Association Insurance Cooperative

1. Association Insurance Cooperative PPACA 2013 – 2014 • May 1, 2013 Webinar Handouts: Click Here

2. THE BASICS Minimum Essential Coverage Minimum Value Employer Shared Responsibility Payment Compliance With Cost-Sharing Limits Essential Health Benefits Affordable Premiums Annual Maximum Out-of-Pocket Health Insurance Premium Tax Credit PPACA Topology Large/Small Employer Employer Penalty Flow Chart Pay or Play Strategies by Employer Size Grandfathered Plans Under 50 Employees 50 and Over Employees 100 and Over Employees Qualified Health Plans (QHPs) State Essential Benefits Package Option

3. Affordable Care Act Tax Provisions http://www.irs.gov/uac/Affordable-Care-Act-Tax-Provisions Minimum Essential Coverage (MEC) Defined The type of coverage an individual needs to have to meet the individual responsibility requirement under the Affordable Care Act. MEC includes individual market policies, job-based coverage, Medicare, Medicaid, CHIP, TRICARE State health benefits risk pool, and certain other coverage. • An “eligible employer-sponsored plan,” a health plan offered in the individual market, or, a grandfathered health plan • eligible employer‐sponsored plan is not explicitly defined by a set of benefits, features or coverage. Rather, it is defined by what are not considered as health insurance coverage. • Examples: coverage only for accident, and/or disability income insurance, Workers’ compensation, dental or vision benefits, nursing, home care, home health care, and/or community‐based care, hospital indemnity or other fixed indemnity insurance, or supplemental coverage provided under a group health plan. • MEC Provisions Require that All CMS Preventive Services be Covered by the Insurance Plan

4. Minimum Value Defined • On April 26, 2012, the Department of the Treasury and IRS issued Notice 2012-31, which states under § 36B(c)(2)(C)(ii), a plan fails to provide minimum value if “the plan’s share of the total allowed costs of benefits provided under the plan is less than 60 percent of such costs.” If the coverage offered by the employer fails to provide minimum value, an employee may be eligible to receive a premium tax credit. An applicable large employer (as defined in § 4980H(c)(2)) may be liable for an assessable payment under § 4980H if any full-time employee receives a premium tax credit. • Employer Shared Responsibility Payment equals The Employer Compliance With Cost-Sharing Limits • The four metal tiers vary based on the percentage of full actuarial value of benefits the plan is designed to provide, as follows: • Bronze: actuarially equivalent to 60% of full value • Silver: actuarially equivalent to 70% of full value • Gold: actuarially equivalent to 80% of full value • Platinum: actuarially equivalent to 90% of full value

5. Essential Health Benefits Defined To be further defined by regulations, but they include minimum benefits in ten general categories and the items and services covered within those categories: • Ambulatory patient services • Emergency services • Hospitalization • Maternity and newborn care • Mental health and substance use disorder services, including behavioral health treatment • Prescription drugs • Rehabilitative and habilitative services and devices • Laboratory services • Preventive and wellness services and chronic disease management • Pediatric services, including oral and vision care.

6. Affordable Premiums Individuals who get insurance through their employer can get subsidized coverage in an Exchange if their premiums are unaffordable (more than 9.5 percent of their W-2 wages) or the plan is inadequate (pays less than 60 percent of the cost of covered benefits). The Kaiser Foundation estimates that the annual deductible for a bronze plan could range from $2,750 to $6,350

7. Annual Maximum Deductible • Under the ACA, non-grandfathered health plans offered in the small group market (on or off the exchange) must limit annual deductibles to $2,000 single/$4,000 family for plan years starting on or after January 1, 2014. Large group and self-funded health plans do not need to limit deductible amounts • Some small group coverage may exceed the annual deductible limit if doing so is necessary to reach a given “metal tier” level of coverage. Annual Maximum Out of Pocket Expense • All non-grandfathered group health plans of any size (insured or self-funded) must limit out of pocket expenses to no more than the maximum limits allowed for high-deductible plans that are combined with HSAs ($6,250 single/$12,500 family in 2013).

8. Affordable Care Act Tax Provisions http://www.irs.gov/uac/Affordable-Care-Act-Tax-Provisions Health Insurance Premium Tax Credit Starting in 2014, individuals and families can take a new premium tax credit to help them afford health insurance coverage purchased through an Affordable Insurance Exchange. Tax credits or subsidies are provided to purchase health insurance through the exchange on a sliding scale to individuals and families with incomes up to 400% of the federal poverty level(under current guidelines, about $92,000 a year). The portion of the law that will allow eligible individuals to use tax credits to purchase health coverage through an Exchange is not effective until 2014.

9. Health Insurance Exchanges Qualified Health Plans (QHPs): An Exchange will be required to make qualified health plans (QHPs) available to qualified individuals and qualified employers. An Exchange cannot make available any health plan that is not a QHP. A QHP is an Exchange-certified “health plan” that offers an “essential health benefits package.” To provide the essential health benefits package, a plan must provide: • ACA required preventative services; • Essential health benefits; • Include the four metal tiers/cost-sharing limits; bronze, silver, gold, or platinum level coverage (that is, benefits that are actuarially equivalent to 60%, 70%, 80%, or 90% (respectively) of the full actuarial benefits provided under the plan State Essential Benefits Package Option • One of the three largest products in the small group market in the state • The Health Maintenance Organization (HMO) with the largest commercial enrollment in the state • One of the three largest health plans offered to federal or state employees

11. ALL EMPLOYERS - 2013 • Audio Summary http://www.makinghealthcarereformwork.com/healthcarereform/assets/library/767234_36601WPBENMUB_ACA_and_you_4-19_Podcast_Development_DO_03_13_v2.mp3. • Report health plan values on W-2s. Business owners must report the value of their health plans on W-2s. This was optional in 2012. Who the provision applies to • The W-2 reporting provision applies to grandfathered and non-grandfathered plans, both fully insured and self-funded groups. • The requirement applies to anyone who is still receiving benefits from the employer, including COBRA participants and retirees (even though retiree-only plans are exempt from the health care reform law).

12. The Affordable Care Act (ACA or health care reform law) added a section to the Fair Labor Standards Act (FLSA),that says an applicable employer must provide each employee at the time of hiring (or with respect to current employees, no later than March 1, 2013), a written notice: • 1. Informing the employee of the existence of exchanges including a description of the services provided by the Exchanges, and the manner in which the employee may contact exchanges to request assistance; • 2. If the employer plan’s share of the total allowed costs of benefits provided under the plan is less than 60 percent of such costs, that the employee may be eligible for a premium tax credit under section 36B of the Internal Revenue Code (the Code) if the employee purchases a qualified health plan through an exchange; and • 3. If the employee purchases a qualified health plan through an exchange, the employee may lose the employer contribution (if any) to any health benefits plan offered by the employer and that all or a portion of such contribution may be excludable from income for Federal income tax purposes. Update the company rules on waiting periods. Many new workers have a “waiting period” before benefits kick in. With health care reform, this waiting period can’t be longer than 90 days.

13. 2014 CHECK LIST • Know if the business is a “small group” or “large group”. Today “small group” includes businesses with one to 50 workers. But with health care reform, a business will be considered “small group” if it has one to 100 workers. States may put off this change until 2016. • Offer coverage if they have more than 50 workers. • Review and update benefits. Fully insured small group plans must cover an “essential health benefits” package starting in 2014. This rule applies to non-grandfathered plans sold inside and outside the health insurance exchanges. Plans are to be guaranteed issue and no life-time max.

14. Premium Costs for 2013 • On average, Aon Hewitt forecasts that companies will see 2013 cost increases of 7.0 percent for health maintenance organization (HMO) plans, 6.1 percent for preferred provider organization (PPO) plans and 6.1 percent for point-of-service (POS) plans. • Overall, the National Business Group on Health projects a seven percent increase in 2013. The average premium cost per person for major companies, from 2012 to 2013, is estimated to have increased from $10,659 to $11,405 for HMOs, $10,433 to $11,069 for PPOs and $11,062 to $11,737 for POS plans.

15. Premium Costs 2014 Premiums in 2014 may increase 20 to 40 percent. Factors that will drive up health insurance costs. The following ACA provisions become effective Jan. 1, 2014: • Guaranteed Issue - plan exclusions for pre-existing conditions are no longer allowed. • Increased Benefits - ACA requires all non-grandfathered small group employers to provide EHBs. • Minimum Value - Cost-sharing toward services will accumulate to your plan’s out-of-pocket maximum, including flat-dollar copayments for services that are defined as EHB. • Adjusted Community Rating - beginning in 2014, all insurers selling personal or small group products must use the Adjusted Community Rating (ACR). With ACR, insurers calculate the Community Rating and can adjust your cost based only on: family size, geographic location, use of tobacco, age.

16. Company Pass-Through of Fees - Insurance carriers will start progressively incorporating the following fees into fully insured plan premiums beginning Feb. 1, 2013 as renewals or new business cases begin: • Patient-Centered Outcomes Research Institute (PCORI) Fee. PCORI Fee, of $1 per member per year – fully and self-funded plans. • The Insurer Fee – fully insured groups. The impact on premium is approximately 2.3 percent in the first year. • The Transitional Reinsurance Fee will be collected from health insurance providers for years 2014 to 2016. Impact for the first year of the Transitional Reinsurance Fee is about $5 to $6 per member per month. • A Risk Adjustment Fee of about $1 per member per year is assessed on issuers of risk-adjusted plans in the non-grandfathered individual and small group markets, whether in or out of the Exchanges.

17. Your Company is Grandfathered Grandfathered Health Plans – ACA Exceptions www.healthcare.gov/law/features/rights/grandfathered-plans/index.html Grandfathered Plan: March 23, 2010and not make any major changes in coverage Examples of changes in coverage that would cause a plan to lose grandfathering include: • Eliminating benefits to diagnose or treat a particular condition. • Increasing the up-front deductible patients must pay before coverage kicks in by more than the cumulative growth in medical inflation since March 23, 2010 plus 15 percentage points. • Reducing the share of the premium the employer pays by more than five percentage points since March 23, 2010. Alternatives: Self-Fund; Defined Contribution Arrangement

18. Your Company Employs Under 50 FTEs • No financial requirements to contribute toward workers’ health care costs • Must be compliant with PPACA if Company does provide insurance coverage • Have most to gain under the ACA • Tax credits for employers with 25 or fewer workers, average annual wages of employees must be less than $50,000, employer pays 50% of premiums. • Go to http://www.irs.gov/uac/Small-Business-Health-Care-Tax-Credit-Questions-and-Answers:-Calculating-the-Credit. • Small group health insurance market already has guaranteed issue http://www.statehealthfacts.org/comparetable.jsp?ind=350&cat=7 • 2014 – new insurance options through Small Business Health Options Program (SHOP) exchanges. On March 1, 2013, HHS proposed letting exchanges put the “employee choice” option and premium aggregation functions of SHOP on hold until 2015. This does not delay the whole SHOP exchange. It just means that for 2014, SHOP exchanges can make employers choose one qualified health plan for all of their employees so that they are all covered by the same plan from one insurance company.

19. Your Company Employs 50 to 100 FTEs • Full Impact of ACA for Employers with non-grandfathered fully insured plans. Self Funded plans are exempt. Considerations: • Play or Pay? If you play, what are the alternatives? • Group Insurance: too Expensive, cannot meet participation requirements • High Deductible Health Plan + GAP • Self-Fund • Defined Contribution Arrangement

20. Your Company Employs 101+ FTEs • Less than 10% of very large employers will be affected by ACA. The majority will be transitioning from fully-insured plans to Defined Contribution Arrangement – True HRAs and Self-funded plans. • Remain subject to ACA Penalties for not providing qualified health plans. • No access to Exchange/SHOP options until 2017 • Group Insurance Will Cost will Continue to Increase due to premium inflation • Expense Incurred Mini-Meds Gone 2014 Considerations: • Self-Fund • High Deductible Health Plan + GAP • Defined Contribution Arrangement – True HRA

21. PLAN DESIGN CONSIDERATIONS ACA Provisions and Fees Minimum Essential Coverage Minimum Value - Employer Shared Responsibility Payment - Compliance With Cost-Sharing Limits Affordable Premiums Essential Health Benefits Maximum Deductible Annual Maximum Out-of-Pocket Guaranteed Issue State Regulations Health Insurance Tax Self-Funded Plan Design Cover only ACA Preventive Services Cover 60% of the AV of the plan* Not to exceed 9.5% of W-2 income* Not required No Max Deductible $6,250 single/$12,500 family Not Required Not Subject to State Regulations - ERISA Not Applicable Employer premium contributions: Employees of large firms that offer coverage meeting the minimum value standard are not eligible for premium assistance tax credits or cost-sharing subsidies in an exchange unless their share of the employee-only premium in the employer’s lowest-cost plan exceeds 9.5% of family income.

22. Selecting the Plan Within a True HRA Plan

23. Putting the Numbers Together

24. Links and Contact Information AIC Website: www.AssociationInsurance.us Webinar Handouts: Click Here AIC Individual & Family Health Insurance Exchange: www.associationinsurance.info Kenneth Lee, Program Manager Email: klee@mynpi.org Phone: 765.352.1776 Bob Brodell, AIC General Agent Email: bob@imaginehealthsolutions.com Phone: (312) 659-4242 Jerry Van Ness, AIC Master General Agent AWP Email: jerry@theamericanworker.com Phone: (949) 331-3156