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PPC's Guide to Health Care Reform

PPC's Guide to Health Care Reform

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Health care reform legislation has significantly altered the landscape for obtaining and providing health care benefits. PPC's Guide to Health Care Reform provides practical, easy-to-understand guidance on the key provisions of the Affordable Care Act, which affects nearly all individuals and many employers. You can use this Guide to familiarize yourself with the legislation's provisions and the thousands of pages of regulations and guidance that have been issued. This will enable you to help your clients capitalize on opportunities and avoid or minimize penalties and other costs brought on by health care reform.

Topics discussed include:

  • The mandate requiring employers to offer affordable health insurance coverage that provides minimum value to full-time employees and their dependents or pay a penalty.
  • The mandate requiring individuals to have minimum essential health insurance coverage or pay a penalty, and the premium assistance and cost-sharing subsidies that are available to help individuals pay for coverage.
  • Numerous new notice and reporting requirements placed on employers, plans, plan sponsors, and insurers.
  • Information on the additional 0.9% Medicare tax and the 3.8% tax on net investment income.
  • Provisions affecting health care plans and the benefits they provide, including nondiscrimination requirements for fully insured plans, required coverage for employee's adult children to age 26, prohibition on annual and life-time limits and pre-existing condition exclusions, cost-sharing limits, expanded coverage of preventive services, maximum waiting periods, and specific rules for grandfathered plans.
  • Coverage of the small employer health insurance credit that allows eligible small employers to offset the cost of providing health insurance coverage to employees.

You'll also get real-life examples, worksheets, checklists, filled-in forms, quick reference charts of implementation dates, client letters, and a newsletter that alerts you to new developments as they occur.

List of Content

  • About the Authors and Editors
  • Introduction
  • Health Insurance Mandate for Individuals
  • Premium Assistance Credit and Cost-Sharing-Reduction Subsidy
  • Health Insurance Marketplaces
  • Health Insurance Mandate for Employers
  • Fees, Taxes, and Noncompliance Penalties
  • Reporting Requirements
  • Notices and Disclosures
  • Health Insurance Plan Requirements
  • Health Insurance Coverage Requirements
  • Miscellaneous Provisions
  • Small Employer Health Insurance Credit
  • Finding Lists and Index
  • CPE
  • Guide to Health Care Reform Sample View
  • Checkpoint Learning Health Care Course Listings View
  • List of Substantive Changes (November 2014) View