ErisaALERT 2014-11 – What is the transitional reinsurance fee? The Affordable Care Act established a three-year (2014, 2015 and 2016) transitional reinsurance program to stabilize premiums in the individual market inside and outside of the Marketplaces. Who must pay the transitional reinsurance fee? A contributing entity must make reinsurance contributions on behalf of its enrollees […]
ACA, compliance, HCR, transitional reinsurance feeErisaALERT 2014-10 – What is an HPID? Note: Late on October 31, HHS announced a delay HPID requirement. A health plan identifier (HPID) is intended to increase standardization within HIPAA standard transactions. Both the Affordable Care Act and the Social Security Act require the adoption of a standard unique health plan identifier. Covered entities are […]
ACA, Affordable Care Act, HCR, Health Plan Identifier, HPIDErisaALERT 2014-09 – ACA’s shared responsibility provisions impose penalties on individuals who do not maintain minimum essential coverage (MEC) and on plan sponsors who do not offer minimum value, affordable coverage. The way the IRS will know if an individual has MEC and if an employer offers minimum value, affordable coverage is via the §6055 […]
6055, 6056, ACA, compliance, Disclosure, HCR, Reporting(c) 2015 Erisa Diagnostics - We focus on benefits, so you can focus on business