THE PATIENT PROTECTION AND AFFORDABLE CARE ACT has cleared its | |||
final hurdle with the re-election of President Obama for a second term . Since its | |||
inception this legislation has survived a year in congress , a potential catastrophic | |||
Senate seat defeat , more than a dozen legal challenges and a Supreme Court | |||
ruling . Much has been debated on both sides of the aisle regarding the pros and | |||
cons of this groundbreaking legislation , but one thing is for certain , the law is now | |||
here to stay . | |||
In January of 2014 , most of the significant components of the new law will be fully implemented . In the meantime , employers and individuals alike should be educating themselves on the law and its impact on how healthcare is delivered and administered .
One of the largest misconceptions of
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6 to 8 million Californians who are currently uninsured . With targeted federal funding , enrollees whose earnings are below 400 % of the poverty line will be eligible for subsidies through the exchange . Those with family earning below 200 % of the poverty line may receive coverage at no cost at all . |
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the new law is that all employers are mandated to provide health insurance to their employees , not true .
Employers with fewer than 50 employees are not required to
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One of the largest misconceptions of the new law is that all employers are mandated to provide health insurance to their employees , not true . |
As I write this column , Covered California is in negotiations with several insurance companies for a place in the new state run exchange . |
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provide health insurance to their employees . However employers with more than 50 employees must offer minimum essential coverage to all eligible employees or face a fine of $ 2,000 for each employee beyond the first 30 employees . For example : a company with 75 employees would pay a fine of $ 2,000 x ( 75-30 ) = $ 90,000 if they didn ’ t offer a plan with minimum essential benefits . Employers with more than 50 employees that do offer coverage but require an employee cost share in excess of 9.5 % of their household income , will be assessed a fine of $ 3,000 per employee that receives a subsidy through the California Health Benefit Exchange , now called Covered California .
Covered California , the new state run marketplace for both individual and group health insurance will begin enrollment in October of 2013 . This new marketplace has been established to help insure the estimated
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This new delivery system will offer multiple Insurance Carriers and health plan designs for individuals and businesses . The exchange expects to have selected the Insurance Carriers and plans by June of 2013 . When the exchange is up and running individuals and employers will be able to purchase plans directly through the exchange or their broker for the same price . By utilizing a Professional Broker you will have access to many additional value added services such as COBRA Compliance , HR Administration , Online Eligibility , and Claims Assistance .
As an employer or consumer of healthcare , now is the time to learn about PPACA and its impact on how your healthcare will be delivered in the future . Pacific Coast Benefits is here to help you navigate healthcare reform . If you would like to attend one of our upcoming Healthcare Reform Seminars , please contact our office .
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