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The new Patient Protection and Affordability Care Act is full of short and long-term changes to the American healthcare landscape. Our job is to give you practical advice on how to navigate the road ahead and explain what the changes mean to your organization and benefit plans.

Our goal? To provide consulting advice on new planning opportunities and on needed changes that will allow you to make the best benefit choices for your organization, employees and their families.

What to expect: The legislation and its effect on employer’s medical plans are staged. Provisions follow a set timeline. Many minor changes were implemented, with major changes starting in 2013 and 2014. Johnson & Dugan will be providing support and advice to our clients as the different parts of the legislation are rolled out and as we develop the new best practices of managing employee benefits plans in the post reform era.

On this page, we provide you with the resources to explain the changes to group and individual plans effective in 2010 and beyond. These resources will be updated continually, so plan to visit often.

If you have any questions about the changes that are occurring this year, please contact our office. Please consider us your partner in change.

Documents
Author Document
Johnson & Dugan Health Care Reform Provisions Effective in 2012 & 2013
Johnson & Dugan Health Care Reform Provisions 2012 and Beyond
Alfred B. Fowler, Attorney at Law Summary of Benefits: Agencies Provide Some Relief
Alfred B. Fowler, Attorney at Law Health Care Reform: Medical Loss Ratios
Alfred B. Fowler, Attorney at Law Health Care Law: Mandate Stands, Medicaid Expansion Struck Down
Alfred B. Fowler, Attorney at Law Medical Loss Ratios: Plan Sponsor's Choices Not So Simple
Alfred B. Fowler, Attorney at Law Health Care Reform: Preventive Services for Women
Alfred B. Fowler, Attorney at Law Health Care Reform: Be Prepared
Alfred B. Fowler, Attorney at Law Health Care Reform and Other CA Matters
Alfred B. Fowler, Attorney at Law Health Care Reform: 90-Day Waiting Period
Jackson Lewis LLP 12/12 Department of Labor Audits
Jackson Lewis LLP 1/13 IRS Proposes Regulations on Employer Penalty
Jackson Lewis LLP 2/13 Final HIPAA Regulations
Jackson Lewis LLP 4/13 Transition Relief
Jackson Lewis LLP 6/13 PCORI Fees Due July 31
Spencer Fane Britt & Browne, LLC 7/12 Overview of Medical Loss Ratio Rebates
Small Business Council of America Health Reform in a Nutshell: What Small Businesses Need to Know Now
United Benefit Advisors Employer Requirements and Applicability Table
United Benefit Advisors 7/12 MLR Rebate Considerations
United Benefit Advisors 7/12 Highlights of the W-2 Reporting Requirement
United Benefit Advisors 8/12 Highlights of the Summary of Benefits and Coverage Requirements
United Benefit Advisors 8/12 Patient Centered Outcomes Fee
United Benefit Advisors 12/12 Medicare Withholding
United Benefit Advisors 2/13 Additional Proposed Regulations
United Benefit Advisors 2/13 Essential Health Benefits-Fully Insured
United Benefit Advisors 2/13 Essential Health Benefits-Self Insured
United Benefit Advisors 2/13 State Exchanges and Medicaid
United Benefit Advisors 3/13 PPACA Fees
United Benefit Advisors 3/13 Waiting Periods, HIPAA Certificates, Claim Appeals
United Benefit Advisors 4/13 Common HCR Terms
United Benefit Advisors 5/13 Wellness & Pay or Play, SBC, Annual Limits Waivers
United Benefit Advisors 6/13 PPACA Preparation Checklist
U.S. Department of Labor Employee Benefits Security Administration Young Adults and the Affordable Care Act Fact Sheet

Links
California Healthcare Foundation – Health Reform www.chcf.org/programs/
healthreform
CA Healthcare Foundation – Affordable Care Act in CA http://www.chcf.org/publications/
2010/05/the-affordable-care-act-
in-california
The Center for Consumer Information & Insurance Oversight cciio.cms.gov/programs/
marketreforms/index.html
DOL Grandfathered Plans Q&A www.dol.gov/ebsa/faqs/
faq-aca6.html
Early Retiree Reinsurance Program www.errp.gov
Foundation for Health Coverage Education www.coverageforall.org
HRInsider (Login Access Required – Provided by J&D) www.hrinsider.net
International Foundation Health Care Reform www.ifebp.org/News/
FeaturedTopics/HCRC/default.htm
IRS – Affordable Care Act Website www.irs.gov/newsroom/article
/0,,id=220809,00.html?portlet=6
IRS – Small Business Tax Credit www.irs.gov/newsroom/article
/0,,id=223666,00.html
J&D benefits perspective - Health Care Reform johnsondugan.blogs.com/
main/health-care-reform
Preventive Services Covered by Health Care Reform www.healthcare.gov/law
/about/provisions/services/
lists.html
U.S. Department of Health & Human Services - Health Reform www.healthcare.gov
U.S. Department of Labor Patient Protection and Affordable Care Act Resources www.dol.gov/ebsa/healthreform
White House – Putting Americans in Control of Their Health Care www.whitehouse.gov/healthreform
Insurance Carrier Health Care Reform Websites
Aetna www.aetna.com/about-aetna-insurance/initiatives/health-care-reform/index.html
healthreform
Anthem Blue Cross www.anthem.com/ca/
healthcarereform
Blue Shield www.blueshieldca.com/bsca/
about-blue-shield/health-reform/home.sp
Kaiser Permanente healthreform.kaiserpermanente
.org
United Healthcare www.uhc.com/united_for_
reform_resource_center.htm