Thursday, October 9, 2014

5 Regulation Changes for Employers With Self-Funded Health Insurance

There are changes coming in how a Self Funded Business Entity needs to report to the Federal Government in 2015 and 2016.

  1. Section 6055 and Section 6056 will help determine who gets subsidies or not.
  2. The 5500 report is changing.  The rules are different for under 100 lives, which is who I deal with often.
  3. Traditional Reinsurance Tax - for Self Funded payers they are responsible for this fee instead of the insurance carrier.  Allied, Assurant, and others help with this requirement.
  4. PCORI Fees - Again this fee is built into some plans, but not others.  You need to be in the know; it's increasing next year, and then will be tied to inflation.
  5. Health Plan ID Requirement - Small Businesses (under $5 million in claims) have until November of 2015 to comply.

For the full article CLICK HERE.
If you have any questions about this or any other Self Funding issue - EMAIL ME.

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