spring 2014 user group meeting

Health Care Reform Review – HR Benefits

Spring 2014 User Group Meeting

Agenda

• ACA Timeline & Provision Overview

• Employer Shared Responsibility

• Tracking and Reporting

2 © Copyright 2013 ADP, Inc.

Disclaimer

This presentation is not:

Legal advice

Tax advice

The final word on Health Care Reform

A political opinion

3

ACA Timeline & Provision Overview

ACA Timeline for Employers

http://www.adp.com/healthcare

Employer Shared Responsibility

Base Benefit Plan Option - Affordability

26 © Copyright 2013 ADP, Inc. Proprietary and Confidential Information

Determining and Tracking ACA Benefit Status

Determining Full-Time Status – Look-Back Approach

If an employer chooses the Look-Back approach it will need to

establish the length of time for its:

- Measurement Period

- Administrative Period (if any – optional)

- Stability Period

Employers may vary Measurement Periods and Stability Periods for

different categories of employees:

- Union and Non-Union Employees (and employees under different CBAs)

- Salaried and Hourly Employees

- Employees located in different states

Measurement Period

Administrative Period

Stability Period

© Copyright 2013 ADP, Inc. Proprietary

Measurement Periods

New Employees Ongoing Employees

Measurement Period Initial Measurement >= 3 and <= 12 months From start date, or 1st of month after start

“Standard” Measurement >= 3 months and <= 12 months

Administrative Period Up to 90 days between measurement and coverage – to determine, notify & allow for enrollment For new hires, measurement + admin period cannot extend beyond end of 13th month after hire date anniversary

Stability/Coverage

At least 6 months and no shorter than measurement period. Stability period length must be same for new & ongoing EEs

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Look Back Period Example


Capturing Hours for ACA Benefit Status Tracking


Generate ACA Worksheet in PR

(to determine the ACA Benefit Status)

Import into HR & Benefits

(ACA Benefit Status Fields)

Run PIT Employee Report in HRB

(To determine whose status has changed)

Change Corporate Groups

(Update Employee Class)

Reporting in ADP


Report Type/Name

Pending Development -

Health Care Reform - ACA Applicable Large Employer (ALE) Worksheet

Pay eXpert / WFN Health Care Reform – ACA Benefit Status Worksheet

ACA Worksheet


© Copyright 2013 ADP, Inc. Proprietary and Confidential Information

34

Benefit Status Worksheet

Importing in HRB ACA Benefit Status Fields


The Employee Data will aid in populating the WORK Tab ACA

fields

The Work Event will aid in triggering Work Events for those whose status has changed due

to ACA

Locating the ACA Benefit Fields

WFN 2.0/2.1

WFN 5


Changing Benefit Class


Benefit Trends

Wellness / Disease Management Trends

To aid in the rising cost of healthcare there continues to be an upward trend in offering Wellness and Disease Management incentives:

Services include:

• Health and lifestyle coaching

• Onsite fitness classes or club membership discounts

• Onsite Flu vaccines or vouchers

• Wellness Magazines

• Health Screening programs / Health Risk Assessments

.


Building Wellness Plans


Provisions in Place and Supported by Product

- All Delivered Prior to Effective Date

ACA Provision Effective Benefits Module

Payroll Module

Time Module

Grandfathered Health Plans 3/23/2010 X

Primary Care Physician 9/23/2010 X

Overage Dependent Coverage to Age 26 9/23/2010 X

Simple Cafeteria Plan w/ Highly Compensated Employee indicator 1/1/2011 X

Medical Loss Ratio (MLR) Report 1/1/2012 X

Patient Centered Outcome Research Fees Report 9/23/2012 X

Summary of Benefits and Coverage (SBC) 9/23/2012 X

Group Health Care Costs W-2 – Starts w/ 2012 W-2s delivered in 2013 12/31/2012 X X

Electronic Transaction Standards (supported via connections)

Eligibility & Claims 1/1/2013 X

Enrollment, Premium Payments 1/1/2015 X

FSA Annual Limit $2,500 1/1/2013 X

Medicare Tax on Wage & Unearned Income 1/1/2013 X

Waiting Periods - 90 day limit 1/1/2014 X

Shared Responsibility - Play or Pay Report 1/1/2014 X

Full Shared Responsibility – Delivered in Summer 2013 1/1/2014 X X X

Resources

Resources


•Subscribe to Eye on Washington email alerts

• ADP.com > Insights & Resources > Health Care Reform

•Support Center / HR Community – Release information

spring 2014 user group meeting

Documents