Health Care Reform

News & Events

This section is designed to help keep our visitors informed of major events impacting the insurance industry. At Poms & Associates we are committed to respond quickly and appropriately to rapidly changing situations.

Health Care Reform

Employment-Based Orientation Periods Cannot Exceed One Month for Purposes of 90-Day Waiting Period Limit

Proposed Rules Clarify What Constitutes a ‘Reasonable and Bona Fide’ Orientation Period The Affordable Care Act prohibits group health plans from applying any waiting period that exceeds 90 days in plan years beginning on or after January 1, 2014. A waiting period is the period of time that must pass before coverage for an employee […]

Health Care Reform

Annual Open Enrollment Period for Individual Marketplace Finalized for 2015

Individuals Must Enroll by February 15, 2015 According to a final rule issued by the U.S. Department of Health and Human Services (HHS), the annual open enrollment period for individuals to purchase coverage on the Health Insurance Exchange (Marketplace) for the 2015 benefit year will begin on November 15, 2014 and extend through February 15, […]

Health Care Reform

2015 Annual Cost-Sharing Limits for Coverage of Essential Health Benefits

Fact Sheet Provides Early Guidance A new rule issued by the U.S. Department of Health and Human Services (HHS) addresses, among other things, the requirement under the Affordable Care Act that non-grandfathered group health plans limit annual out-of-pocket cost-sharing for coverage of essential health benefits under the plan beginning in 2014. The law requires that these limits be updated […]

Health Care Reform

Final Rules on Information Reporting Requirements for Employers

First Reports Due in 2016  Two sets of final regulations provide guidance on, and simplify, the information reporting requirements under Health Care Reform. One set of rules relates to minimum essential coverage reporting by insurers and certain self-insuring employers, and the other set of rules relates to reporting on health insurance coverage offered by large employers. Background The Affordable […]

Health Care Reform

Small Businesses May Be Able to Keep Existing Health Coverage Through Policy Years Beginning On or Before October 1, 2016

Health Insurance Issuers in Some States May Choose to Continue Certain Coverage That Would Otherwise Be Cancelled A previously announced transitional policy which allows health insurance issuers, at their option, to continue group coverage that would otherwise be terminated or cancelled has been extended for two years—to policy years beginning on or before October 1, 2016. Businesses affected by the transitional […]

Blog, Employee Benefits, Health Care Reform

How Healthcare Changes are Affecting Employee Benefits

How Healthcare Changes are Affecting Employee Benefits Healthcare changes have taken the country by storm, it seems. With an incredible amount of attention paid to public Obamacare exchanges, it is natural to wonder what will happen to benefits that employees receive – especially in healthcare. How might these changes continue to affect employee benefits? Follow […]

Health Care Reform

Affordable Care Act Webinars Continue Through May

Free Series to Help Small Business Owners Understand the Law The U.S. Small Business Administration and the U.S. Small Business Majority (a national nonprofit advocacy organization) will continue theirAffordable Care Act 101 Weekly Webinar Series for small businesses. The hour-long webinars began in July and will run every Thursday through the end of May. The series is designed […]

Health Care Reform

Certificates of Creditable Coverage No Longer Required Beginning December 31, 2014

Final Rules Eliminate Requirement to Provide Certificates of Creditable Coverage Final rules have been issued to amend provisions of the federal Health Insurance Portability and Accountability Act (HIPAA) that have become superseded as a result of Health Care Reform, including the requirement that group health plans issue certificates of creditable coverage. Background For plan years beginning prior to […]

Health Care Reform

Final Rules on 90-Day Waiting Period Limitation

Group Health Plans Must Comply Beginning in 2014 Final rules address the requirement in the Affordable Care Act that group health plans limit any waiting period to 90 days, effective for plan years beginning on or after January 1, 2014. A waiting period is the period of time that must pass before coverage for an employee […]

Health Care Reform

Key Facts for Small Employers Regarding the SHOP Marketplace

The Who, What, When & How of Purchasing SHOP Coverage As of January 1, 2014, the Small Business Health Options Program (SHOP) is available as an option for qualified small employers to purchase employee health coverage. The federal government is running the program in states that chose not to operate their own SHOP Marketplace. Who Can Purchase […]