Monthly Archives

October 2013

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What Is the Marketplace (formerly known as an “Exchange”)?

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A health insurance marketplace, previous called an “exchange,” is a set of government-regulated and standardized health care plans from which individuals may purchase qualified health insurance. Many health insurance marketplaces will be sponsored by state governments, although some may be…

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Question 3: With the mandates being delayed, do employers not have to worry about the ACA for another year?

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The Treasury Department, on behalf of the Administration, announced this July that the Affordable Care Act (ACA) employer mandate provision would be delayed until 2015, which includes provisions that Applicable Large Employers (ALE) (i.e. those with 50+ employees) will be required to offer minimum essential coverage that is affordable to employees. However, as someone wisely observed, “A year from now you may wish you had started today.”

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Question 2: What Are the Essential Health Benefits?

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In addition to the changes already described, all policies will be required to provide “Essential Health Benefits” (EHBs). Here are the 10 benefit categories: 1. Outpatient or Ambulatory Care — Most health insurance plans cover this already. 2. Emergency Room…

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Health Care Reform 101

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The Top 10 Questions Business People Are Asking About the Patient Protection and Affordable Care Act   Answers? I’m Not Sure I Know the Questions! Early in World War II, Winston Churchill described one of Britain’s potential allies as “A…

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