Affordable Care Act (ACA)

1. Affordable Care Act (ACA) Mandate Review

2. ACAIndividual Mandate • 2014 – 2018: Individuals required to have minimum essential health insurance OR pay penalty while filing income tax returns • December 2017: Tax Cuts and Jobs Act passed which eliminated individual mandate penalty effective January 1, 2019 • December 2018: Texas Judge ruled the individual mandate unconstitutional due to the elimination of penalty; furthermore, declared the entire ACA law invalid • Future of this litigation is unknown; therefore, all aspects of the ACA should continue to be administered/enforced.

3. ACA Employer RemindersHours Worked Requirement • Required to offer affordable, minimum essential health insurance up to 95% of full-time employees (FTE) • FTE defined by the ACA as an employee that works an average of 30 or more hours per week • Required to report to the IRS annually regarding offers of affordable, minimum essential health insurance

4. ACA Employer RemindersHours Worked Requirement • Institutions/Departments need to continue to keep student help under 25 hours per week • Per UPS Operational Policy: GEN 20 • All supervisor should review Hours Eligible to Work Schedule on HR website (www.uwosh.edu/hr) • under Current Employees – Student Employees

5. ACA Employer RemindersMarketplace Notice Requirement • Institutions should provide the Health Insurance Marketplace Notice to employees within 14 days of hire. • Human Resources provides this notice to new hires via contract letter; for students, via email after hire/rehire • Important to process all hires timely so our institution can remain compliant with requirement

6. ACA Employer RemindersShared Responsibility Penalties • Penalty I (no offer of coverage penalty) – Applies IF… • Employers do not offer affordable, minimum essential health insurance coverage OR • Do not offer to 95% of FTE’s AND at least one FTE gets coverage through the Marketplace AND receives a premium tax credit/subsidy • Penalty of $2,320 per FTE applies to all (but 30) FTE’s • Estimate $67.3 million for UW System

7. ACA Employer RemindersShared Responsibility Penalties • Penalty 2 (inadequate coverage penalty) – Applies IF… • Employers offer health insurance coverage to 95% of FTE’s; however, not affordable OR does not provide minimum value AND at least one FTE gets coverage through the Marketplace AND receives a premium tax credit/subsidy • Penalty of $3,480 per year (or $290 per month) per FTE that receives premium tax credit/subsidy • April 2018: UW System received notice for 2015 plan year filing that contained 16 employees. After further review, it was determined that UW System owed a penalty for one employee. UW System responded to the IRS timely and paid a $3,120 penalty. Affected institution notified directly.

9. BenefitsOne-on-One Review Sessions • What is it? • Half hour consultation per employee to review current coverages and answer questions about your current and potential coverages • Available • Wednesday, March 13 & Thursday, March 14 - 8:00 - 4:00 • Tuesday, March 19 & Thursday, April 16 - 10:00 – 6:00 • Wednesday, April 17 & Thursday, April 18 - 9:00 – 4:00 • How sign up? • Email sent from HR Benefits (benefits@uwosh.edu) on Monday, March 4 • Reserve your spot online via email announcement

10. BenefitsRetirement PresentationOn-Site at UW Oshkosh • Presented by Human Resources Benefits Specialist • What? • Learn the basics of the WRS retirement program, investment options, planning considerations, insurances, leave, and more. • Open to all interested; no reservation required • When / Where?

11. BenefitsWRS Retirement PresentationOnline & In-Person Statewide • Presented by Department of Employee Trust Funds (ETF) • What? • These evening presentations are free, two hours in length and designed for all WRS members, especially those who are within five years of retirement. • Online presentations require registration; in-person no reservation necessary • Where / When? • visit the ETF Bulletin: http://etf.wi.gov/employers/bulletins_all/eba20190226.pdf • Or go directly to interactive map: http://etf.wi.gov/member_education.htm#tab2

12. BenefitsWisconsin Retirement SystemLive Webinars • Presented by Department of Employee Trust Funds (ETF) • What? • ETF is offering a series of 30-minute, live, interactive webinars that review WRS benefits. Individuals can also ask questions at the end of these sessions. • Where / When? • Visit the ETF live webinar schedule to register: http://etf.wi.gov/member_education.htm#tab3

13. BenefitsBiometric Screenings • For those that carry State health insurance • Monday, April 29 and Wednesday, May 8 • 8:00am – 12:30pm in Reeve Union • Sign up via StayWell– https://wellwisconsin.staywell.com • No cost to you/spouse (including co-pay)

14. BenefitsAnnual Health Fair • Mark Your Calendars:Monday, April 29, 2019 • Reeve Ballroom from 9:00am – 1:00pm • Events: • Biometric screenings – pre-registration required • Free exercise courses – Albee Hall • Vendors from around the area • Watch your email for details!

15. Prizes will be given to teams that have: • Best Team Name • Best Team Spirit day of (dress in best St. Patty’s Day attire) • Biggest Team • Race starts at 10:00am at SRWC • Day of Registration is from 8:30 – 9:30 am • Individual Registration: $20/person (early-bird deadline Mar 10) • Day of Race Registration: $25/person