PPACA brings numerous responsibilities and options to employers. Below is a summary of the PPACA provisions that apply to group health plans and whether the provision applies to self-funded plans.
Provisions Effective 2013 or Later
Provisions Effective 2010 - 2012
Note: For 2014 and 2015, the Patient Protection and Affordable Care Act (PPACA) considers a small group one that has up to 50 employees. (In most states, part-time employees count pro rata toward full-time equivalent employees using the same method as the play or pay requirement.) Beginning in 2016, for purposes of the insurance market requirements - but not the employer shared responsibility/play or pay requirement - a small group will be defined as up to 100 employees.
This update is brought to you by Schwartz Insurance Group of Louisville, Kentucky, a Partner Firm of United Benefit Advisors, the nation’s leading independent employee benefits advisory organization with more than 200 Partner offices in 45 states, Canada and the United Kingdom.
This information is general and is provided for educational purposes only. It reflects our understanding of the available guidance as of September 19, 2013 and is not intended to be comprehensive. It is not intended to provide legal advice. You should not act on this information without consulting legal counsel or other knowledgeable advisors.