SlideShare uma empresa Scribd logo
1 de 49
Navigating the Pillars of
the Affordable Care Act
2
50
Employers with at least 50 full-time employees will be
required to pay a penalty if they fail to offer minimum
essential coverage & a full-time employee obtains
subsidized coverage from an exchange
60
Employers may be subject to a penalty if it decides to
play because the coverage offered is either “unaffordable”
or the plan is not designed to pay at least 60% of
participants’ covered medical expenses
90 Employers have only 90 days to offer eligible employees
health care benefits
What Do These Numbers Represent?
3
Three Things You Will Remember
! WHY IT’S IMPORTANT TO YOU
+ HOW ADP CAN HELP
? WHAT IS THE BUSINESS ISSUE?
WHAT IS THE BUSINESS ISSUE??
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.4
eligibility risk
Schedule and
manage hours of
service to
minimize
WORKFORCE PLANNING
ACA liability
HOW ADP
CAN HELP+
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.5
Reports are provided for illustration purposes and are subject to change
Use the hours summary
reports on a weekly and
annual basis to
determine whether
schedule adjustments
should be made for
employees
Workforce Planning
HOW ADP
CAN HELP+
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.6
Seamless integration of Time &
Attendance with Payroll and HR
allows access to a list of ACA
eligible employees for improved
scheduling and ACA benefits
cost control
Workforce Planning
Automated scheduling makes it
easy to identify when employees
are approaching the ACA benefits
threshold and adjust the schedule
WHY IT’S
IMPORTANT!
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.7
Empowers you to be proactive
in controlling benefit eligibility
Minimizes your ACA liability
Aids in aligning labor with demand
to reduce costs without compromising
customer satisfaction
Workforce Planning
WHAT IS THE BUSINESS ISSUE?
ELIGIBILITY
Accurately determine
employee eligibility &
assessment
?
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.8
method(s)
PART-TIME
FULL-TIME
9
Ability to categorize workforce
and establish measurement/look-
back periods to meet your
business requirement
Provides automation of
measurement periods. This
includes
Standard, Administrative, &
Stability periods for multiple
Employee categories
HOW ADP
CAN HELP+Eligibility Tools
10
Ability to pull total hours for
each employee to use in the
determination of full time
equivalency qualification
for ACA
Provides ACA Benefit Status
with the option to “Change”
if they are not confident in
their calculations
HOW ADP
CAN HELP+Eligibility Tools
Provides ACA Benefit Status with
the option to “Change” if they are
not confident in their calculations.
11
HOW ADP
CAN HELP+Eligibility Tools
Eligibility Report provides an
easy way to look at employee
base as a whole and identify
who has reached eligibility
requirements
WHY IT’S
IMPORTANT!
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.12
Enables fair and consistent
measurement/look-back periods for
all employees
Minimize costs without
compromising productivity and service
Helps you comply with government
requirements & regulations
Eligibility
PART-TIME
FULL-TIME
WHAT IS THE BUSINESS ISSUE?
AFFORDABILITY
Select affordability
assessment method;
Employee premium
?
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.13
of Box 1 W-2 earnings
not to exceed
%
9.5
14
HOW ADP
CAN HELP+Affordability Tools
Provide tools for the
practitioner to conduct
analysis of employees
purchasing employee only
coverage compared to 9 ½%
of earnings
HOW ADP
CAN HELP+
Affordability – Health Insurance
Costs for the W-2
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.15 © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.
ADP gives the ability to
determine which benefit plans
should be included in the Group
Health Insurance Costs
calculation for the W-2
16
HOW ADP
CAN HELP+Affordability Tools
Assist with identifying
plans that are minimum
essential coverage (60%+
of actuarial value)
WHY IT’S
IMPORTANT!
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.17
Mitigates risk related to cost of
benefits and employee burden levels
Aids in evaluating affordability and
minimizes potential penalties to employer
Reduces administration burden in
determining wage levels
Affordability
%
9.5
WHAT IS THE BUSINESS ISSUE?
ENROLLMENT
Manage end-to-end
enrollment of eligible
employees
“Play or Pay”
?
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.18
Allows employees to opt
out of medical plan with
required reason to ensure
employer has appropriate
tracking and auditing tools
19
HOW ADP
CAN HELP+Enrollment Tools
20
HOW ADP
CAN HELP+Enrollment Tools
Provides tools to assist with
the annual reconciliation of
the penalty bill against
benefits and W-2 data,
enabling client to request
W-2 corrections or initiate
penalty appeals process
Comprehensive
report with
employees’ plan
enrollment details.
HOW ADP
CAN HELP+Enrollment Tools
21
Comprehensive report
with employee and
dependent plan
enrollments; including
auditing data like age
limit and overage
dependent details
Provides proactive report to
show employee enrollment
status ensuring Employers
take action during their
Administrative period.
22
HOW ADP
CAN HELP+Enrollment Tools
WHY IT’S
IMPORTANT!
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.23
Empowers employees with ability
to select appropriate plans for lifestyle
Communicates to employer why
employee has opted out of benefits
Helps mitigate potential penalties
to the employer
Enrollment
WHAT IS THE BUSINESS ISSUE?
AUDITING & REPORTING
Standard compliance
reports for the
Affordable Care Act
?
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.24
HOW ADP
CAN HELP+Standard Compliance Reports
25
Group Health Insurance
Costs reporting is available
to generate and review the
costs associated with each
employee by benefit plan
HOW ADP
CAN HELP+
Manage end-to-end
enrollment of
eligible employees
with comprehensive
enrollment details
on employees &
dependents
Play or Pay Preparation Report
26
HOW ADP
CAN HELP+
ADP provides Practitioners with
self administered plans the means
to calculate the research fee
Patient –Centered Outcomes
Research Fee Report
27
Patient-Centered Outcomes
Research Fee report provides
the detailed information on
fees owed by each benefit plan
provider towards the Patient-
Centered Outcomes Research
WHY IT’S
IMPORTANT!Auditing & Reporting
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.28
Aids ACA compliance efforts to
government agencies
Improves accuracy and reduces
risk of penalties
Reduces administrative burden
of ACA auditing and reporting
29
Of the Affordable Care Act
ADDITIONAL PROVISIONS
Source: Mercer Select Health Care Reform Briefing, October 27, 2011
WHAT IS THE BUSINESS ISSUE?
DEPENDENT COVERAGE
Employers must expand
coverage for qualifying
dependent children
up to age 26
?
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.30
Ability to configure ADP platform to
apply age rules where applicable
Provide open and life event
enrollment tools to allow dependent
children up to age 26 access to health
and welfare plans
Provide benefit plan setup template to
track dependent age requirements
HOW ADP
CAN HELP+Dependent Coverage
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.31
Reduces costs associated with
ineligible plan participants
Reduces premium overpayments
Helps ensure compliance with
coverage regulations
WHY IT’S
IMPORTANT!Dependent Coverage
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.32
WHAT IS THE BUSINESS ISSUE?
Insurers and self-insured group
health plans must provide
SBCs for annual enrollments
beginning on or after
9/23/12
+BENEFITS
?
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.33
SUMMARY OF BENEFITS AND
COVERAGE (SBC)
ADP supports delivery of SBC
electronically as well as obtaining
acknowledgement from employees;
client can also print hard copy
HOW ADP
CAN HELP+
Summary of Benefits and
Coverage (SBC)
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.34
WHY IT’S
IMPORTANT!
Aids compliance with SBC
requirements
Reduces administrative burden of
communicating SBCs to employees
Empowers employees with
access to coverage-related information
+BENEFITS
Summary of Benefits and
Coverage (SBC)
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.35
WHAT IS THE BUSINESS ISSUE?
FSA ANNUAL LIMIT
maximum
Ability to determine the
amount an employee
can contribute to FSA
?
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.36
HOW ADP
CAN HELP+
Provide one- stop shop for all
ADP Healthcare spending
accounts for 2013 open
enrollment
(FSA, HSA, HRA), including
single debit card and mobile
access
FSA Annual Limit
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.37
WHY IT’S
IMPORTANT!
Aids compliance with
FSA requirements
Reduces administrative burden
of communicating FSA limits
to employees
Boosts employee engagement by
improving communication
MAXIMUM
FSA Annual Limit
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.38
WHAT IS THE BUSINESS ISSUE?
Ability to be notified
of new statutory
regulations
?
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.39
MEDICARE TAX ON
WAGES AND UNEARNED INCOME
HOW ADP
CAN HELP+
Medicare Tax on Wages and
Unearned Income
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.40
ADP allows practitioners to generate a
report in order to conduct analysis of
payroll & deductions for
high-income employees who may meet
criteria for the new taxes
Calculates the new Medicare tax for
appropriate employees
WHY IT’S
IMPORTANT!
Increases employee satisfaction
with highly compensated/executive
associates on planning their taxes
Improves accuracy and reduces
risk of penalties
Medicare Tax on Wages and
Unearned Income
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.41
WHAT IS THE BUSINESS ISSUE?
Ability to
load notice
describing availability
of marketplace/exchange
coverage
?
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.42
EMPLOYEE NOTICE OF
MARKETPLACE/EXCHANGE
ADP supports delivery of Notice
of Marketplace/Exchange
electronically as well
as obtaining acknowledgement from
employee; client can also print
hard copy
HOW ADP
CAN HELP+
Employee Notice of Marketplace/
Exchange
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.43
WHY IT’S
IMPORTANT!
Aids compliance with
marketplace/exchange notice
requirements
Reduces administrative burden
of communicating
marketplace/exchange option
to employees
Employee Notice of Marketplace/
Exchange
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.44
WHAT IS THE BUSINESS ISSUE?
WAITING PERIODS
Ability to define when
an employee is
eligible to enroll in
employer group health plans
Date of Hire
First of the Month
following Hire Date
X number of Days
following Date of Hire
?
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.45
Provide new hire reports (up to 90
days) to validate employment status
& change triggers to ensure
appropriate benefits enrollment
HOW ADP
CAN HELP+Waiting Periods
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.46
WHY IT’S
IMPORTANT!
Helps mitigate excessive costs
based on employment status
Aids compliance with FLSA rules
Date of Hire
First of the Month
following Hire Date
X number of Days
following Date of Hire
Waiting Periods
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.47
48
ADP
Time and Labor
Management
ADP
Reporting and
Reconciliation
ADP
Payroll
ADP
Benefits
• Report on Hours of Service
including Projected Scheduled
Hours
• View & Adjust Work Schedules
• Ability to Set Threshold
Notification for Total Hours of
Service (January 2014)
• Full – Time Status Reporting
• Auto-enrollment Required in 2015
• Enrollment of Eligible Employees
• Coverage Termination
• W-2 Affordability Calculation
• Data to/from Exchanges
• Reporting to Federal Government
• Reconcile Penalties Levied for
Exchange Participation
• Deductions and Other Earnings
• W-2 Earnings
• System of Record for Hours
of Service
• Look Back Approach
Workforce
Planning
Eligibility
&
Enrollment
Reporting/
Penalties
Affordability
EMPLOYERS Need an Integrated Approach
to Manage the ACA
Why ADP . . .
Our goal is to minimize your administrative
burden across the entire spectrum of payroll,
tax, HR and benefits, so that you can focus on
running your business.
“
#ADPHCM "We're proud of our payroll
heritage" but #ADP is much more than payroll
today -- global HCM leader in the cloud.
NAOMI BLOOM, HCM INDUSTRY ANALYST
IN FULL BLOOM
“
With RSM McGladrey and ADP managing our
most sensitive business information, I come
away each day with a sense of confidence
and internal control because
I am managing the business, not the tasks.
MIKE NICHOLAS, CHIEF FINANCIAL OFFICER
RSM MCGLADREY
“
“Committed to assisting businesses with
increased compliance requirements resulting
from rapidly evolving legislation.
© Copyright 2012 ADP, Inc. Proprietary and Confidential Information.
Marketplace Buzz
49

Mais conteúdo relacionado

Mais procurados

Healthcare Reform Compliance Strategy
Healthcare Reform Compliance StrategyHealthcare Reform Compliance Strategy
Healthcare Reform Compliance StrategyO'Connor Davies CPAs
 
Chapter 13 dessler 12-ce_ppt_ch13
Chapter 13   dessler 12-ce_ppt_ch13Chapter 13   dessler 12-ce_ppt_ch13
Chapter 13 dessler 12-ce_ppt_ch13Irshad Aj
 
The Impact of Health Care Reform on Large Businesses
The Impact of Health Care Reform on Large BusinessesThe Impact of Health Care Reform on Large Businesses
The Impact of Health Care Reform on Large BusinessesFraser Trebilcock Lawyers
 
Plan-Smart Dependent Verification Services
Plan-Smart Dependent Verification ServicesPlan-Smart Dependent Verification Services
Plan-Smart Dependent Verification ServicesMona Sepulveda, MBA
 
HR Webinar: HR Professional’s Role in Managing Leave of Absence
HR Webinar: HR Professional’s Role in Managing Leave of AbsenceHR Webinar: HR Professional’s Role in Managing Leave of Absence
HR Webinar: HR Professional’s Role in Managing Leave of AbsenceAscentis
 
Week 8 aa_benefits_assignment_template
Week 8 aa_benefits_assignment_templateWeek 8 aa_benefits_assignment_template
Week 8 aa_benefits_assignment_templateDennisSimiyu9
 
Health care-reform-webinar
Health care-reform-webinarHealth care-reform-webinar
Health care-reform-webinartotalhr
 
IBS Power Point Group Benefit Presentation 2010
IBS Power Point Group Benefit Presentation 2010IBS Power Point Group Benefit Presentation 2010
IBS Power Point Group Benefit Presentation 2010jwalker56
 
Ch12 employee benefits
Ch12 employee benefitsCh12 employee benefits
Ch12 employee benefitsSelf employed
 
Alternative Healthcare Consumer Presentation 022509 Vs Edit (Showview)
Alternative Healthcare Consumer Presentation 022509 Vs Edit (Showview)Alternative Healthcare Consumer Presentation 022509 Vs Edit (Showview)
Alternative Healthcare Consumer Presentation 022509 Vs Edit (Showview)islesfan
 
Week 8 ab_employment_lawhandbook(2)
Week 8 ab_employment_lawhandbook(2)Week 8 ab_employment_lawhandbook(2)
Week 8 ab_employment_lawhandbook(2)DennisSimiyu9
 
Week 8 ac_shrm_how_todesign(2)
Week 8 ac_shrm_how_todesign(2)Week 8 ac_shrm_how_todesign(2)
Week 8 ac_shrm_how_todesign(2)DennisSimiyu9
 
Aon: A Health Care Reform Update
Aon: A Health Care Reform UpdateAon: A Health Care Reform Update
Aon: A Health Care Reform UpdateAlphaStaff
 
J008383 (4881) Employee absence report new v3
J008383 (4881) Employee absence report new v3J008383 (4881) Employee absence report new v3
J008383 (4881) Employee absence report new v3Rosie Hewitt
 
Global Compliance Across the ADP Portfolio
Global Compliance Across the ADP PortfolioGlobal Compliance Across the ADP Portfolio
Global Compliance Across the ADP PortfolioADP, LLC
 
Bsa switched on publication december 2012
Bsa switched on publication december 2012Bsa switched on publication december 2012
Bsa switched on publication december 2012Johnathon Wire
 
Insperity Service Platform
Insperity Service PlatformInsperity Service Platform
Insperity Service Platformbgilman
 

Mais procurados (20)

Healthcare Reform Compliance Strategy
Healthcare Reform Compliance StrategyHealthcare Reform Compliance Strategy
Healthcare Reform Compliance Strategy
 
Chapter 13 dessler 12-ce_ppt_ch13
Chapter 13   dessler 12-ce_ppt_ch13Chapter 13   dessler 12-ce_ppt_ch13
Chapter 13 dessler 12-ce_ppt_ch13
 
Meeting The ACA Employer Mandate (v2)
Meeting The ACA Employer Mandate (v2)Meeting The ACA Employer Mandate (v2)
Meeting The ACA Employer Mandate (v2)
 
The Impact of Health Care Reform on Large Businesses
The Impact of Health Care Reform on Large BusinessesThe Impact of Health Care Reform on Large Businesses
The Impact of Health Care Reform on Large Businesses
 
Obama care 2013 updated 3 7-13
Obama care 2013 updated 3 7-13Obama care 2013 updated 3 7-13
Obama care 2013 updated 3 7-13
 
Plan-Smart Dependent Verification Services
Plan-Smart Dependent Verification ServicesPlan-Smart Dependent Verification Services
Plan-Smart Dependent Verification Services
 
HR Webinar: HR Professional’s Role in Managing Leave of Absence
HR Webinar: HR Professional’s Role in Managing Leave of AbsenceHR Webinar: HR Professional’s Role in Managing Leave of Absence
HR Webinar: HR Professional’s Role in Managing Leave of Absence
 
Week 8 aa_benefits_assignment_template
Week 8 aa_benefits_assignment_templateWeek 8 aa_benefits_assignment_template
Week 8 aa_benefits_assignment_template
 
Health care-reform-webinar
Health care-reform-webinarHealth care-reform-webinar
Health care-reform-webinar
 
IBS Power Point Group Benefit Presentation 2010
IBS Power Point Group Benefit Presentation 2010IBS Power Point Group Benefit Presentation 2010
IBS Power Point Group Benefit Presentation 2010
 
Ch12 employee benefits
Ch12 employee benefitsCh12 employee benefits
Ch12 employee benefits
 
Alternative Healthcare Consumer Presentation 022509 Vs Edit (Showview)
Alternative Healthcare Consumer Presentation 022509 Vs Edit (Showview)Alternative Healthcare Consumer Presentation 022509 Vs Edit (Showview)
Alternative Healthcare Consumer Presentation 022509 Vs Edit (Showview)
 
Week 8 ab_employment_lawhandbook(2)
Week 8 ab_employment_lawhandbook(2)Week 8 ab_employment_lawhandbook(2)
Week 8 ab_employment_lawhandbook(2)
 
Week 8 ac_shrm_how_todesign(2)
Week 8 ac_shrm_how_todesign(2)Week 8 ac_shrm_how_todesign(2)
Week 8 ac_shrm_how_todesign(2)
 
Aon: A Health Care Reform Update
Aon: A Health Care Reform UpdateAon: A Health Care Reform Update
Aon: A Health Care Reform Update
 
J008383 (4881) Employee absence report new v3
J008383 (4881) Employee absence report new v3J008383 (4881) Employee absence report new v3
J008383 (4881) Employee absence report new v3
 
Global Compliance Across the ADP Portfolio
Global Compliance Across the ADP PortfolioGlobal Compliance Across the ADP Portfolio
Global Compliance Across the ADP Portfolio
 
Hr terminology 2
Hr terminology 2Hr terminology 2
Hr terminology 2
 
Bsa switched on publication december 2012
Bsa switched on publication december 2012Bsa switched on publication december 2012
Bsa switched on publication december 2012
 
Insperity Service Platform
Insperity Service PlatformInsperity Service Platform
Insperity Service Platform
 

Semelhante a Navigating the Pillars of the ACA - How ADP Can Help

ADP Benefits Services Brochure
ADP Benefits Services BrochureADP Benefits Services Brochure
ADP Benefits Services BrochureIan Malster
 
Can You Afford The Status Quo
Can You Afford The Status QuoCan You Afford The Status Quo
Can You Afford The Status QuoAdam Peros
 
How to Launch a Successful ADA Accommodations Program for Optimal Employee Re...
How to Launch a Successful ADA Accommodations Program for Optimal Employee Re...How to Launch a Successful ADA Accommodations Program for Optimal Employee Re...
How to Launch a Successful ADA Accommodations Program for Optimal Employee Re...Aggregage
 
ADP - Payroll Outsourcing Benefits
ADP - Payroll Outsourcing BenefitsADP - Payroll Outsourcing Benefits
ADP - Payroll Outsourcing BenefitsADP India
 
TeamPay Benefits
TeamPay BenefitsTeamPay Benefits
TeamPay BenefitsAdam Peros
 
An HR Solution for the Modern Agile Business
An HR Solution for the Modern Agile BusinessAn HR Solution for the Modern Agile Business
An HR Solution for the Modern Agile BusinessADP, LLC
 
Benergy financial services
Benergy financial servicesBenergy financial services
Benergy financial servicesgensoftpro
 
Reports -affordable_care_act_standard_reports_for_midsized_businesses_-_jun_...
Reports  -affordable_care_act_standard_reports_for_midsized_businesses_-_jun_...Reports  -affordable_care_act_standard_reports_for_midsized_businesses_-_jun_...
Reports -affordable_care_act_standard_reports_for_midsized_businesses_-_jun_...Aaron Bell
 
Should You Consider a Defined Contribution Model?
Should You Consider a Defined Contribution Model?Should You Consider a Defined Contribution Model?
Should You Consider a Defined Contribution Model?CBIZ, Inc.
 
Attracting staff benefits and compensation
Attracting staff   benefits and compensationAttracting staff   benefits and compensation
Attracting staff benefits and compensationCG Hylton Inc.
 
ADP Human Capital Insights Magazine - Volume 2
ADP Human Capital Insights Magazine - Volume 2ADP Human Capital Insights Magazine - Volume 2
ADP Human Capital Insights Magazine - Volume 2Mark Schmitt
 
ADP CARES Act Presentation for Accountants
ADP CARES Act Presentation for AccountantsADP CARES Act Presentation for Accountants
ADP CARES Act Presentation for AccountantsTom Byrne
 
MKT11-CapabilitiesBrochure-092012
MKT11-CapabilitiesBrochure-092012MKT11-CapabilitiesBrochure-092012
MKT11-CapabilitiesBrochure-092012Rebecca Cadle
 
Adp wfn 4 0 broker presentation dm
Adp wfn 4  0 broker presentation   dmAdp wfn 4  0 broker presentation   dm
Adp wfn 4 0 broker presentation dmCarrie O'Donnell
 
Sample Business Analysis and Benchmark Report
Sample Business Analysis and Benchmark Report Sample Business Analysis and Benchmark Report
Sample Business Analysis and Benchmark Report Dalton Shahan
 
How a PEO helps your business grow
How a PEO helps your business growHow a PEO helps your business grow
How a PEO helps your business growEmployers Resource
 
U S Supreme Court Upholds The Affordable Care Act1
U S  Supreme Court Upholds The Affordable Care Act1U S  Supreme Court Upholds The Affordable Care Act1
U S Supreme Court Upholds The Affordable Care Act1charles_3us
 
Compensation And Benefits In Hrm PowerPoint Presentation Slides
Compensation And Benefits In Hrm PowerPoint Presentation SlidesCompensation And Benefits In Hrm PowerPoint Presentation Slides
Compensation And Benefits In Hrm PowerPoint Presentation SlidesSlideTeam
 

Semelhante a Navigating the Pillars of the ACA - How ADP Can Help (20)

ADP Benefits Services Brochure
ADP Benefits Services BrochureADP Benefits Services Brochure
ADP Benefits Services Brochure
 
Who is Aliat?
Who is Aliat?Who is Aliat?
Who is Aliat?
 
Can You Afford The Status Quo
Can You Afford The Status QuoCan You Afford The Status Quo
Can You Afford The Status Quo
 
How to Launch a Successful ADA Accommodations Program for Optimal Employee Re...
How to Launch a Successful ADA Accommodations Program for Optimal Employee Re...How to Launch a Successful ADA Accommodations Program for Optimal Employee Re...
How to Launch a Successful ADA Accommodations Program for Optimal Employee Re...
 
ADP - Payroll Outsourcing Benefits
ADP - Payroll Outsourcing BenefitsADP - Payroll Outsourcing Benefits
ADP - Payroll Outsourcing Benefits
 
TeamPay Benefits
TeamPay BenefitsTeamPay Benefits
TeamPay Benefits
 
An HR Solution for the Modern Agile Business
An HR Solution for the Modern Agile BusinessAn HR Solution for the Modern Agile Business
An HR Solution for the Modern Agile Business
 
Benergy financial services
Benergy financial servicesBenergy financial services
Benergy financial services
 
Reports -affordable_care_act_standard_reports_for_midsized_businesses_-_jun_...
Reports  -affordable_care_act_standard_reports_for_midsized_businesses_-_jun_...Reports  -affordable_care_act_standard_reports_for_midsized_businesses_-_jun_...
Reports -affordable_care_act_standard_reports_for_midsized_businesses_-_jun_...
 
Should You Consider a Defined Contribution Model?
Should You Consider a Defined Contribution Model?Should You Consider a Defined Contribution Model?
Should You Consider a Defined Contribution Model?
 
Attracting staff benefits and compensation
Attracting staff   benefits and compensationAttracting staff   benefits and compensation
Attracting staff benefits and compensation
 
ADP Human Capital Insights Magazine - Volume 2
ADP Human Capital Insights Magazine - Volume 2ADP Human Capital Insights Magazine - Volume 2
ADP Human Capital Insights Magazine - Volume 2
 
ADP CARES Act Presentation for Accountants
ADP CARES Act Presentation for AccountantsADP CARES Act Presentation for Accountants
ADP CARES Act Presentation for Accountants
 
MKT11-CapabilitiesBrochure-092012
MKT11-CapabilitiesBrochure-092012MKT11-CapabilitiesBrochure-092012
MKT11-CapabilitiesBrochure-092012
 
TotalSource
TotalSourceTotalSource
TotalSource
 
Adp wfn 4 0 broker presentation dm
Adp wfn 4  0 broker presentation   dmAdp wfn 4  0 broker presentation   dm
Adp wfn 4 0 broker presentation dm
 
Sample Business Analysis and Benchmark Report
Sample Business Analysis and Benchmark Report Sample Business Analysis and Benchmark Report
Sample Business Analysis and Benchmark Report
 
How a PEO helps your business grow
How a PEO helps your business growHow a PEO helps your business grow
How a PEO helps your business grow
 
U S Supreme Court Upholds The Affordable Care Act1
U S  Supreme Court Upholds The Affordable Care Act1U S  Supreme Court Upholds The Affordable Care Act1
U S Supreme Court Upholds The Affordable Care Act1
 
Compensation And Benefits In Hrm PowerPoint Presentation Slides
Compensation And Benefits In Hrm PowerPoint Presentation SlidesCompensation And Benefits In Hrm PowerPoint Presentation Slides
Compensation And Benefits In Hrm PowerPoint Presentation Slides
 

Último

Global Scenario On Sustainable and Resilient Coconut Industry by Dr. Jelfina...
Global Scenario On Sustainable  and Resilient Coconut Industry by Dr. Jelfina...Global Scenario On Sustainable  and Resilient Coconut Industry by Dr. Jelfina...
Global Scenario On Sustainable and Resilient Coconut Industry by Dr. Jelfina...ictsugar
 
2024 Numerator Consumer Study of Cannabis Usage
2024 Numerator Consumer Study of Cannabis Usage2024 Numerator Consumer Study of Cannabis Usage
2024 Numerator Consumer Study of Cannabis UsageNeil Kimberley
 
Flow Your Strategy at Flight Levels Day 2024
Flow Your Strategy at Flight Levels Day 2024Flow Your Strategy at Flight Levels Day 2024
Flow Your Strategy at Flight Levels Day 2024Kirill Klimov
 
Kenya’s Coconut Value Chain by Gatsby Africa
Kenya’s Coconut Value Chain by Gatsby AfricaKenya’s Coconut Value Chain by Gatsby Africa
Kenya’s Coconut Value Chain by Gatsby Africaictsugar
 
International Business Environments and Operations 16th Global Edition test b...
International Business Environments and Operations 16th Global Edition test b...International Business Environments and Operations 16th Global Edition test b...
International Business Environments and Operations 16th Global Edition test b...ssuserf63bd7
 
Cybersecurity Awareness Training Presentation v2024.03
Cybersecurity Awareness Training Presentation v2024.03Cybersecurity Awareness Training Presentation v2024.03
Cybersecurity Awareness Training Presentation v2024.03DallasHaselhorst
 
Intro to BCG's Carbon Emissions Benchmark_vF.pdf
Intro to BCG's Carbon Emissions Benchmark_vF.pdfIntro to BCG's Carbon Emissions Benchmark_vF.pdf
Intro to BCG's Carbon Emissions Benchmark_vF.pdfpollardmorgan
 
Organizational Structure Running A Successful Business
Organizational Structure Running A Successful BusinessOrganizational Structure Running A Successful Business
Organizational Structure Running A Successful BusinessSeta Wicaksana
 
Ms Motilal Padampat Sugar Mills vs. State of Uttar Pradesh & Ors. - A Milesto...
Ms Motilal Padampat Sugar Mills vs. State of Uttar Pradesh & Ors. - A Milesto...Ms Motilal Padampat Sugar Mills vs. State of Uttar Pradesh & Ors. - A Milesto...
Ms Motilal Padampat Sugar Mills vs. State of Uttar Pradesh & Ors. - A Milesto...ShrutiBose4
 
NewBase 19 April 2024 Energy News issue - 1717 by Khaled Al Awadi.pdf
NewBase  19 April  2024  Energy News issue - 1717 by Khaled Al Awadi.pdfNewBase  19 April  2024  Energy News issue - 1717 by Khaled Al Awadi.pdf
NewBase 19 April 2024 Energy News issue - 1717 by Khaled Al Awadi.pdfKhaled Al Awadi
 
(Best) ENJOY Call Girls in Faridabad Ex | 8377087607
(Best) ENJOY Call Girls in Faridabad Ex | 8377087607(Best) ENJOY Call Girls in Faridabad Ex | 8377087607
(Best) ENJOY Call Girls in Faridabad Ex | 8377087607dollysharma2066
 
Ten Organizational Design Models to align structure and operations to busines...
Ten Organizational Design Models to align structure and operations to busines...Ten Organizational Design Models to align structure and operations to busines...
Ten Organizational Design Models to align structure and operations to busines...Seta Wicaksana
 
Call Girls in DELHI Cantt, ( Call Me )-8377877756-Female Escort- In Delhi / Ncr
Call Girls in DELHI Cantt, ( Call Me )-8377877756-Female Escort- In Delhi / NcrCall Girls in DELHI Cantt, ( Call Me )-8377877756-Female Escort- In Delhi / Ncr
Call Girls in DELHI Cantt, ( Call Me )-8377877756-Female Escort- In Delhi / Ncrdollysharma2066
 
8447779800, Low rate Call girls in Tughlakabad Delhi NCR
8447779800, Low rate Call girls in Tughlakabad Delhi NCR8447779800, Low rate Call girls in Tughlakabad Delhi NCR
8447779800, Low rate Call girls in Tughlakabad Delhi NCRashishs7044
 
8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR
8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR
8447779800, Low rate Call girls in Shivaji Enclave Delhi NCRashishs7044
 
Investment in The Coconut Industry by Nancy Cheruiyot
Investment in The Coconut Industry by Nancy CheruiyotInvestment in The Coconut Industry by Nancy Cheruiyot
Investment in The Coconut Industry by Nancy Cheruiyotictsugar
 
Contemporary Economic Issues Facing the Filipino Entrepreneur (1).pptx
Contemporary Economic Issues Facing the Filipino Entrepreneur (1).pptxContemporary Economic Issues Facing the Filipino Entrepreneur (1).pptx
Contemporary Economic Issues Facing the Filipino Entrepreneur (1).pptxMarkAnthonyAurellano
 
Islamabad Escorts | Call 03070433345 | Escort Service in Islamabad
Islamabad Escorts | Call 03070433345 | Escort Service in IslamabadIslamabad Escorts | Call 03070433345 | Escort Service in Islamabad
Islamabad Escorts | Call 03070433345 | Escort Service in IslamabadAyesha Khan
 
Market Sizes Sample Report - 2024 Edition
Market Sizes Sample Report - 2024 EditionMarket Sizes Sample Report - 2024 Edition
Market Sizes Sample Report - 2024 EditionMintel Group
 

Último (20)

Global Scenario On Sustainable and Resilient Coconut Industry by Dr. Jelfina...
Global Scenario On Sustainable  and Resilient Coconut Industry by Dr. Jelfina...Global Scenario On Sustainable  and Resilient Coconut Industry by Dr. Jelfina...
Global Scenario On Sustainable and Resilient Coconut Industry by Dr. Jelfina...
 
2024 Numerator Consumer Study of Cannabis Usage
2024 Numerator Consumer Study of Cannabis Usage2024 Numerator Consumer Study of Cannabis Usage
2024 Numerator Consumer Study of Cannabis Usage
 
Flow Your Strategy at Flight Levels Day 2024
Flow Your Strategy at Flight Levels Day 2024Flow Your Strategy at Flight Levels Day 2024
Flow Your Strategy at Flight Levels Day 2024
 
Kenya’s Coconut Value Chain by Gatsby Africa
Kenya’s Coconut Value Chain by Gatsby AfricaKenya’s Coconut Value Chain by Gatsby Africa
Kenya’s Coconut Value Chain by Gatsby Africa
 
International Business Environments and Operations 16th Global Edition test b...
International Business Environments and Operations 16th Global Edition test b...International Business Environments and Operations 16th Global Edition test b...
International Business Environments and Operations 16th Global Edition test b...
 
Cybersecurity Awareness Training Presentation v2024.03
Cybersecurity Awareness Training Presentation v2024.03Cybersecurity Awareness Training Presentation v2024.03
Cybersecurity Awareness Training Presentation v2024.03
 
Intro to BCG's Carbon Emissions Benchmark_vF.pdf
Intro to BCG's Carbon Emissions Benchmark_vF.pdfIntro to BCG's Carbon Emissions Benchmark_vF.pdf
Intro to BCG's Carbon Emissions Benchmark_vF.pdf
 
Organizational Structure Running A Successful Business
Organizational Structure Running A Successful BusinessOrganizational Structure Running A Successful Business
Organizational Structure Running A Successful Business
 
Ms Motilal Padampat Sugar Mills vs. State of Uttar Pradesh & Ors. - A Milesto...
Ms Motilal Padampat Sugar Mills vs. State of Uttar Pradesh & Ors. - A Milesto...Ms Motilal Padampat Sugar Mills vs. State of Uttar Pradesh & Ors. - A Milesto...
Ms Motilal Padampat Sugar Mills vs. State of Uttar Pradesh & Ors. - A Milesto...
 
NewBase 19 April 2024 Energy News issue - 1717 by Khaled Al Awadi.pdf
NewBase  19 April  2024  Energy News issue - 1717 by Khaled Al Awadi.pdfNewBase  19 April  2024  Energy News issue - 1717 by Khaled Al Awadi.pdf
NewBase 19 April 2024 Energy News issue - 1717 by Khaled Al Awadi.pdf
 
(Best) ENJOY Call Girls in Faridabad Ex | 8377087607
(Best) ENJOY Call Girls in Faridabad Ex | 8377087607(Best) ENJOY Call Girls in Faridabad Ex | 8377087607
(Best) ENJOY Call Girls in Faridabad Ex | 8377087607
 
Ten Organizational Design Models to align structure and operations to busines...
Ten Organizational Design Models to align structure and operations to busines...Ten Organizational Design Models to align structure and operations to busines...
Ten Organizational Design Models to align structure and operations to busines...
 
Call Girls in DELHI Cantt, ( Call Me )-8377877756-Female Escort- In Delhi / Ncr
Call Girls in DELHI Cantt, ( Call Me )-8377877756-Female Escort- In Delhi / NcrCall Girls in DELHI Cantt, ( Call Me )-8377877756-Female Escort- In Delhi / Ncr
Call Girls in DELHI Cantt, ( Call Me )-8377877756-Female Escort- In Delhi / Ncr
 
8447779800, Low rate Call girls in Tughlakabad Delhi NCR
8447779800, Low rate Call girls in Tughlakabad Delhi NCR8447779800, Low rate Call girls in Tughlakabad Delhi NCR
8447779800, Low rate Call girls in Tughlakabad Delhi NCR
 
8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR
8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR
8447779800, Low rate Call girls in Shivaji Enclave Delhi NCR
 
Investment in The Coconut Industry by Nancy Cheruiyot
Investment in The Coconut Industry by Nancy CheruiyotInvestment in The Coconut Industry by Nancy Cheruiyot
Investment in The Coconut Industry by Nancy Cheruiyot
 
Contemporary Economic Issues Facing the Filipino Entrepreneur (1).pptx
Contemporary Economic Issues Facing the Filipino Entrepreneur (1).pptxContemporary Economic Issues Facing the Filipino Entrepreneur (1).pptx
Contemporary Economic Issues Facing the Filipino Entrepreneur (1).pptx
 
Call Us ➥9319373153▻Call Girls In North Goa
Call Us ➥9319373153▻Call Girls In North GoaCall Us ➥9319373153▻Call Girls In North Goa
Call Us ➥9319373153▻Call Girls In North Goa
 
Islamabad Escorts | Call 03070433345 | Escort Service in Islamabad
Islamabad Escorts | Call 03070433345 | Escort Service in IslamabadIslamabad Escorts | Call 03070433345 | Escort Service in Islamabad
Islamabad Escorts | Call 03070433345 | Escort Service in Islamabad
 
Market Sizes Sample Report - 2024 Edition
Market Sizes Sample Report - 2024 EditionMarket Sizes Sample Report - 2024 Edition
Market Sizes Sample Report - 2024 Edition
 

Navigating the Pillars of the ACA - How ADP Can Help

  • 1. Navigating the Pillars of the Affordable Care Act
  • 2. 2 50 Employers with at least 50 full-time employees will be required to pay a penalty if they fail to offer minimum essential coverage & a full-time employee obtains subsidized coverage from an exchange 60 Employers may be subject to a penalty if it decides to play because the coverage offered is either “unaffordable” or the plan is not designed to pay at least 60% of participants’ covered medical expenses 90 Employers have only 90 days to offer eligible employees health care benefits What Do These Numbers Represent?
  • 3. 3 Three Things You Will Remember ! WHY IT’S IMPORTANT TO YOU + HOW ADP CAN HELP ? WHAT IS THE BUSINESS ISSUE?
  • 4. WHAT IS THE BUSINESS ISSUE?? © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.4 eligibility risk Schedule and manage hours of service to minimize WORKFORCE PLANNING ACA liability
  • 5. HOW ADP CAN HELP+ © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.5 Reports are provided for illustration purposes and are subject to change Use the hours summary reports on a weekly and annual basis to determine whether schedule adjustments should be made for employees Workforce Planning
  • 6. HOW ADP CAN HELP+ © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.6 Seamless integration of Time & Attendance with Payroll and HR allows access to a list of ACA eligible employees for improved scheduling and ACA benefits cost control Workforce Planning Automated scheduling makes it easy to identify when employees are approaching the ACA benefits threshold and adjust the schedule
  • 7. WHY IT’S IMPORTANT! © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.7 Empowers you to be proactive in controlling benefit eligibility Minimizes your ACA liability Aids in aligning labor with demand to reduce costs without compromising customer satisfaction Workforce Planning
  • 8. WHAT IS THE BUSINESS ISSUE? ELIGIBILITY Accurately determine employee eligibility & assessment ? © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.8 method(s) PART-TIME FULL-TIME
  • 9. 9 Ability to categorize workforce and establish measurement/look- back periods to meet your business requirement Provides automation of measurement periods. This includes Standard, Administrative, & Stability periods for multiple Employee categories HOW ADP CAN HELP+Eligibility Tools
  • 10. 10 Ability to pull total hours for each employee to use in the determination of full time equivalency qualification for ACA Provides ACA Benefit Status with the option to “Change” if they are not confident in their calculations HOW ADP CAN HELP+Eligibility Tools Provides ACA Benefit Status with the option to “Change” if they are not confident in their calculations.
  • 11. 11 HOW ADP CAN HELP+Eligibility Tools Eligibility Report provides an easy way to look at employee base as a whole and identify who has reached eligibility requirements
  • 12. WHY IT’S IMPORTANT! © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.12 Enables fair and consistent measurement/look-back periods for all employees Minimize costs without compromising productivity and service Helps you comply with government requirements & regulations Eligibility PART-TIME FULL-TIME
  • 13. WHAT IS THE BUSINESS ISSUE? AFFORDABILITY Select affordability assessment method; Employee premium ? © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.13 of Box 1 W-2 earnings not to exceed % 9.5
  • 14. 14 HOW ADP CAN HELP+Affordability Tools Provide tools for the practitioner to conduct analysis of employees purchasing employee only coverage compared to 9 ½% of earnings
  • 15. HOW ADP CAN HELP+ Affordability – Health Insurance Costs for the W-2 © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.15 © Copyright 2012 ADP, Inc. Proprietary and Confidential Information. ADP gives the ability to determine which benefit plans should be included in the Group Health Insurance Costs calculation for the W-2
  • 16. 16 HOW ADP CAN HELP+Affordability Tools Assist with identifying plans that are minimum essential coverage (60%+ of actuarial value)
  • 17. WHY IT’S IMPORTANT! © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.17 Mitigates risk related to cost of benefits and employee burden levels Aids in evaluating affordability and minimizes potential penalties to employer Reduces administration burden in determining wage levels Affordability % 9.5
  • 18. WHAT IS THE BUSINESS ISSUE? ENROLLMENT Manage end-to-end enrollment of eligible employees “Play or Pay” ? © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.18
  • 19. Allows employees to opt out of medical plan with required reason to ensure employer has appropriate tracking and auditing tools 19 HOW ADP CAN HELP+Enrollment Tools
  • 20. 20 HOW ADP CAN HELP+Enrollment Tools Provides tools to assist with the annual reconciliation of the penalty bill against benefits and W-2 data, enabling client to request W-2 corrections or initiate penalty appeals process
  • 21. Comprehensive report with employees’ plan enrollment details. HOW ADP CAN HELP+Enrollment Tools 21 Comprehensive report with employee and dependent plan enrollments; including auditing data like age limit and overage dependent details
  • 22. Provides proactive report to show employee enrollment status ensuring Employers take action during their Administrative period. 22 HOW ADP CAN HELP+Enrollment Tools
  • 23. WHY IT’S IMPORTANT! © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.23 Empowers employees with ability to select appropriate plans for lifestyle Communicates to employer why employee has opted out of benefits Helps mitigate potential penalties to the employer Enrollment
  • 24. WHAT IS THE BUSINESS ISSUE? AUDITING & REPORTING Standard compliance reports for the Affordable Care Act ? © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.24
  • 25. HOW ADP CAN HELP+Standard Compliance Reports 25 Group Health Insurance Costs reporting is available to generate and review the costs associated with each employee by benefit plan
  • 26. HOW ADP CAN HELP+ Manage end-to-end enrollment of eligible employees with comprehensive enrollment details on employees & dependents Play or Pay Preparation Report 26
  • 27. HOW ADP CAN HELP+ ADP provides Practitioners with self administered plans the means to calculate the research fee Patient –Centered Outcomes Research Fee Report 27 Patient-Centered Outcomes Research Fee report provides the detailed information on fees owed by each benefit plan provider towards the Patient- Centered Outcomes Research
  • 28. WHY IT’S IMPORTANT!Auditing & Reporting © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.28 Aids ACA compliance efforts to government agencies Improves accuracy and reduces risk of penalties Reduces administrative burden of ACA auditing and reporting
  • 29. 29 Of the Affordable Care Act ADDITIONAL PROVISIONS
  • 30. Source: Mercer Select Health Care Reform Briefing, October 27, 2011 WHAT IS THE BUSINESS ISSUE? DEPENDENT COVERAGE Employers must expand coverage for qualifying dependent children up to age 26 ? © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.30
  • 31. Ability to configure ADP platform to apply age rules where applicable Provide open and life event enrollment tools to allow dependent children up to age 26 access to health and welfare plans Provide benefit plan setup template to track dependent age requirements HOW ADP CAN HELP+Dependent Coverage © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.31
  • 32. Reduces costs associated with ineligible plan participants Reduces premium overpayments Helps ensure compliance with coverage regulations WHY IT’S IMPORTANT!Dependent Coverage © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.32
  • 33. WHAT IS THE BUSINESS ISSUE? Insurers and self-insured group health plans must provide SBCs for annual enrollments beginning on or after 9/23/12 +BENEFITS ? © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.33 SUMMARY OF BENEFITS AND COVERAGE (SBC)
  • 34. ADP supports delivery of SBC electronically as well as obtaining acknowledgement from employees; client can also print hard copy HOW ADP CAN HELP+ Summary of Benefits and Coverage (SBC) © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.34
  • 35. WHY IT’S IMPORTANT! Aids compliance with SBC requirements Reduces administrative burden of communicating SBCs to employees Empowers employees with access to coverage-related information +BENEFITS Summary of Benefits and Coverage (SBC) © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.35
  • 36. WHAT IS THE BUSINESS ISSUE? FSA ANNUAL LIMIT maximum Ability to determine the amount an employee can contribute to FSA ? © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.36
  • 37. HOW ADP CAN HELP+ Provide one- stop shop for all ADP Healthcare spending accounts for 2013 open enrollment (FSA, HSA, HRA), including single debit card and mobile access FSA Annual Limit © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.37
  • 38. WHY IT’S IMPORTANT! Aids compliance with FSA requirements Reduces administrative burden of communicating FSA limits to employees Boosts employee engagement by improving communication MAXIMUM FSA Annual Limit © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.38
  • 39. WHAT IS THE BUSINESS ISSUE? Ability to be notified of new statutory regulations ? © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.39 MEDICARE TAX ON WAGES AND UNEARNED INCOME
  • 40. HOW ADP CAN HELP+ Medicare Tax on Wages and Unearned Income © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.40 ADP allows practitioners to generate a report in order to conduct analysis of payroll & deductions for high-income employees who may meet criteria for the new taxes Calculates the new Medicare tax for appropriate employees
  • 41. WHY IT’S IMPORTANT! Increases employee satisfaction with highly compensated/executive associates on planning their taxes Improves accuracy and reduces risk of penalties Medicare Tax on Wages and Unearned Income © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.41
  • 42. WHAT IS THE BUSINESS ISSUE? Ability to load notice describing availability of marketplace/exchange coverage ? © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.42 EMPLOYEE NOTICE OF MARKETPLACE/EXCHANGE
  • 43. ADP supports delivery of Notice of Marketplace/Exchange electronically as well as obtaining acknowledgement from employee; client can also print hard copy HOW ADP CAN HELP+ Employee Notice of Marketplace/ Exchange © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.43
  • 44. WHY IT’S IMPORTANT! Aids compliance with marketplace/exchange notice requirements Reduces administrative burden of communicating marketplace/exchange option to employees Employee Notice of Marketplace/ Exchange © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.44
  • 45. WHAT IS THE BUSINESS ISSUE? WAITING PERIODS Ability to define when an employee is eligible to enroll in employer group health plans Date of Hire First of the Month following Hire Date X number of Days following Date of Hire ? © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.45
  • 46. Provide new hire reports (up to 90 days) to validate employment status & change triggers to ensure appropriate benefits enrollment HOW ADP CAN HELP+Waiting Periods © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.46
  • 47. WHY IT’S IMPORTANT! Helps mitigate excessive costs based on employment status Aids compliance with FLSA rules Date of Hire First of the Month following Hire Date X number of Days following Date of Hire Waiting Periods © Copyright 2012 ADP, Inc. Proprietary and Confidential Information.47
  • 48. 48 ADP Time and Labor Management ADP Reporting and Reconciliation ADP Payroll ADP Benefits • Report on Hours of Service including Projected Scheduled Hours • View & Adjust Work Schedules • Ability to Set Threshold Notification for Total Hours of Service (January 2014) • Full – Time Status Reporting • Auto-enrollment Required in 2015 • Enrollment of Eligible Employees • Coverage Termination • W-2 Affordability Calculation • Data to/from Exchanges • Reporting to Federal Government • Reconcile Penalties Levied for Exchange Participation • Deductions and Other Earnings • W-2 Earnings • System of Record for Hours of Service • Look Back Approach Workforce Planning Eligibility & Enrollment Reporting/ Penalties Affordability EMPLOYERS Need an Integrated Approach to Manage the ACA
  • 49. Why ADP . . . Our goal is to minimize your administrative burden across the entire spectrum of payroll, tax, HR and benefits, so that you can focus on running your business. “ #ADPHCM "We're proud of our payroll heritage" but #ADP is much more than payroll today -- global HCM leader in the cloud. NAOMI BLOOM, HCM INDUSTRY ANALYST IN FULL BLOOM “ With RSM McGladrey and ADP managing our most sensitive business information, I come away each day with a sense of confidence and internal control because I am managing the business, not the tasks. MIKE NICHOLAS, CHIEF FINANCIAL OFFICER RSM MCGLADREY “ “Committed to assisting businesses with increased compliance requirements resulting from rapidly evolving legislation. © Copyright 2012 ADP, Inc. Proprietary and Confidential Information. Marketplace Buzz 49

Notas do Editor

  1. Review the agenda.What do these numbers represent in regards to the ACA?They are all part of the mandatory provisions under the Affordable Care Act and if not adhered to correctly, may result in fines and penalties, impacting organizations’ bottom line.Now that Health Care Reform is here to stay, employers are tasked with looking ahead to the looming requirements and deadlines of the Affordable Care Act (ACA).ACA Differs From All Preceding Benefit LegislationACA impact goes far beyond benefitsIT/SystemsFinanceLegalWorkforce planningCompensation/Reward strategyBusiness model Employers with at least 50 full-time employees (FT Employees), including full-time equivalent employees (FTEs), will be required to pay a penalty if they fail to offer minimum essential coverage and a full-time employee obtains subsidized coverage from a Marketplace/Exchange. *An Employer with fewer than 50 aggregated FT Employees and FTEs is not considered a "large employer" and is not subject to the shared responsibility requirements. An employer may be subject to a penalty even if it decides to play because the coverage the employer offers is either unaffordable (costs the employee more than 9.5% of his household income) or it does not provide minimal actuarial value (the plan is not designed to pay, on average, at least 60% of participants’ covered medical expenses), OR the employee who receives a subsidy is one of those employees who was somehow missed and was not within the "substantially all" employees who were offered coverage (he/she fell into the 5%) and was, therefore, forced to obtain coverage on a Marketplace/Exchange.Employers have only 90 days to offer eligible employees health care benefits
  2. Review the agenda.As organizations are trying to figure out their strategy, it will require a balance of:Costs – What are the hard costs of providing healthcare benefits versus paying penalties?Service – How can I maintain the level of service my customers expect?Retention – How might my decision impact the retention of my best employees, and recruitment of new employees?PR – How might a decision on my ACA implementation decision be perceived by my employees and customers?So, 3 things you will remember after this presentation are: (Read from the screen).
  3. Workforce planning is all about scheduling employees more efficiently and with greater cost-effectiveness, which is what all employers will need in order to manage the requirements of the ACA.
  4. ADP can provide workforce planning reports:enabling managers to make real-time adjustments to schedules to reduce costs without sacrificing productivity or customer service levels.Employers can use Average Total Paid Hours to take immediate action when employees reach specified thresholds One Key Benefit:Detailed report data on total hours for each employee to use in the determination of full time equivalency qualification for ACA
  5. Having workforce planning enables companies to be far more agile in their ability to ensure that the right person is at the right place at the right time (and at the right cost) to optimize their business opportunity.
  6. Provides real-time visibility into total hours of service (worked and non-worked hours) so you can monitor part-time employees that exceed the 30 hour per week and take proactive steps to adjust work schedules to prevent benefit eligibility.Web-based scheduling tool makes it easier to be proactive in adjusting schedules on a weekly basis to prevent part-time employees from exceeding 30 hours per week. For employers, it’s not a question about whether you have to comply with the ACA, but more about controlling your ACA liability. For part-timers, contract workers and seasonal hires. ADP’s integrated human capital management solution will enable you to be proactive in monitoring the hours and schedules of these part-time workers and make timely adjustments where appropriate to minimize your ACA liability.Align labor with demand to minimize costs
  7. What it boils down to is that employers must start tracking now (for at least 6 months in 2013) which of their employees are full-time (based on 30 hours of service per week or 130 hours of service per month); which of their employees are part-time and the number of hours worked; and which of their employees are seasonal and for how many days/months those employees work for the employer throughout the year.
  8. Review the agenda.How ADP Simplifies Your JobAutomated process for determining look-back periodAbility to be more generous in the letter of the law to minimize potential penalties if they are not as confident about their dataAccurate collection, tracking and audit of service hours needed to evaluate and determine eligibility Health Care Reform regulations require integration of HR, Payroll and Time & Attendance. ADP’s solution provides integration, tracking and reporting. Employees that exceed the averages during “look back period” will be benefit-eligible going forward. Penalty could occur if employee is not covered, and receive federal coverage through a Marketplace/Exchange. However, allowing over 30/130 hours increases labor costs.HR and Operations departments will need to work together to form a strategy. TLM Technology will be key to monitor actual vs. scheduled. Employers should be encouraged to track all employees in Time & Attendance.
  9. Review the agenda.Provides individual view of each employee’s ACA Benefits Status and average hours paid.
  10. Review the agenda.This Eligibility report provides information on individual employee eligibility for benefit plan classes within a plan subtype. You can view the options available for your employees and who have enrolled for the benefit plans and who have not; you can notify your employees to enroll for the plans they are eligible for.Key Benefits:Comprehensive report list of employees who meet eligibility requirements
  11. Why It’s Important to YOU and Your business: (Read from the screen) and you can include:Ability to modify employee schedules allows managers to minimize costs without compromising productivity and serviceProvides individual view of each employee’s ACA Benefits status and average hours paidProvides information to help you comply with government labor reporting requirements
  12. Employers need to evaluate the requirements and costs of providing coverage to full-time employees and then make the decision as to whether they are going to “PLAY” or “PAY”. Even if an ER decides to PLAY, they could still be subject to penalties if their coverage is not affordable and does not provide minimum value. Let’s review both criteria.If an employer either (A) fails to offer healthcare coverage to at least 95% of its full-time employees, or (B) offers healthcare coverage that does not satisfy certain minimum value and affordability requirements, then it may be subject to a Shared Responsibility Penalty if one of those full-time employees to whom the employer did not offer coverage (or to whom the employer offered coverage that was not “affordable” or of “minimum value” goes to a Marketplace/ Exchange and receives a premium tax subsidy to help pay for the coverage for himself or herself. Minimum value means that a plan must pay at least 60% of covered expenses.
  13. Review the agenda.An employer plan is unaffordable if the full-time employee’s required contribution exceeds 9.5% of the taxpayer’s household income for the taxable yearThe employer may calculate affordability using the full-time employee’s W-2, box 1 wages, or another available safe harbor, such as Rate of Pay or Federal Poverty Level. Affordability is based on the cost of self-only coverage, even if the employee elects family coverage.
  14. Aids compliance with W-2 requirementsReducesrisk of penalties for incorrect W-2s (i.e., $50 per)Reduces administrative burden of year-end payroll processing and validation
  15. Review the agenda.As for determining if an Employers’ plans provide minimum value, they must be designed to pay on average, at least 60% of participants’ covered medical expenses; equal to a bronze level plan on a Marketplace/Exchange.
  16. Mitigates risk of employee’s benefit costs exceeding 9.5% of employee only coverageEnsures all employees are able to enroll in a minimum essential coverage planAidsin evaluating affordability and minimizes potential penalties to employer if employee goes to a Marketplace/ExchangeWhile making decisions as to the provisions of Shared responsibility under the ACA, employers need to consider the economic demographics of their employee population and what impact that will have on the affordability of the coverage they offer.
  17. Managing enrollment of eligible employees requires a proactive strategy otherwise as an ER you could be exposed to penalties or fines. It involves offering enrollment opportunities to eligible employees, not imposing waiting periods longer than 90 days and tracking employee decisions to waive or opt out of ER offered coverage and termination when employees are no longer eligible.This places a huge administrative burden on employers as they try to mitigate penalties.
  18. Review the agenda.Employers need to have tracking and auditing capabilities to show reasons for employees opting out of their ER’s provided coverage.Also, ER’s need to be thinking about how they will handle exchange inquiries from employees and how this will be communicated to them.
  19. Review the agenda.Play or Pay Preparation report helps employers mitigates risk related to cost of benefits and employee burden levels; aidscompliance regardless of company size; andreduces administrative burden in determining wage levels.
  20. Review the agenda.Employee Enrollment Report - This report provides information on employees' benefit plan enrollments. It includes plan name & coverage levelKey Benefit:Comprehensive report with employees’ plan enrollment details; including deduction information, coverage level, and dependents and beneficiary enrollmentsEmployee and Dependent Enrollment Report - This report provides information regarding employee and their dependents' benefit enrollments. It includes dependents' enrollments, age limit, overage dependents details etc.Key Benefit:Comprehensive report with employee and dependent plan enrollments; including auditing data like age limit and overage dependent details
  21. Review the agenda.Prospective clients can leverage the Enrollment Profile report to determine what status a person is in so they do not go past the admin period without taking some type of action.
  22. Why it’s important for employers (read from the screen) It also helps mitigate excessive costs based on employment status when employers have the right tools for preparation and auditing.
  23. Managing compliance in a changing environment is a challenge for all Employers. In Fact, CFO Research in January 2013 surveyed finance executives and found that nearly 90% of Senior Finance Executives rank compliance as a priority in their organizations. And having data analytics and reporting capabilities to spot trends or detect issues before they become escalated problems is critical in this constantly changing marketplace.
  24. Review the agenda.W-2 Detail Report - This report provides additional details of employer and employee contribution towards various benefit plans. These details are useful to find out how the total group health insurance costs of an employee reported in the W-2 form was calculated. Total costs is the amount that will appear on the W-2 in box 12DD. Key Benefit:Analysis data showing what the ER and EE are paying for benefits and ensuring the data that appears on the W-2 is accurate.
  25. Review the agenda.Client has the ability to run this report for ALL employees – meaning those only who are participating in a medical plan or only those not participating.This report displays which employee is participating in a benefit plan and who is not, with the reasons for waiving plan participation.  The report also displays which employee and their dependents are covered by benefits and which ones are not, along with identified reasons for not participating in a plan. Key Benefits:Comprehensive Enrollment Details on Employees & DependentsWaive Coverage Effective Date & Reason
  26. Review the agenda.This report provides the detailed information on fees owed by each benefit plan provider towards the Patient-Centered Outcomes Research. The report displays the report period and research fees applicable for that period, benefit plan providers, calculation of the fees, and total amount owed by each provider.Federal government is starting a fund to assist people with assessing the effectiveness of research, hospitals, doctors, etc. Begins to apply to plan and policy years ending after September 23, 2012 – September 30, 2019. Sponsors of self insured accident or health plans will be assessed a federal tax under the policy. Clients will need to track plan and enrollment information including health provider and annual assessed fee for accident or health plans. Identifies Patient-Centered Outcomes Research Fees that can be validated and expenses budgeted for in advanceGenerates a Patient-Centered Outcomes Research Fee reportFor self administered plans this provides a means to calculate this feeFor non-self administered plans this provides the means to audit providersSponsors of plans will be assessed a federal tax to examine the effectiveness of hospitals and doctorsAidscompliance with research fee requirementsReducesadministrative burden of calculating or auditing research fees
  27. Tip: Best to position standard reports as tools to help clients predict and measure the impact of ACAHaving auditing and reporting capabilities also reducesadministrative burden of communicating Marketplace/Exchange options to employees under the ACA mandates ; ultimately providingrequired information in a timely manner.
  28. ADP not only provides guidance and tools to minimize risk associated with Shared responsibility, we cover additional provisions impacting employers under the Affordable Care Act.Suggestion: Speak to the breadth and depth of compliance assistance we provide to ERs.
  29. Why It’s Important (read from the screen)Also, it improves accuracy and saves time by eliminating multiple systems and spreadsheets that many organizations leverage in their benefits administration and human capital management processes – this will result in increased efficiency and effectiveness
  30. Why It’s Important(read from the screen).Also, role of employer-provided health insurance and communicating requirements and changes to employees will impact attracting and retaining talent needed to build a competitive workforce.Improves employee satisfaction, engagement and productivity with convenient access to company communications, personal and benefit information
  31. Empowering an employer’s workforce also allows for a reallocation of resources (and human capital) that can be directed back into their core business focus.
  32. Aids compliance with W-2 requirementsReduces risks of penalties for incorrect W-2sReduce administrative burden of year-end payroll processing and validation
  33. Ease Employers into the ACA provisions with record keeping & reporting where analytics, best practices and thought leadership are critical to organizational successEmployers need more visibility to human capital data to make informed, educated business decisionsImplement strategic planning will be vital for employers to evaluate, develop and finalize a strategy for administration, employee communication, compliance, measurement & reporting, here’s where ADP can help.
  34. Why it’s important – having tools and integrated technology to control benefits eligibility will be key in mitigating excessive costs based on employment status;and ultimately reduces the costs of healthcare from ineligible participants in the employer sponsored benefit plans
  35. ADP Offers an Integrated Approach to Manage Workforce Planning and Administration At the foundation, automated time and labor management systems help reduce labor costs and enhance regulatory compliance by automating and documenting time and attendance transactions.But when organizations build on that foundation by integrating time and attendance data with Payroll, HR, Benefits and Talent Management, they can achievemore significant improvements in worker productivity, employee engagement, and even revenue growth.To effectively and efficiently comply with the ACA, employers need a systemthat Automate beyond core payroll and benefits to achieve results in order to provide a seamlessly integrated solutionWorkforce management Notices sent to managers as employees approach 30 hours in any week Ability of managers to see scheduled hours for all employees in order to manage hours assigned in conjunction with liability for health care costsDatabase of record Payroll tracks actual hours worked Payroll send automated trigger to benefit administration system when employee exceeds 130 hours per monthBenefits administration Employee eligibility calculation is triggered Appropriate look-back and coverage period rules are applied Employee is notified of eligibility – avoiding penaltyReporting and reconciliation Federal and state reporting Reconciliation with penalty assessmentscan integrate payroll, time management and benefits administration
  36. ADP maintains a staff of dedicated professionals (Nationals is saying over 1500 people….)who carefully monitor federal and state legislative requirements affecting human resource, payroll, tax and benefits administration to ensure that are systems-ready to implement changes on a timely basis and as relevant laws evolve.ADP is uniquely positioned to help guide companies through this complex change; not only to comply with the ACA, but to see the opportunities it presents to better manage their own people.In the recent changes, all of our systems and clients were updated with the new tax changes within 48 hours of the approval of the measure.  We were the first provider to notify our clients of the impact of new tax changes, including ACA-related changes.  All competitors were silent while we were educating our clients.ADP’s Eye on Washington regulatory alerts provides timely updates once legislation is officially passed. We focus on high impact/high visibility events and topics that impact employers and provide action-items that you should focus on.