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April benefits buzz newsletter
1.
DID YOU KNOW
On Feb. 25, 2013, the Department of Health and Human Services (HHS) released its Minimum Value (MV) Benefits and HR tips brought to you by Calculator. The MV Calculator permits an The Centennial Group employer to enter information about its health plan’s benefits, coverage of services and cost-sharing terms to determine whether the plan provides minimum value. According to HHS, the calculator is available for “informal external testing,” and users are encouraged to notify HHS of technical or operational issues. If necessary, the calculator will be revised based on feedback. Proposed Individual Mandate Rules State Plans for Health Insurance Exchanges On Jan. 30, 2013, the Internal Revenue Belong to one of the nine categories Feb. 15 marked the deadline for states to Service issued two proposed rules of individuals who are exempt from declare their intent to create a relating to the individual coverage the penalty partnership exchange with HHS. The mandate. The basics of these rules are following is the most recent list of state provided in the following paragraphs. To be eligible for the premium tax credit intentions regarding Exchanges. for purchasing health insurance through The penalty for not obtaining minimum an Exchange, a taxpayer: States with declared state-based essential health coverage will: exchanges: WA, OR, ID, NV, CA, UT, Must have household income for the CO, NM, MN, KY, NY, VT, MA, RI, CT, Be phased in over a three-year year between 100 and 400 percent MD, DC and HI period, starting at $95 per person, or of the federal poverty line up to 1 percent of income for 2014 May not be claimed as a tax States planning for partnership Be capped at the national average of dependent of another taxpayer exchanges: IA, IL, AR, MI, WV, DE and the annual bronze plan premium Must file a joint return, if married NH Be half as much for children, up to a Must enroll in one or more qualified family cap of three times the annual States defaulting to the federal health plans through an Exchange flat dollar amount per year exchange: MT, ND, WY, SD, NE, KS, Cannot be eligible for minimum AZ, AK, TX, OK, MO, LA, MS, AL, TN, Be assessed against an individual essential coverage GA, FL, SC, NC, VA, IN, WI, OH, PA, ME for any month in which he or she The Supreme Court addressed legal and NJ does not maintain acceptable coverage, beginning in 2014, unless challenges to the individual mandate last While Mississippi presented its plan for a an exemption applies June and upheld it as constitutional, state-based exchange, the plan was Possibly be subtracted from an meaning that the individual mandate will rejected, moving Mississippi to the list of individual’s tax refund go into effect in 2014 as planned. states defaulting to the federal exchange. Exemptions may exist for individuals who: Cannot obtain affordable coverage © 2013 Zywave, Inc. All rights reserved
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