HCW Benefits Blog

The Challenges of Helping Employees Understand the Healthcare Law

Contributor:
Mike Beck, Principal, Health & Welfare Consultant
Hill, Chesson & Woody

 


 

Understanding Healthcare LawThe deadline for official implementation of the healthcare insurance exchanges – a key feature of the Patient Protection and Affordable Care Act (PPACA) – is less than six months away, and confusion still surrounds it. Even though PPACA has been in existence for three years, the vast majority of Americans are unaware of how the act will impact their lives.

Several recent stories confirm this issue. A Los Angeles Times article notes that nearly “six in 10 Americans say they still don't have enough information to understand how the Affordable Care Act will affect them.” Likewise, the Kaiser Health News reports that “two-thirds of uninsured adults – the very people the law sets out to help – say they still don’t know what it means for them.”
Given this situation, some individuals have filled the information gap regarding PPACA with a variety of misinformation. Many people have impressions of parts of the law that are so patently false that, according to The Hill, “the more popular a provision is, the less likely people are to realize it’s included in PPACA.”

Impacts of the Affordable Care Act on Workplace Wellness Programs

Contributor:
W.Hunter Walton, JD, Principal, Health & Welfare Consultant
Hill, Chesson & Woody

 

 

 

wellness initiativesAs nearly half of all North Carolina companies are developing workplace wellness programs, questions have been raised about the implementation of the provisions of the Patient Protection and Affordable Care Act (PPACA), that are effective Jan. 1, 2014, and how it will affect such initiatives. While the U.S. Department of Labor states that the Act creates new incentives and builds on existing wellness program policies, there will be changes to the requirements that must be met in order to meet these new guidelines.

Workplace wellness programs will remain optional for businesses under present healthcare reform. However, the Act offers potential significant savings for employers who meet the terms of these programs. Here are the basic facts.

1) What changes will occur for employers with wellness programs?

Staffing Agencies and Common Law Employees: Who is Responsible for Offering Coverage?

Contributor:
W.Hunter Walton, JD, Principal, Health & Welfare Consultant
Hill, Chesson & Woody

 

 

 

Many employers use staffing agencies to provide workers for short-term projects and tasks and to supplement their full-time permanent workforce. This common practice has always been a convenient way to outsource labor and to avoid the complicated administrative processes of hiring temporary employees.  However, with the new shared employer responsibility mandate that goes into effect on January 1, 2014 as a part of the Affordable Care Act, staffing agencies are beginning to adapt to a new set of rules and regulations.

Traditionally, employers who utilize staffing agencies for temporary employees pay a fee to the staffing agency and are paired with an applicant. The staffing agency then pays the applicant, the associated taxes, and in some instances will offer benefits. There has often been no question that while the applicant may work on projects for the company hiring them through the staffing agency, the staffing agency is the employer and is responsible for complying with the laws pertaining to employee/employer relationships.

Public Hearing Recap: Questions Asked, Clarification Requested, and Concerns Voiced Over Employer Shared Responsibility Proposed Regulations

W. Hunter Walton, JDContritubor:
W. Hunter Walton, JD, Principal, Health & Welfare Consultant
Hill,Chesson & Woody

 

 

On Tuesday, April 23, 2013, HCW Compliance Officer Lindsey Surratt and I attended a public hearing held by the U.S. Department of Treasury and the Internal Revenue Service in Washington, DC. The hearing was an opportunity for the public to present questions, requests for clarification, and voice concerns over the Employer Shared Responsibility proposed regulations that were issued in January. The panelists included attorneys Stephen Tackney, Deputy Div. Counsel/Deputy Assoc. Chief Counsel and Kathryn Johnson, General Attorney from the IRS and, for the Treasury, Alan Tawshunsky, Special Counsel, Office of Benefits Tax Counsel and Rachel Leiser Levy, Attorney-Advisor, Office of Benefits Tax Counsel.

Over 20 advocacy groups were included on the agenda and the hearing lasted well over 6 hours. The participants ranged from labor organizations such as the AFL-CIO and the National Education Association to employer advocacy groups such as the ERISA Industry Committee and the Council of Insurance Agents and Brokers. There were also a number of individual schools and school districts as well as individual citizens with concerns.

The Difference Between Essential Health Benefits and Minimum Essential Coverage

Steve Byrd, ConsultantContributor
Steve Byrd, Principal, Health & Welfare Consultant
Hill, Chesson & Woody

 

 

 

Two similar-sounding yet distinct provisions in the Patient Protection and Affordable Care Act (PPACA) are causing much confusion among people seeking healthcare coverage. The terms, “essential health benefits” and “minimum essential coverage,” require considerable explanation in order to be fully understood.

As a quick overview, essential health benefits are the core required elements of a health plan under PPACA, while minimum essential coverage refers to the types of health plans themselves that will satisfy PPACA’s requirements. Here are their essential differences. 

Essential Health Benefits 
According to the act, essential health benefits consist of 10 categories that must be covered by all health insurance plans offered through an exchange. These categories are:

The Supreme Court and the Defense of Marriage Act

Contributor:
W. Hunter Walton, JD, Principal, Health & Welfare Consultant
Hill, Chesson & Woody

 

 

 

During the last week of March, the United States Supreme Court heard arguments on the constitutionality of the Defense of Marriage Act (DOMA) in United States v. Windsor. DOMA is a federal law that defines marriage for the purposes of "any Act of Congress, or of any ruling, regulation, or interpretation of the various administrative bureaus and agencies of the United States" as only being between one man and one woman. If the Court were to overturn this law as unconstitutional, it could affect employer benefits in a variety of different ways.

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The Important Lessons about Being a Great Employee That I Learned From a Not Quite 40-Year Old

Contributor:
Vicki L. Norris, Director of Marketing & Communications
Hill, Chesson & Woody

 

 

 

Recently the Triangle Business Journal’s annual 40 Under 40 Award’s request for nominations came across my desk. This year, it was a no-brainer.  I was inspired to give a shout out to one of my favorite people… our (though everyone knows I like to claim her to myself and call her “mine”) Marketing Specialist, Stephanie Clark. 

Why Stephanie? There are so many great lessons we learn through life.  For those of us that take much pride in our careers, the ones we learn from our working days are held in high regard.  Working with Stephanie has inspired me to look within myself; to strive for the qualities that I respect so much in her.  I didn’t have to look hard to identify some important lessons she has taught me.

Out-Do Yourself

Great employees have the stamina to do outstanding work. They set the pace for others to follow. If you want to be great at what you do, look for ways to outdo yourself. Be the best you can be. Even if perfection is elusive, go out and get it. Even if you fall short of perfection, your near perfect would have pushed you further than you would have thought possible.

N.C. Employers Receive Local Data With The 2012/2013 Healthcare Benefits and Cost Survey

This is a guest blog post from Persis Swift, who serves as the Marketing Communications Specialist for our HR partner, CAI. CAI is a trusted resource for N.C. employers for HR, compliance and people development.

North Carolina businesses that want to know how their benefits plan design and premium costs match up to other area businesses can quell their curiosity with the N.C. Healthcare Benefits & Cost Survey.  The survey, which is co-developed by CAI and HCW, shares local benchmark data from N.C. employers. Unlike most benchmark surveys that focus on national data, this annual survey offers N.C. employers specific information for managing employee benefits from their local peers.

The Top 10 Healthcare Industry Issues Of 2013 – How They Will Affect Employers?

Contributor:
Ellen Tucker, CMCE, Principal, Health & Welfare Consultant
Hill, Chesson & Woody

 

 

 

This year it is crucial for employers to have a clear understanding of the timeline of each of the components in healthcare reform and a defined strategy around them. It is evident that, while there is change on the horizon, even more change will occur as employers, insurance carriers and members react to the new options and requirements at hand.

As employers are considering these issues, PricewaterhouseCoopers has released its annual list of the top 10 issues for the healthcare industry, and the topics include a few items of particular importance for employers. This is the list, followed by the implications for employers: 

How To Avoid the Play or Pay Penalty

Contributor:
Joanne Forbes, MBA, FLMI, Principal, Health & Welfare Consultant
Hill, Chesson & Woody

 

 

Businesses with 50 or more full-time equivalent employees have a big decision to make this year regarding healthcare, with major consequences to their bottom lines. They can either “Play” and let all employees participate in the company’s health insurance plans, or “Pay” a penalty to the federal government for declining to offer healthcare coverage to eligible employees.

It is a difficult choice to meet because of the factors involved. If you have a lean plan design and contribution strategies with many employees who work more than 30 hours, deciding to “Play” can be more costly to put into effect. But if you “Pay,” you face non-tax deductible penalties of $2,000 per eligible employee, meaning a fine of at least $40,000, plus potential compensation requests from employees who had been receiving health insurance from your company. And if you have a seasonal workforce, those employees could be affected by Play or Pay as well.

To help make sense of what to consider on this issue, HCW is offering a special two-part webinar at 10 a.m. on Wednesday, April 17 and Friday, April 19 titled “Avoiding the Penalty.” The webinars review the following items:

Avoiding the Penalty, Part 1 of 2:  Covering the Right Employees