June  2015   |  Vol. 1.4                                                                  Larry@LawmanConsulting.com


Insurers want big rate hikes in 2016

   Many health insurers have asked insurance regulators for sizable premium increases next year, but final rates are likely to be much lower than the ones requested. Most of the increase is expected to hit the individual market, however, small groups could feel it as well.

On June 1, 2015, HealthCare.gov, the federal website for enrollment in exchange plans, listed all the individual and small-group plans for 2016 that are requesting "significant" rate increases.    HHS is expected to try to suppress requests for exorbitant increases (defined as over 10%).  Still, it remains to be seen how the carriers will respond to the influx of unhealthy people coming into the system over the past few years.  Read my latest blog to learn more.


 

"We feel very passionate about our helping our clients reduce liability and improve their workplace through sound HR and benefits practices."
 

 

Sincerely,

Larry Lawman

Lawman Benefits Consulting, Inc.

 

 
Breaking News...

Obamacare unravel could be lose-lose

 

   Any day now, the Supreme Court is expected to decide whether language in the Affordable Health Care Act prevents the government from issuing subsidies to people who purchased health care on federal exchanges. The challenge being mounted in King v. Burwell threatens the subsidies issued in 34 states that did not establish state-run exchanges and are instead served by HealthCare.gov.   Read more here.
 
 
Breaking News...

New ACA guidance will force some employers to alter 2016 health plans 

 

   A new FAQ on Obamacare should have a lot of employers taking a close look at their 2016 health plans. 

   In 2016, new out-of-pocket limits kick in for non-grandfathered health plans - the single coverage limit rises to $6,850, and the family coverage limit climbs to $13,700.

   That much you probably knew, especially if you have a high-deductible health plan.

But here's what you may not have known: That $6,850 limit will apply to every individual under your plan, regardless of whether a person is enrolled in family coverage or not.

   That's the word handed down from the DOL's latest FAQ (No. 27) on Obamacare.

Read more here.


 
 
HR Update...

Best practices when using interns - are you violating FLSA?

   More employers  these days are trying out their candidates before hiring them by
Justine Loehlein
using them as interns. Just as many colleges are requiring this type of training before a students can graduate. According to the National Association of Colleges & Employers, in 1992 only 9% of college graduates were required to complete internships. By 2008, the number of internships rose by 83%. Most of whom were not paid. Something happened between 2008 and 2011 that changed that unpaid internship trend. More than half of all college interns were being paid. Even more, more than half of those who served as interns later are hired by the businesses for which they intern. While hiring should not be guaranteed as part of an internship, most of those new employees are typically paid more than an employee who did not serve as an intern.

   The major problem with involves using interns is employers not knowing the rules when it comes to classifying an intern properly. The risks of violating FLSA standards are greatly increased to an employer if they do not meet DOL's six criteria for unpaid internship;

 

1.  The internship, even though it includes actual operation of the facilities of the employer, is similar to training which would be given in an educational environment.

2.  The internship experience is for the benefit of the intern.

3.  The intern does not displace regular employees, but works under close supervision of existing staff.

4.  The employer that provides the training derives no immediate advantage from the activities of the intern; and on occasion its operations may actually be impeded.

5.  The intern is not necessarily entitled to a job at the conclusion of the internship.

6.  The employer and the intern understand that the intern is not entitled to wages for the time spent in the internship.

 

   Recent court cases have rendered a few basic principles with which the DOL criteria above are consistent. In order for the court to support that the intern or trainee is not an employee, key factors look at whether:

1.  The trainee works for his or her own benefit to learn a profession or vocation with adequate supervision and instruction from the company.

2.  The company does not derive the primary benefit of the work performed by the intern.

3.  The trainee does not displace paid employee.

 

   Employers must follow the above guidelines when considering using an intern's services unpaid. They could be violating the FLSA's requirement to pay required wages if the intern should really be classified as an employee.  

 

 



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