The Patient Protection & Affordable Care Act – “Obamacare”

The Patient Protection & Affordable Care Act (“PPACA”; “ACA”), also known as “Obamacare”, represents a complex overhaul to our American Health Care System. Please contact us directly for details and for a formal quote on this complex area of Health Insurance:

800.482.5347 (Weekdays, 10-5PM).

We are licensed and Covered CA Exchange-Marketplace CERTIFIED to be able to assist Individuals & Families (“IFP” Plans), as well as all Employer Group sizes (“SHOP”).

We also design Self-Funded Group Health & Benefits Plans for Employer sizes 51+ to several thousands (see here for various types of group benefits plan types and CENSUS).


The following provides and Overview of The Patient Protection & Affordable Care Act (“PPACA”; “ACA” aka “Obamacare”), with respects to Tax Law, Individual MANDATE and both Individual Family Plans and Employer Group Plans Requirements [certain Employer Group sizes are MANDATED to cover certain percentages of their Full Time Employees (and “FTEs” – Full Time Equivalent Employees) depending on Group size and tax year]:

ACA-Technical Overview of Law & Tax & IFP and Employer Mandate Regs


NEW LAW IN STATE OF California: California’s Senate Bill 78-Individual Coverage Mandate Effective 01-01-2020

Click here for current year: ACA & HSA Out of Pocket Maximum Limits

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The following addresses certain common Group Employer/Employee questions under the Law, that will help Employers to understand their responsibilities under Obamacare (requirements, fines, prohibitions, etc.) in an easy to follow Q&A Format.

NOTE:  The Employer Mandate has been pushed forward to 2015 & in its complete manifestation in 2016. The first of the following 2 links provides such updated details:

ACA-Employer Mandate to Provide Group Coverage

ACA-Employer Responsibilities

The following Form is a practical tool to help Employers determine (calculate in accordance to the law) their Full-Time vs. includable Part-Time Employees under Obamacare:

ACA-Determining FTEs Under PPACA

 Exemptions from Tax Penalties Under the Individual Mandate:

ACA-Exemptions from Individual Tax Mandate Penalties

ACA-Special Enrollment Period (SEP)-List of Qualifying Events to Obtain Health Insurance Outside of the Standard Open Enrollment Period of November 15th to February 15th

 

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