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Health Care Reform Provision Timeline

2010

2011

2012

2013

2014

2015

2010

Dependent coverage for adult children extended up to age 26 for all individual and group policies.

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2010

Individual and group health plans prohibited from placing lifetime limits on the dollar value of coverage.

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2011

Tax credits provided to small businesses (less than 25 employees and average salary less than $50,000) that provide employees with health care coverage. Employer must pay at least 50 percent of the cost of coverage to qualify.

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2011

Employers with 250+ employees required to report value of employer-provided health coverage on W-2s.

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2011

Tax on early withdrawal from HSA (before age 65 for non-medical expenses) increased from 10 to 20 percent.

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2012

Start of yearly Medical Loss Ratio rebate distribution to enrollees in qualifying areas.

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2013

Employer deduction reduced for retiree prescription drug expenses by the amount of the excludable federal subsidy payment received for Part D prescription drug plans for retirees.

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2013

Health plans assessed a fee to fund Patient-Centered Outcome Research Program.

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2013

The Medicare Part A (hospital insurance) tax rate on wages increased from 1.45 to 2.35% on earnings over $200,000 for individual taxpayers and $250,000 for married couples filing jointly. A 3.8% assessment is issued on unearned income for higher-income taxpayers.

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2013

Flexible spending account contributions limited to $2,500 per year, and will increase annually by the cost of living adjustment.

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2013

Open enrollment for state and federal marketplaces begins in October. As of October 1, 2013, employers must provide notices to employees on the marketplaces.

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2014

Federal and state marketplaces launch in January. U.S. citizens and legal residents must have qualifying health coverage. Those who cannot demonstrate that they have coverage will be penalized equal to the greater of $95, or 1% of taxable income in 2014.

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2014

Employers with more than 200 employees required to automatically enroll employees into employer-offered health insurance plans. Employees can opt out of coverage.

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2014

Maximum waiting period for health coverage limited to 90 days.

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2014

Insured employer group health plans cannot discriminate in favor of highly compensated employees.

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2015

Employers with 100 or more full-time employees who do not offer coverage and have at least one full-time employee who receives a premium tax credit may be assessed a $2,000 fee per full-time employee. The first 30 employees are excluded from the assessment.

Employers with 100 or more full-time employees who offer coverage but have at least one full-time employee receiving a premium tax credit may pay the lesser of $3,000 for each employee receiving a premium credit, or $2,000 for each full-time employee. The first 30 employees are excluded from the assessment.

*Employers with 50-99 full-time employees will not face potential penalties until 2016.

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Breaking News

Delay in Employer Shared Responsibility Enforcement

On February 10, 2014, the U.S. Treasury Department announced a delay in enforcement of the Employer Shared Responsibility provisions for employers with 50-99 full-time employees until 2016.

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Health Care Reform Videos

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