Program Schedule
12 pm ET Introduction
Overview of Key Elements of Health Care Reform and 2014 Coverage Mandates (and continuing and new obligations of grandfathered plans)
New Patient-Centered Outcomes Research (PCORI) and Reinsurance Transition Fees Payable by Health Plans
- • Fee calculation and payments
Preparing for the Employer "Play or Pay" Requirement (Part I)
- • What is the "Play or Pay" requirement?
- • Understanding the state insurance exchanges and their role in the "Play or Pay" Requirement
- • Details of the employer responsibility or "play or pay" requirement
- – penalties that apply if coverage is not offered
- – penalties that apply if coverage is offered but is not "affordable" or does not meet minimum standards
- – what is "affordable"?
- – what are "minimum standards"
- – what does it mean to offer coverage? Must coverage be offered to dependents?
- – Recent official guidance
Questions and Answers
Preparing for the Employer "Play or Pay" Requirement (Part II)
- • How to determine who is a "full-time employee"
- – adjunct faculty
- – variable hour employees
- • Waiting period guidance
- • Understanding college and university options in "Play or Pay"
Other Issues and Obligations on the Horizon
- • Exchange notice and reporting requirements
- • Automatic enrollment
- • Pre-existing conditions
- • Wellness plans
- • "Cadillac" plans
Issues and Next Steps for Student Health Insurance Plans
- • Student Health Insurance Plans (SHIPs) and Student Health Benefit Plans (SHBPs)
- • Student health care centers
- • Student financial assistance for health care costs
Current Status of Challenges by Religious Institutions and Other Litigation
Questions and Answers
2 pm ET Conclusion