White Paper

Health Care Reformfor Employers: ACADESIGN AND PLANNING OPPORTUNITIES

 
When effective, the ACA “Employer Mandate” will require large employers to offer health coverage to full-time employees and their children up to age 26 or risk paying a penalty. Applicable employers must decide to either "play" by offering affordable health coverage that provides minimum value or "pay" by potentially owing an IRS penalty for failure to offer complying coverage. Under the regulations the Play or Pay choice is referred to led "shared responsibility" certain requirements.

The requirements are applicable only to “large employers" generally defined as employers having an average of 50 or more full-time or full-time equivalent employees on business days during the preceding year. "Full-time employees" include all employees who work at least 30 hours on average each week Monthly equivalent is 130 hours per month). The number of "full- time equivalent employees" is determined by aggregating the hours worked by all non-full-time employees, and dividing by 120 hours.

Agenda

ACA’s Shared Responsibility Requirement
Large Employer Status
Leased Employees and Independent Contractors
Planning Opportunities for Play or Pay
ACA General Requirements
Planning and Compliance Discussion

Faculty

J. Whitney Wallingford, Esq.

Wallingford Law PSC

  • Partner and founding member of Wallingford Law, PSC
  • Practice focuses on representing employers with health plan compliance issues and other employee benefit matters
  • Frequent writer and speaker on health care reform, health and welfare plan issues, and other employee benefit matters
  • J.D. degree, University of Kentucky; B.A. degree with high distinction, University of Kentucky
  • Can be contacted at [email protected]

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