El Dorado Offers Fully Compliant Affordable Care Act Program

By | 2016-09-19T06:04:19-06:00 October 22nd, 2015|Categories: El Dorado News|

After the second Supreme Court challenge to his signature legislation was ruled 6-3 upholding federal healthcare subsidies to states that did not set up their own exchanges.

Your organization is now faced with some of the biggest reporting challenges presented to businesses in the past decade. You need to be aware of which requirements apply to you and whether or not your organization should “Play or Pay”. It can all be very complicated, but El Dorado is here to help! We have an affordable plan that fits your particular compliance needs.

The current schedule calls for a transitional version of the PPACA “play or pay” employer mandate to apply to employers with 100 or more full-time eligible employees as of 1/1/15, and to employers with 50 to 99 employees on 1/1/16. (FTEs are considered to be members of staff who work at least 30 hours per week or 130 hours a month) Pursuant to HR 16-24 states have been given the flexibility to determine what constitutes a small group employer.

Employers will have to keep track of which employees were offered health coverage in any given month, and large employers will have to put the employee count data they collected in 2014 into Internal Revenue Code Section (IRC) 4980H “employer shared responsibility” reports.

The penalty under Internal Revenue Section (IRC) 4980H (A) for not offering Minimum Essential Coverage (MEC) is $2000 per employee per year. The penalty under 4980H (B) for not offering an Essential Health Benefit (EHB) or Minimum Value Plan (MVP) is $3000 per employee per year. Penalties are enforced by the IRS.

In addition to IRS fines, your firm will potentially be subject to a Department of Labor “Wage & Hour” audit. All findings by the D.O.L. are shared with the I.R.S. potentially causing further punitive action against your company.

El Dorado Insurance Agency offers a fully compliant “ObamaCare” program at a fraction of the cost of traditional major medical providers with no minimum participation requirements and complete documentation in the event your firm is audited.

By January 31, 2016 federal forms 1094 and 1095 are due to the IRS. Accordingly, all employers with more than 100 employees must make available to their eligible employees federal form 1095-C.

El Dorado can help you navigate these tricky requirements and answer any compliance related or other coverage questions you might have. Contact me, Chris Jackson, for a compliance assessment at cjackson@eldoradoinsurance.com

 

Source:

El Dorado