Affordable Care Act: Employer Rights and Responsibilities

After completing this course, you will be able to:

• Identify the rules applicable to –
  • grandfathered health plans;
  • the use of pre-existing condition exclusions, and
  • annual and lifetime benefit limits;
• List the conditions that would permit an insurer to rescind health insurance coverage; and
• Recognize the requirements imposed by healthcare reform legislation with respect to –
  • patient protection provisions, and
  • dependent coverage to young adults;
• Identify the –
  • W-2 reporting requirements imposed on employers providing employer-sponsored health coverage, and
  • transition relief provided concerning W-2 reporting;
• Define “full-time employee” and “full-time equivalent employee” for purposes of employer tax credits and penalties under the PPACA;
• Recognize the –
  • rules that apply to a small employer’s eligibility for a health insurance premium credit, and
  • nature of a “qualifying arrangement” under which an employer pays premiums for employee health insurance coverage;
• Identify the types of coverage that meet the PPACA definition of health insurance coverage for purposes of the small employer health insurance premium credit;
• Apply the various limitations that may reduce the amount of health insurance premium credit available to an otherwise eligible small employer;
• Calculate the potential penalties that may be imposed on large employers under the PPACA; and
• Identify the annual return and notification requirements imposed by the PPACA on applicable large employers.