Insight on Business

April 2015

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w w w . i n s i g h t o n b u s i n e s s . c o m A p r i l 2 0 15 • I NSIGH T | 31 best way to proceed. Hanson says it's important to have a good relationship with insurance agents who deal in this market — things change monthly and sometimes weekly, she says. "When you take a law like the Affordable Care Act that began with about 2,700 pages, and now almost five years later, we have 40,000 pages of rules and regulations — and it just continues to grow — it's a moving target," Hanson says. Underwritten by Dean Health Plan, Inc. prevea360.com Better insurance from the best in health care. When you offer your employees Prevea360 Health Plan, you're offering a better kind of insurance. at's because Prevea360 is a creation of Prevea Health, the region's most comprehensive health care network. With more than 60 specialties, like cardiology, cancer care, pediatrics and women's health, Prevea's network includes everything your employees need to be and stay well. And with a healthier, happier workforce, you'll see the bottom-line savings that go along with it. Reduce your company health care costs with the region's premier coordinated, wellness-focused health plan. Contact your agent or call us at 877.230.7615 for a custom quote. have to lock it in by Dec. 31, in order to qualify for the transitional plan." Employers who fall into that category should spend some time with their benefit advisors — soon — to choose what's best for them. "If they wait until Jan. 1, 2016, it's too late," Jenkins says. ere is some speculation about whether the 51- to 99-employee businesses are, in fact, required to move into an adjusted community rating plan Jan. 1, 2016, Loberg says. "Since the majority of the small employers did not move into adjusted community rating in January, we haven't experienced the full effect of what the law means for the two- to 50-employee small businesses, Loberg says. "It could be very interesting come Jan. 1, 2016." Additionally, there are some IRS reporting requirements under codes 6055 and 6056 coming up. "ey're very important," Loberg says, "I don't think they're on a lot of employers' radars." Businesses would use forms 1094C and 1095C to comply, reporting to the government whether employees were eligible for health insurance and whether or not they took it, Jenkins says. "It really kind of ties back into the employer's responsibility for providing health insurance and the individual's responsibility for having it," Jenkins says. e IRS reports that compliance is mandatory in 2016, but businesses are encouraged to file this year. "at's something everyone's kind of in the thick of right now — trying to figure out the filings that are due to the IRS," Loberg says. Rulings by the U.S. Supreme Court on whether to continue to allow federal subsidies to offset the individual cost of health care could further impact business requirements. "Depending on how the Supreme Court ruling comes out, it could turn everything upside down," Jenkins says. It's difficult to predict exactly what would happen if the Supreme Court ruled that the subsidies in the non- state-sponsored exchanges should be eliminated, Jenkins says. For what businesses know is coming, they should be working with their agents or benefits advisors on the O N T H E W E B uhc.com/reform hansonbenefitsinc.com networkhealth.com

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