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March 23, 2010
Availability of small business tax credits:
If you offer your workforce health insurance and employ
fewer than 25 full-time workers (or 50 part-time workers),
your business may be eligible for the Small Business
Health Care Tax Credit.
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For more information about these
credits visi
January 1, 2011
Availability of SIMPLE cafeteria plans:
SIMPLE cafeteria plans are a new way for small
businesses with 100 or fewer employees to save money.
These plans allow employees to pay their portion of health
insurance premiums and other eligible benefts, such as
contributions to fexible spending accounts, with pre-tax
dollars. As an employer, you can take advantage of this
option to save on the employer portion of FICA, FUTA
and workers’ compensation insurance premiums.
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August 1, 2012
Women’s preventive care requirements:
Nongrandfathered group health plans are required to offer
preventive coverage to women without cost-sharing for
plan years beginning on or after August 1, 2012. Certain
religious employers are exempt from the requirement to
offer contraceptive coverage, and others may qualify for
a one-year delay.
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Medical Loss Ratio rebate distribution:
Major medical insurers that did not meet the new medical
loss ratio (MLR) requirements were required to issue
rebates to policyholders by August 1, 2012. In most
cases, it is the employer’s responsibility to distribute the
participant portion within three months of receiving the
rebate. If your plan was due a rebate, you should have
received it by now and may need to distribute employee
portions. The details on distribution depend on the type of
plan offered (e.g., church plan, ERISA, etc.).
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For more information, visit these websites:
September 23, 2012
New summary of benefts:
Major medical insurers began sending all benefts enrollees
and applicants a new summary of benefts booklet
and coverage notice to explain their beneft plans and
coverage. If your business has a self-funded plan, you
will be required to provide the new summary for annual
enrollment periods on or after September 23, 2012, as
well as all other enrollments for plan years beginning on or
after January 1, 2013.
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Try these helpful sites:
•Template FAQ and help:
October 1, 2012
Patient-Centered Outcomes Research Institute
(PCORI) fee:
Starting with plan years ending on or after October 1,
2012, issuers and plan sponsors will be required to pay a
new fee for each covered benefciary with the fee going to
the PCORI fund.
The funds will help contribute to research that evaluates
and compares health outcomes and clinical effectiveness,
and the risks and benefts of two or more medical
treatments and/or services. Since the fee is treated as an
excise tax, it is fled through IRS Form 720. The PCORI fee
is $1 per covered benefciary for the frst year, and for the
frst year is due July 31, 2013.
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Milestones already in place: