October 15, 2010  Issue No. 1

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In This Issue:
Healthcare Reform Timeline
Health Care Tax Credit for Small Employers
Using Section 125 Plans to Save Health Care Premiums
Related
Documents & Links
in This Issue:
Healthcare Reform Timeline:  

BCBS Healthcare Reform - Reference Guide

Health Reform Implementation Timeline - Kaiser Family Foundation

Timeline: What's Changing and When - HealthCare.gov

UnitedHealthcare - Healthcare Reform Timeline

Navigating health care reform - An employer's guide from UHC



Section 125 Information:

Employer's Guide to Premium Only Plans - Section 125
About  Us:
Harbour Health Insurance Solutions

 Harbour Health Insurance Solutions is providing area businesses and individuals with comprehensive, cost-effective and value-added health benefits with packaged solutions.

In an extremely competitive industry, Harbour Health has set itself apart by delivering unparalleled service, advocacy and cost savings.

Our turnkey approach to servicing clients allows them to outsource their insurance and benefits needs to a proven expert and to redirect their time and resources toward what matters most to them.

Some of Our Documents:
Company Request for Proposal

Individual / Family Request for Proposal

Our Team:
 C. Grant Cully
gcully@hhisolutions.com
 

Janet Cully
jcully@hhisolutions.com
 

Jon Myers
jmyers@hhisolutions.com
 

Karen Cully
kcully@hhisolutions.com
 

Keith C. Kline
kkline@hhisolutions.com
 

Michael Santangelo
msantangelo@hhisolutions.com
Contact Us:
By Phone:
(843) 671-9200
 
By Fax:
(843) 671-9201
 
By Email:
Visit Us Online:

Our Website
http://hhisolutions.com


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Good Morning!

We've put together some of the most recent and important news in the insurance industry. 

Please give us a call or send us an email if you have any questions or concerns about the information enclosed in this newsletter.

We look forward to being your advocate in the insurance world.

Have a happy and healthy day!

 
Healthcare Reform Timeline
WebMD

Healthcare reform, officially called the Affordable Care Act, was signed into law by President Obama last March. This past September 23, six major provisions were enacted to set reform on its way.

Here's a quick look at the provisions:
  1. Extending Coverage for Young Adults: Young adults can stay on a parent's plan until they turn 26. This doesn't apply to young adults who already have health insurance through a job.
  2. Providing Free Preventive Care: New plans must offer free preventive services, such as mammograms and colonoscopies. This means they cannot charge you a deductible, co-pay, or coinsurance. (Note: This only includes new plans, not those already in effect when the healthcare reform law passed.)
  3. Banning Insurance Companies from Rescinding Coverage: When someone with health insurance got sick, insurance companies would sometimes search for an error or other mistake on that person's application to deny coverage. That practice will no longer be legal. (Note: For most people, this will take effect in January 2011, at the beginning of a health plan's new year.)
  4. Appealing Insurance Company Decisions: Consumers will have two ways to appeal coverage decisions or claims: through their insurer or through an independent decision-maker. (Note: This only includes new plans, not those already in effect when the healthcare reform law passed.)
  5. Eliminating Lifetime Limits on Insurance Coverage: Insurance companies can't set lifetime limits on key benefits, such as hospital stays. (Note: This only includes new plans, not those already in effect when the healthcare reform law passed.)
  6. Regulating Annual Limits on Insurance Coverage: The law will restrict insurance companies' ability to set annual dollar limits on coverage for individual and group plans

 
Click below to be connected to www.whitehouse.gov
and view the current implementation time line. 
 
The Affordable Care Act - Implementation Timeline
whitehouse


 
View the "Related Documents in This Issue"
above for more links and information from:
      • BlueCross BlueShield
      • Kaiser Family Foundation
      • HealthCare.gov
      • United Healthcare
Health Care Tax Credit for Small Employers
IRS Logo
The Small Business Health Care Tax Credit helps small businesses and small tax-exempt organizations afford the cost of covering their employees.
 
Received a Postcard from the IRS?

Millions of small employers received postcards from the IRS beginning in April that alerted them to the new Small Business Health Care Tax Credit and encouraged them to check their eligibility. Even if you didn't receive a postcard, your business still may be eligible.
View the postcard.
Read more about this effort.

Eligibility Rules
  • Providing health care coverage. A qualifying employer must cover at least 50 percent of the cost of health care coverage for some of its workers based on the single rate.
  • Firm size. A qualifying employer must have less than the equivalent of 25 full-time workers (for example, an employer with fewer than 50 half-time workers may be eligible).
  • Average annual wage. A qualifying employer must pay average annual wages below $50,000.
  • Both taxable (for profit) and tax-exempt firms qualify.
Amount of Credit
  • Maximum Amount. The credit is worth up to 35 percent of a small business' premium costs in 2010. On Jan. 1, 2014, this rate increases to 50 percent (35 percent for tax-exempt employers).
  • Phase-out. The credit phases out gradually for firms with average wages between $25,000 and $50,000 and for firms with the equivalent of between 10 and 25 full-time workers.
Three Simple Steps for Employers to Qualify
To determine if your small business or tax exempt organization qualifies for the Small Business Health Care Tax Credit, follow the three simple steps on our fact sheet.
View the Fact Sheet.

The full article includes:
Examples and Scenarios about how the tax credit applies to employers
How to Claim the Credit
Questions and Answers
YouTube video that explains the who, what, why and how of the Tax Credit
Related Links and Articles
Save Health Care Premiums
by Using Section 125 Plans
Provide Benefits, Lower Taxes and Your Premiums
 
About.com
By Gregory Boop, About.com Guide

A good way to provide health care benefits to your business employees is with the establishment of a Section 125 Plan - also known as a cafeteria plans, flexible spending plans or similar names depending on the specific plan's purpose. The plans are named after Title 26, Section 125 of the United States Code where "cafeteria plans" are specifically excluded from the calculation of gross income for federal income tax purposes.

Not only does a Section 125 plan allow an employer to provide health care benefits, a full cafeteria plan can be used to provide dependent care benefits and spending accounts for employees to decide what they want in their benefits plan.

How the Plans Work

125 plans allow employees to contribute pretax dollars into the plan. Contributions toward plans are not subject to federal, state, or social security taxes. The contributions are placed into an account the employee can use to pay for allowed expenses (e.g., premiums for health insurance, dependent care costs, medical supplies). Since no federal, state or social security taxes are taken out and the dollars are not included as gross income, the employee saves anywhere from 27 - 50% on these purchases. The employees determine what aspects of benefits are important to them. And, because the employee is paying a portion of the benefits premiums, premiums are lowered for businesses and smaller employers can offer benefits.

There are still greater benefits to the employer:

FICA Contribution Savings- Since the employees' contributions are not subject to social security tax (FICA), the employer does not have to pay its matching contribution either. Thus, your business can save 7.65 cents for every dollar contributed.

Workers' Compensation Premium Savings - Since, depending on your state, workers' compensation premiums are set by size of payroll, the employer's payroll is reduced by every contribution resulting in lower workers' compensation premiums.

The cost to the employer is set up, administration and compliance. There are many health insurance companies and administrators out there so you will be able to chose one that fits your company. Even in Massachusetts certain plans have partnered with the state and count toward compliance with state mandates upon the employer. These administrative costs are quickly offset by the savings in FICA and workers' compensation premiums and the employer typically saves money by implementing a 125 Plan. Check with your business health insurer and insurance professional and see if making a 125 Plan part of your business insurance plan will work for your company.

Click Here to Read the Full Article