NAHU Hosts Webinar on Exchanges
On May 10, NAHU conducted a one-hour webinar on health insurance exchanges. It was an exceptionally thorough overview of the topic, and I would encourage folks to listen/view it. The link to the Professional Development page of NAHU's site (the webinar is the first item under the NAHU Webcasts heading):
http://www.nahu.org/education/programs/webcasts.cfm?ibcToken=a0a490fb-9052-4c36-bd08-d7da54f8f2ef.
Just a couple of highlights (there were many):
- Premium subsidies and
cost-sharing reduction subsidies will only be available via the Individual
coverage exchanges (low-income people who buy coverage via a SHOP exchange
are not eligible for subsidies)
-- - Low-income people who have
access to "adequate" and "affordable" group coverage
cannot leave the group plan and buy coverage via an exchange
-- - Employers will be required to help verify coverage in virtually any situation:
- Whether or not any employee purchases coverage through an exchange
- If an employer doesn't offer coverage at all
- After
an employee enrolls in an exchange (and likely every year thereafter)
-- - The small-business tax
credits currently available to any qualifying small employers will only be
available after Jan. 1, 2014, to employers purchasing coverage through a
SHOP exchange
-- - If an individual state
elects to allow "large" groups to access an exchange on Jan. 1,
2017, or thereafter, and even one large employer elects to
participate, all of
the SHOP exchange requirements will apply to every insured
large group in that state. Examples: modified community rating rules
(no more experience rating for an employer's large group plan), minimum
benefit requirements, guarantee issue, etc.
-- - Private exchanges are not
subject to SHOP exchange rules
--