Health Care Reform



Health Care Reform Summary - Updated 4/24/12: addresses how the legislation will affect employers and their group health plans. The summary applies to all employers (including government and church plans) that provide health coverage to their employees. It applies to both insured plans and self-funded plans (except where otherwise indicated).

CPI-U Medical Care Component - Medical inflation is the increase since March 2011 in the overall medical care component of the Consumer Price Index for all Urban Consumers (CPI-U) published by the DOL. It can be used to determine if a benefit option will lose its status as a grandfathered plan. Medical inflation as of March 2012 is 333.188 or 3.3%.

Benecon Summaries of provisions of the Patient Protection and Affordable Care Act (PPACA) are available at the links below.

Fees on Health Insurance Policies & Self-Insured Plans - New 4/16/12

Health FSA 2013 Deferral Limit - Non-Calendar Year FSAs Now Impacted - New 3/12/12

Technical Guidance on Upcoming Health Care Reform Requirements - New 2/29/12

Summary of Benefits & Coverage Requirement/Advance Notice of Material Modification; Final Regulations - New 2/17/12 

Summary of Benefits & Coverage Requirement/Advance Notice of Material Modification FAQUpdated 4/13/12

Medical Loss Ratios: Final Rules - New 12/7/11

Women's Preventive Services: Required Health Plan Coverage Guidelines - New 8/2/11

Summary of Rules Relating to Plan Changes for Plan Years After 9/23/10

Summary of Dependent to Age 26 Requirements

Summary of Early Retiree Reinsurance Program - Updated 4/5/11

Early Retiree Reinsurance Program Payment Processing Update - New 2/29/12

Summary of Small Business Tax Credit - Updated 2/9/11

Summary of Rules to Determine Grandfathered Status of a Group Health Plan - Updated 1/7/11

Recommended Preventive Services

Overview of Changes to W-2 Reporting Requirements - Updated 1/6/12

Patient Protection Notice - for Non-grandfathered plans if participants are required to designate a primary care provider - New 1/19/12

Health Care Reform Links

Federal Government website - official U.S. government site with news and information about health care reform

White House website - information from the White House on health care reform

US Department of Labor website - information from the DOL on PPACA

Health Care Reform FAQ - information from the U.S. departments of Labor, Health and Human Services, and the Treasury on the Affordable Care Act implementation: FAQ Part I; FAQ Part II; FAQ Part III; FAQ Part IV; FAQ Part V; FAQ Part VI .

Healthcareandyou.org - organizations representing consumers, patients, physicians, nurses, hospitals, and pharmacists answer America's questions about the Affordable Care Act.

IRS Q & A on W-2 Reporting Requirements - updated information on reporting the cost of employer-provided health care coverage
IRS W-2 Reporting Chart - contains the requirements for tax-year 2012 and beyond

IRS Q & A on Small Business Tax Credit - information from the IRS on the Small Business Tax Credit

Small Business Tax Credit - a great tool from CBC for determining the amount of the credit

PA Labor & Employment Blog - what employers need to know about health care reform

Office of Consumer Information and Insurance Oversight - responsible for implementing many provisions of the health care reform legislation

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