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The Treasury Department announced yesterday (2/10/14) that the employer mandate for employers 50-99 will be delayed until 2016. Employers with 100 or more employees will still be subject to the mandate for calendar year 2015.
Here are three things to keep in mind:
If you know of anyone else who can benefit from this email please pass it on.
Beginning in 2015, employers with 50+ full-time employees or full-time equivalents must offer medical coverage that is “affordable” and provides minimum value to full-time employees and their children up to age 26 or face penalties.
In the absence of regulatory guidance, employers with non-calendar year plans should consider complying with the Employer Mandate with their plan year beginning in 2014 to avoid having to make mid-plan year changes on January 1.
Coverage is “affordable” if employee contributions are less than 9.5% of:
A plan must pay 60% of the cost of covered health services to provide “minimum value.”
The minimum value calculator is available online at www.cms.gov.
The Internal Revenue Service announced last Thursday, October 31, 2013, that cafeteria plans may now allow participants to rollover up to $500 for medical expense reimbursements from 2013 contributions to 2014. Previously, no rollover was allowed and any funds remaining in an account at year end were lost by the participant. Business groups have hailed this announcement as excellent news that makes cafeteria plans much more attractive to participants. As a reminder, cafeteria plans will need to be amended to reflect this change and notice will need to be given to participants. The cap on an annual contribution to a medical expense reimbursement account remains at $2500; so theoretically, a participant could have an amount up to $3000 to draw from in 2014. We are ready to help you with questions about cafeteria plans or any other health insurance compliance questions.
Model Notices for Exchange Coverage Options
Effective October 1st, 2013 employers of all sizes are required to inform all employees of the medical insurance coverage options available to them through the “California Marketplace,” which is the forum to support the 2014 referendum of the Affordable Healthcare Act (Obamacare). Below are some of the guidelines required by the Department of Labor. For more detailed information please visit:http://www.dol.gov/ebsa/newsroom/tr13-02.html
The Department of Labor has provided a model notice for those employers who offer coverage and for those who do not.
A model notice (for employers sponsoring a plan) can be found at: http://www.dol.gov/ebsa/pdf/FLSAwithplans.pdf
and a model notice (for employers NOT sponsoring a plan) can be found at: http://www.dol.gov/ebsa/pdf/FLSAwithoutplans.pdf
These forms are also available in Spanish.
We have attached a copy of the notices for your convenience.
Please feel free to contact us if you have any questions. We will be happy to assist your employees with any questions they may have.
Disclaimer: The above information is not legal, tax, or financial advice. Employers should consult their own legal counsel and tax and financial experts for specific guidance related to these requirements. In all cases on this page, the requirements are applicable to the employers, there is no action required of Charles W. Mason and Associates Insurance Services.