Monday, July 29, 2013

Senn Dunn Insurance Webinar: Plan Document Requirements and Employee Disclosure Rules Related to ACA

You are invited to join us for a webinar on August 28 or August 29.

3 - 4:30 p.m. Eastern
2 - 3:30 p.m. Central
Noon - 1:30 p.m. Pacific

Reserve your seat early!

Register for the August 28 webinar...

Register for the August 29 webinar...

Be sure to list the name of the firm that invited you when completing your webinar registration.
Due to new ACA requirements, health plans require changes to plan documents and employee communications such as eligibility rules, Section 125 Plan document changes and employee disclosure requirements (i.e., Notice of Exchange). This session will focus specifically on ACA-related issues that affect plan documents and employee disclosures and communications.

Presented by: Fritz Hewelt, Principal Consultant, Benefit Comply, LLC

After registering, you will receive a confirmation email containing information about joining the webinar. Be sure to sign into the webinar early.


Tuesday, July 16, 2013

Medical Loss Ratio (MLR) Rebates

Beginning in June and by August 1st, health care providers will be mailing rebate notices and checks to policyholders and subscribers whose plans are due a rebate under the Minimum Medical Loss Ratio provision of the Affordable Care Act. The provision in the ACA requires health insurance issuers to submit data on the proportion of premium revenues spent on clinical services and quality improvement, which is otherwise known as the Medical Loss Ratio (MLR). This MLR requires insurance companies to spend at least 80% or 85% of premium dollars on medical care.

In most cases, for group plans, the rebate checks will be sent directly to the policyholder. Some insurance issuers will have satisfied the MLR requirements and will not be issuing rebate checks. Your Senn Dunn consultant will advise you on the handling of these rebates.

Employer Mandate Under Affordable Care Act Postponed to 2015

The federal government announced on July 2nd that it will delay the implementation of the employer mandate penalties (also referred to as "Play or Pay") and reporting requirements until 2015.
Leading up to 2015, the Obama Administration intends to simplify two requirements under the Affordable Care Act: Informational reporting under Sections 6055 and 6056 of the IRS.
Section 6055 reporting is required of insurers and self-insured plans. Section 6056 reporting is generally applied to some large employer groups with respect to the health coverage offered to their full-time employees. Employers are encouraged to implement these new requirements on a voluntary basis in 2014 in preparation for 2015.

Additional guidance on these two requirements is expected to be communicated later this summer.

Click here to view the Legal eBlast from Benefit Advisors Network.

Senn Dunn has been a BAN partner since 2012.

Supreme Court Rules DOMA Unconstitutional

On June 26th, 2013, the United States Supreme Court struck down the federal law that defined "marriage" as a legal union between one man and one woman as husband and wife, and "spouse" as a person of the opposite sex who is a husband or wife. These definitions, which were outlined in the Defense of Marriage Act (DOMA), limited the rights, benefits and responsibilities deliberated by over 1,000 other federal laws to married couples in heterosexual unions.

On July 9th, 2013, Benefit Advisors Network produced a legal client alert in conjunction with Proskauer Rose law firm to help outline the name implications for employers. The legal alert provides a background of the Windsor Suit, the FMLA, the Supreme Court's Windsor Decision and Analysis, as well as the Implications for the FMLA.

Click here to read the full legal alert from Benefit Advisors Network.

Senn Dunn has been a BAN partner since 2012.

Monday, July 8, 2013

Senn Dunn Insurance Announces New Hire

Senn Dunn Insurance announces a new hire for June!
Barrett Plasman - Employee Benefits Consultant