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Health Care Reform for Employers: Now What in Washington DC?

Health care reform is impacting all Washington, D.C. employers. Don't wait ... get the guidance you need now. The Patient Protection and Affordable Care Act of 2010 which was signed by the President and upheld by the Supreme Court, is now impacting employers and employees alike. These dramatic changes to the health care law call for action by all employers. These reference materials are an opportunity for employers to sort hrough all the information to get the facts on what is required, how to make the most cost-advantageous decisions, and what you need to do to avoid costly penalties. These reference materials will answer your questions from determining full-time employee status, to options with health insurance exchanges, and health plan design possibilities. Purchase these reference materials now to identify the steps you need to take to achieve a sound health care plan in preparation for 2014. Benefits for You •Understand the penalties and how they could apply to you •Learn how health care reform affects your health plan design •Gain understanding of the new fees and taxes assessed to businesses •Stay up-to-date with the latest developments on health care exchanges Learning Objectives •You will be able to describe exchanges and employer health plans. •You will be able to discuss how to prepare for the employer mandate. •You will be able to explain how to plan for new assessments. •You will be able to review how to evaluate your plan design.
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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

An Introduction to Health Care Reform
— Rodger Bayne, RHU
  • History
  • Plans Covered by ACA
  • Risks of Failures to Comply
Demystifying the Health Care Exchange
— Rodger Bayne, RHU
  • What Is an Exchange
  • Exchanges and Employer Health Plans
  • Small Business Health Options (SHOP Program)
  • Notice and Reporting Requirements
Preparing for the Employer Mandate
— Kenneth R. Huber and Christina S. Bull, CEBS, GBA
  • Determining If the Mandate Applies
  • Deciding to Play or Pay – and Avoiding Doing Both
  • Identifying Full-Time Employees
  • Affordable Coverage and Minimum Value
Planning for New Assessments
— Kenneth R. Huber and Christina S. Bull, CEBS, GBA
  • PCORI Fees
  • Transitional Reinsurance Program Fees
  • Additional Medicare Tax
  • Cadillac Tax
  • Health Insurers Tax
Evaluating Your Plan Design
— Jennifer Spiegel Berman, Esq.
  • 90-Day Limitation on Waiting Periods
  • Satisfying Benefit Mandates
    • Restrictions on Cost-Sharing
    • Prohibition on Pre-Existing Condition Exclusions
    • Prohibition Lifetime and Annual Dollar Limits on Essential Health Benefits
    • Prohibition on Rescission
    • Grandfathered Plan Rules
    • Coverage That Must Be Provided by Nongrandfathered Plans
  • Automatic Enrollment
Structuring Enhanced Wellness Plans
— Rodger Bayne, RHU and Jennifer Spiegel Berman, Esq.
Additional Compliance Requirements
— Jennifer Spiegel Berman, Esq.
  • Claims and Appeals Rules
  • Summaries of Benefits and Coverage
  • Form W-2 Reporting Requirements
  • Nondiscrimination Rules for Fully-Insured Plans
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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

Online Manual

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

No photo available

Rodger Bayne – Moderator

Benefit Indemnity Corporation

Rodger Bayne, RHU

  • President of Benefit Indemnity Corporation, founded in 2009
  • Practice offers expertise in reform, captives, health insurance, self-funding options, wellness, sales and marketing
  • More than 25 years of experience in the health insurance industry
  • Founded Client First Brokerage Services in 1992, and has since developed and implemented marketing programs for a number of major carriers helping them achieve significant market penetration and growth
  • Active in the health care reform debate with his emphasis always on advancing the cause for positive pro-active health care reform over status quo
  • Active participant and contributor to Maryland’s sweeping health care reform legislation in HB 1359 in 1993 (enacted July 1, 1994) and has testified on multiple occasions in subsequent health care hearings, and meetings with numerous legislators over the years
  • Spoke at town hall meetings and similar events, corresponded with Hillary Clinton during her attempts to reform health care in 1993, and is currently working diligently with Washington legislators to contribute to the current reform efforts and to advance a private health care reform platform for America
  • Conducts regular seminars and workshops on numerous health and life Insurance topics, and all areas of health care reform and how the new legislation relates to insurance agents, CPA’s, employers and employees
  • Holds the designation of RHU and is a member of NAIFA as well as the Society of Financial Planners in Baltimore, Maryland
  • Can be contacted at 443-275-7412 or [email protected]
Jennifer Spiegel Berman, Esq.

Jennifer Spiegel Berman, Esq.

Holder Law Group LLC

  • Member of Holder Law Group LLC
  • Handles a broad range of employee benefits and executive compensation matters, including tax-qualified retirement plans, executive compensation arrangements, cafeteria plans, and health and welfare benefit plans
  • Regularly counsels clients regarding ongoing employee benefit compliance issues and assists clients in developing and implementing compliance programs
  • Advises covered entities and business associates on HIPAA and HITECH compliance matters, including developing and updating privacy and security policies business associate agreements and notification of breach protocols
  • Routinely negotiates service contracts and drafts employee benefit plans, summary plan descriptions and employee communications
  • Reviews client benefit programs for compliance with the Internal Revenue Code, ERISA, HIPAA, COBRA, ACA, wellness plan rules and other applicable statutes
  • Leader in analyzing health care reform developments and frequently serves as a speaker and commentator on a wide variety of health care reform and employee benefits issues
  • Named a 2014 Maryland Rising Star in the area of Employee Benefits/ERISA by Super Lawyers
  • Former attorney at Venable LLP in the Employee Benefits and Executive Compensation practice group
  • J.D. degree, cum laude, University of Pennsylvania Law School, where she was editor-in-chief of the University of Pennsylvania Journal of Labor and Employment Law; B.A. degree in political science, magna cum laude, University of Pennsylvania
  • Can be contacted at 410-929-6514 or [email protected]
No photo available

Christina S. Bull, CEBS, GBA

PSA Insurance & Financial Services, Inc.

  • Director of Compliance Services for the Employee Benefits Practice of PSA Insurance & Financial Services, Inc.
  • Assists clients with respect to health/welfare plan design, administration and communication, with focus on current benefit laws and regulations
  • Frequent speaker on regulatory compliance issues, including the Affordable Care Act
  • B.B.A. degree, Loyola University, Maryland
  • Can be contacted at 410-773-4109 or [email protected]
No photo available

Kenneth R. Huber

PSA Insurance & Financial Services, Inc.

  • Senior vice president and Employee Benefits Practice leader for PSA Insurance & Financial Services, Inc.
  • Formerly national practice leader for large publicly traded insurance broker
  • Wrote numerous articles on health care reform and employee benefits cost management strategies
  • 27 years in the employee benefits industry
  • Industry source for national publications
  • B.A. degree, magna cum laude, Frostburg State University; master of city and regional planning degree, Morgan State University
  • Can be contacted at 410-773-4150 or [email protected]
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Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

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Product ID: 391809
Published 2013
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