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Topic:
The Affordable Care Act: It's Legal, Now What?
Date:
August 8, 2012 at 3:30 - 4:30 PM ETPresenters:
Stephen Herbes, Law Office of Stephen F. Herbes(Law Office of Stephen F. Herbes)
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Description
This course will review the Affordable Care Act.
The first part of the course will discuss the general requirements of the Affordable Care Act, including those requirements that apply to companies today. Specifically, the course will discuss the extension of dependent coverage to age 26, limits on pre-existing conditions and essential health benefits, coverage of emergency services, cost-sharing restrictions on certain preventive care coverages, the new appeals process, initial authorization by primary care physician restrictions, limits on reimbursements of certain medications, automatic health plan enrollment, additional preventive services, non-discrimination requirements, and more. The second part of the course will discuss requirements that take effect in 2012 and beyond. Specific topics will include health FSA salary reduction contribution limits, Medicare Part D subsidy elimination, changes to waiting periods, limitations on pre-existing conditions and essential health benefits, restrictions on cost-sharing, clinical trial requirements, wellness programs, new Summary of Benefits and Coverage regulations, new HIPAA certification requirements, state Exchanges, the individual mandate, and more. Penalties and taxes associated with non-compliance will be reviewed. Among the penalties and taxes that will be reviewed are: the Code section 4980D health plan non-compliance excise tax, the excise tax on HSA distributions for non-medical purposes, the annual fee assessed on plan sponsors, medical loss ratio rebates, medical expenses deduction limit, additional FICA and SECA payroll tax, new investment income tax, $2,000 penalty for each full-time employee who seeks coverage through Exchanges, $3,000/$2,000 penalty for each full-time employee who receives a subsidy because employer’s coverage is unaffordable, annual fee on certain entities that provide health insurance, reinsurance fee, 40% excise tax on “cadillac” insurance plans, and more. |
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Who Should Participate
Managers and HR professionals
What You Will Learn
Attendees will learn about the Affordable Care Act requirements that went into effect in 2010 and 2011.
Attendees will also learn about Affordable Care Act requirements that went into effect in 2012 as well as requirements that will go into effect in 2013 and beyond.
Attendees will learn best practices and strategies to implement the Affordable Care Act.
Recommended Resources
Affordable Care Act of 2010 Communities
Benefits
Legal and Compliance - Managing Employer Risk Benefits and Compensation Law Legislation U.S. Based Legal Issues Design and Technology Benefits Administration Voluntary Benefits Medical Benefits Consumer-Directed Healthcare (CDH) Self-Directed Healthcare (SDH) Flexible Savings Accounts (FSAs) Health Savings Accounts (HSAs) Health Reimbursement Accounts (HRAs) Long-Term Disability Health Maintenance Organizations (HMOs) Preferred Provider Organizations (PPO) Private Fee For Service (PFFS) Insurance Accident Health Life Vision Dental Topical Health Issues AIDS Policies Healthcare Legislation and Compliance ERISA HIPAA COBRA Employee Wellness Benefits - Cost Containment, Audits and Legal Risks |
Presented by
Event Sponsors
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