Healthcare Reform Updates

The Affordable Care Act (ACA) is a complex and expansive law, and its provisions, corresponding regulations and deadlines for employers are constantly evolving.  Small and large employers alike share an enormous amount of burdens in terms of meeting the requirements of the Patient Protection and Affordable Care Act (PPACA). When it comes to these reforms, what you don’t know can hurt you. Fortunately, Stratford’s services can assist you in complying with current regulations – and prepare for the pages of new ones that are coming. Our Healthcare Reform Made Easy Impact Report, is a customized PPACA impact analysis that will provide specific insight, guidance, dollar amount figures and most importantly, answers to questions concerning 
the aspects and provisions of healthcare reform.

Plan Administration

  • The Types and Number of Employees (many different definitions)
  • Safe Harbor for Variable Hour Employees (use of Measurement, Administrative and Stability Periods)
  • Automatic Enrollment Provision
  • Summary of Benefits and Coverage (SBC) Compliance
  • Excessive Waiting Periods
  • W-2 Reporting Requirement
  • Medical Loss Ratio Market Segment and Rebate Distribution

Benefits Compliance

  • Minimum Essential Benefits Compliance
  • Cost-Sharing Limitations: Deductible and Out-of-Pocket
  • HRA and FSA Funding Limitations

Employer Mandate (and other Taxes)

  • Current Plan(s) Actuarial Value and Qualified Plan Status
  • Safe Harbor for Affordability (employee contributions)
  • Employee Population Subsidy Eligibility (Premium Assistance and Cost-Sharing)
  • Employer Mandate “Pay or Play” Calculation (No Coverage and Unaffordable Coverage)
  • Plan-Year Transitional Relief Eligibility
  • Cadillac Tax Applicability

The Marketplace (SHOP)

  • Small Employer Tax Credits
  • Current Market Pricing vs. PPACA/Exchange Pricing
  • Employee Participation Rate (Guaranteed Availability and Guaranteed Renewability Provisions)