Showing posts with label obmacare. Show all posts
Showing posts with label obmacare. Show all posts

Wednesday, September 25, 2013

Obama Care

On average across all comers, a benchmark "silver" plan will cost $373 a month in California, $328 in Florida and $305 in Texas.

For example, a family of four in Jackson, Miss., with an income of $50,000 would have to pay $1,200 a month for a "silver" plan if they didn't qualify for government help -- although they'd pay just $282 after the federal tax credit they almost certainly would qualify for. For the cheapest "bronze" plans, the average deductible was $5,000. The federal government will pay for part of the premiums. The government will help pay the premiums for anyone making up to about $46,000 for an individual and as much as $94,000 for a family of four.The law caps out-of-pocket payments to a maximum of $6,350 annually for an individual, or $12,700 for a family.

Doesn't sound like a good deal.

The penalty for not having insurance, which is $95 or 1 percent of household income, whichever is greater, rather than buying coverage.

Moderate-income Americans, who will be eligible for subsidized coverage but who must still pay between 6 percent to 9.5 percent of their income toward monthly premiums, are likely to have the hardest time affording the policies.

Monday, September 16, 2013

ObamaCare- Employer Penalties

http://www.mondaq.com/unitedstates/x/259860/Employee+Benefits+Compensation/100ADay+Penalties+PPACA+Noncompliance+Can+Be+Expensive&email_access=on?utm_source=Sept+17+2013+email&utm_campaign=9%2F16%2F13&utm_medium=email


Penalties associated with not offering appropriate coverage (the $2,000 penalty) or not offering affordable coverage (the $3,000 penalty), what can get overlooked is the myriad of "daily" penalties that come with non-compliance. Take the October 1 exchange notice requirement as an example. While the regulations do not identify a specific penalty for failing to comply with the notice requirement, PPACA has a $100 a day general "non-compliance" penalty. This general penalty requires employers to correct compliance failures within 30 days of discovery or self-report a $100 a day penalty for failing to comply on IRS Form 8928 for each day the employer failed to comply with a PPACA mandate. So failing to provide notices can get expensive.

Some other $100-a-day-penalties:

  1. Violating the non-discrimination rules (when they are finally written for insured plans)
  2. Violating the limits restrictions
  3. Failing to extend coverage to dependents to age 26
  4. Having retroactive rescission of benefits
  5. Failing to cover preventative care
  6. Failing to have a revised appeal process (including external appeals)
  7. Failing to provide timely notices
  8. Violating the restrictions on emergency room visits
  9. Violating restrictions on designation of primary care physicians
  10. Improper pre-existing condition exclusions
  11. Having excessive out-of-pocket costs
  12. Violations of the 90-day waiting period limit