news and events

News and Events

It’s inevitable – the ACA in its current form will most likely not survive 2017.  Republicans are to repeal the law and the House and Senate have already passed several procedural changes to allow for a repeal to take place.  We do know something will happen – we’re just not sure what it will be.

Budget Reconciliation and ACA Repeal – How can it be accomplished?

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Ever heard of an Employer Health Reimbursement Arrangement (QSE HRA)? This new form of HRA is designed to specifically allow small groups, those that do not have 50 FTE, to pay for individual health insurance premiums for their employees. The new rules surrounding the Employer Health Reimbursement are complicated and they are set to go into effect January 1, 2017. 

Who can have a QSE/HRA? Only an employer who does not meet the definition of an applicable large employer under the ACA, and who does not offer coverage to its employees. 

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Things are heating up in Trump Tower, and everybody is watching.

As President-elect Trump starts selecting his cabinet, there are some interesting picks to the “dream team” for President-elect Donald Trump. He named a vociferous Obamacare critic and an Indiana policy consultant to help him overhaul the U.S. healthcare system.

Republican Rep. Tom Price, an orthopedic surgeon from Georgia, will be Trump's Health and Human Services secretary, and consultant Seema Verma will lead the Centers for Medicare and Medicaid Services, a powerful agency that oversees government health programs and insurance standards.

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There are a few important parts of this re-adoption that you need to be aware of as they will affect your business...

1. The definition of an Employee has changed to the following: Employee means an Employee of the Policyholder under the common-law standard as described in 26 CFR 31.3401(c)-1.  A common-law employee is one who receives a W2.  An individual and his or her legal spouse when the business is owned by the individual or by the individual and his or her legal spouse, partners in a partnership, two percent shareholders in a Subchapter S corporation, sole proprietors and independent contractors are not employees of the Policyholder.  Employee also excludes a leased employee. 

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Despite all the attention these last few month’s focusing on the Presidential election and the upcoming open enrollment season – activity continues around a number of large insurance carrier mergers.

As background, Cigna has agreed to be acquired by Anthem Inc. and Aetna is in the process of acquiring Humana.  Both transactions are currently being blocked by the U.S. Justice Department who has filed suit this past summer on antitrust grounds.  Once the lawsuits were filed, all 4 carriers began to aggressively pursue ways to complete these transactions.

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