While many employers might be “in the groove” of ACA compliance by now, this is no time to get complacent. There are more changes coming just around the corner in 2015 for those who sponsor group health plans.
The COBRA Blog
The changing landscape of health care has many employers redefining their health care management strategies. A growing majority are turning to wellness incentives and penalties to proactively keep their employees healthy. In fact, the number of employers planning to implement wellness programs next year is expected rise considerably according to a forthcoming 2013 health care survey by Aon Hewitt due out in April.
The Health Insurance Exchanges required under the Patient Protection and Affordable Care Act are beginning to show signs of interest among Americans—nearly half—according to the J.D. Power and Associates 2013 Member Health Plan Study released just last week.
The Pre-Existing Condition Plan (PCIP) — which allowed those with pre-existing health conditions the ability to obtain insurance if they had been denied coverage — has cut benefits for enrollees and suspended the processing of new applicants in 23 states effective immediately.
Most of your employees understand that if they lose their jobs, they have options available that will allow them to continue their health care benefits. But if an employee faces a long-term disabling injury or illness and must stop working, the options may be less clear. There are critical time limitations when it comes to maintaining their health care coverage—especially when applying for Social Security Disability benefits.
Many of you already know that The Patient Protection and Affordable Care Act (PPACA) Medical Loss Ratio Rule may result in health insurance premium rebates in the coming months. In fact, insurers are required to send rebates relating to 2011 premiums to employers by August 1, 2012. What you may NOT know is how you are going to distribute a portion of these rebates back to current employees, past employees, and COBRA participants. The 2011 rebates will start arriving this summer. The question is, are you ready for them?
The verdict is in, but while the Supreme Court ruling on PPACA offers some clarity for individuals, families and businesses on the future of the health insurance industry, the scramble to sort out the details and address unanswered questions is likely to continue for a long time.