| HEALTH CARE REFORM
WHAT IT MEANS TO YOU AND YOUR BUSINESS IN 2010 AND 2011 |
By: Tom Donnelly
There
has been an onslaught of information from various sources since the
passage of the Patient Protection & Affordable Healthcare Act (PPACA)
last month. Much of the information has been difficult to decipher
and some of it can be classified as "misinformation" as some major
pieces of the law will not take effect until 2014 and will most
likely be modified to one degree or another. Many of the provisions
will need to at least be clarified by future regulations still to be
determined by the federal government.
The first rules and regulations for those
provisions that are immediately effective in 2010, (retroactive to
January 1, 2010), should be available from the United States
Department of Labor, Employee Benefits Security Administration, and
the U.S. Department of Health & Human Services, by the end of April,
2010.
There is a second set of regulations that
"begin the plan year that begins six months after the date of
enactment". Since the enactment date of the bill was March 23, 2010,
this second set of regulations will be for those changes effective
9/23/2010, and are due out in late June or early July. Examples of
effective dates for the "9/23" provisions are as follows:
October 1, 2010 for plan years that begin
October 1
January 1, 2011 for calendar year plans
April 1, 2011 for plan years that begin April 1
The new law applies fewer requirements to
employer-sponsored health plans that were in existence on March 23,
2010. These are known as "grandfathered" plans and will not be
subject to some of the provisions of the law that will come down the
road for employers not already sponsoring a plan.
Employers will be required to give notices to
their employees in 2010 advising them of certain changes brought
about by the Health Reform legislation. These notices will include
availability of 2011 coverage for pre-existing conditions for
children under age 19; availability of 2011 coverage for adult
children under age 26; and the long-term care (CLASS Act) program
effective January 1, 2011. Once the initial regulations are issued
we will be able to provide more guidance to you on the timing and
content of these notices.
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