80 percent of premium dollars on medical care. Insurers that do not meet the medical requirement ratio loss must provide rebates to policyholders. Employers who receive premium discounts must allocate the refund correctly.
employer health care arrangements (employer payment plans)
Under the health care law, employers who use plans payment of the employer or non-compliant employer's health care arrangements are likely to be fined $ 100 dollars per day, per employee, with effect from 1 July 2015. employers with a plan payment of the employer, or are repaying employees formal or informal, should ensure the compliance practices with the requirements of the reform group health
Read more: .. Bill payment - what every small business should know
Conclusion
While small businesses are exempt from many of the biggest requirements for health reform, there has requirements for reporting and health insurance applicable to employers of all sizes. Using this list as a reference, small employers must ensure their offers of services and respond to these requirements statement for 2016.
Do you have questions about the requirements of small health insurance companies in 2016? We would like to hear from you. Leave a question or comment below.
0 Komentar