ongoing aca management information system for compliance, cost analytics, reporting and auditing...
TRANSCRIPT
Ongoing ACA Management Information System for
Compliance, Cost Analytics, Reporting and Auditing
Presented by:Tom Ference
SVP New Client Development
Health E(fx)
Chicagoland Area Phone : 219-662-0201
Cell : 630-240-2583
Personal Introduction
Tom Ference • Northwestern Kellogg MBA - Finance / Marketing • Lincoln Financial Regional Manager• Mercer VP • Crowe Horwath Principal - HR Division • Aon Clients:
Large: -McDonalds, Kraft, Verizon, Office Max, Darden, Sears, US Bank, Ascension Health, etc.
Smaller: -Fanny May Candies, Krispy Kreme, Bassett Furniture, • Aon’s HR Division Worldwide CMO & ExCo Member• US Division - Discovery Holdings ExCo Member • Currently SVP Sales for Health E(fx)
Health E(fx) ACA Management Information System
• Cloud-based ACA management system • Developed over 3+ years by experienced regulatory software
engineers and Washington DC /ACA insiders• Continually
1) automates census data integration / validation
2) determines / manages employee Eligibility & Affordability
3) automates federal reporting and internal/external audit
4) provides management decision support through costs, plan
design and projections analytics• Supports division of labor between employer and / or its benefits
advisor
• Quantifies risks and liabilities associated with penalties and excise taxes for non-compliance
Health E(fx) ACA Management Information System
• Analytics to evaluate plan / demographic /risk-reward options for cost-reduction opportunities
• Integrated and proprietary alerting system to assure and complete and accurate data integration and validity for determining and managing employee eligibility based on wait, measurement and stability periods and affordability-based plan design and cost
• Facilitates employee grouping/parsing capability allowing for consolidation and disaggregation by numerous variables and parameters (i.e. hours, wages, age, sex, division, entity, groups,
• Manages state-by-state exceptions to federal ACA regulations• Automates all ACA compliance reporting, provides ad-hoc
reporting and archives audit tools for generating regulatory data and providing compliance support (i.e. SOX compliance)