- 2015 Web Meetings
October 2015: Conquer the Challenges of 2016 Requirements
In this web session, we provided an update on key new 2016 Affordable Care Act (ACA) regulations, including the process and forms employers need to complete for the new IRS Large Employer and Minimum Essential Coverage reporting requirements.
The presentation confirmed the big regulatory changes in 2016 and outlined various impacts and basic compliance considerations for these requirements. Case study scenarios provided an overview of the process and forms employers need to complete for the new IRS reporting requirements – including explanation of what employers should be doing now and an outline of next steps.
May 2015: Get Ready – Two Distinct Sets of PPACA Reporting Requirements
In this web session, we discussed the latest developments in the Large Employer and Minimum Essential Coverage reporting requirements.
The presentation included a review of the data, critical steps, and dates by which employers need to act for compliance; discussion of the most recent updates; and an overview of Cigna's support. Our insights and discussion helped to simplify these complex reporting requirements and clarify the distinctly different steps for insurers and employers – small vs. large and fully insured vs. self-funded.
*Correction: Slides 7 and 16 of our presentation incorrectly noted that self-insured small employers must only complete Parts I and III of Form 1095-B for the purposes of Minimum Essential Coverage reporting. Self-insured small employers will also need to complete Part IV of the 1095-B form.
February 2015: Cadillac Tax Facts, Impacts and Insights
In this web session we partnered with two Washington D.C. insiders, Groom Law Group and the HR Policy Association, to discuss a 2018 excise tax on employers with high-cost benefits, also known as the Cadillac Tax. The web meeting covered the basics of the tax and helped attendees learn insights and considerations to reduce or minimize exposure to the tax, such as implementation or expansion of consumer-driven health plans and other product solutions.
- 2014 Web Meetings
September/October 2014: Employer Readiness on Upcoming Requirements of the Patient Protection and Affordable Care Act (PPACA)
In this two-part web meeting series, we discussed several new PPACA requirements that are quickly coming around the bend for insurers and self-funded employers. Our discussion brought insight to help our attendees understand what is coming and when employers need to take action with these fast approaching obligations.
- Part I, September 24 – Reviewed the Minimum Essential Coverage reporting requirement, including required outreach for missing Social Security Numbers, as well as an overview of the Health Plan Identifier (HPID) requirements and application process
- Part II, October 15: Featured updates on the Reinsurance Fee and submission process into Pay.gov for self-funded employers as well as preparation and proactive considerations to stay compliant with key dates
August 2014: Employer and Individual Mandates – Reporting Impacts for Expatriates and Inpatriates
Cigna partnered with Groom Law Group to provide information about Employer Mandate Reporting and Minimum Essential Coverage (MEC) Reporting for fully-insured expatriate medical benefits plans as it relates to the Patient Protection and Affordable Care Act (PPACA).
The presentation includes an overview of the Employer Mandate, Individual Mandate and MEC requirements employers must follow depending on employee exposure, as well as highlighting what information will be needed for IRS reporting depending on exposure.
August 2014: Understanding Medical Loss Ratio (MLR) Rebates
Cigna partnered with Groom Law Group to provide information about how employers can use the MLR rebates they received in July 2014.
The webinar covered the requirements employers must follow in distributing rebates, as well as areas where employers have flexibility in determining how they share rebates with plan participants.
July 2014: PPACA Fees & Taxes: Ask the Experts
In this web session, Cigna's fees and taxes experts offered insights to help attendees understand key facts about several new fees and taxes, the impacts depending on funding type, what actions to take and when, and other timely considerations.
The web meeting included a brief reminder about the Comparative Research Effectiveness Fee (CERF) payment due at the end of July; the latest updates on the Reinsurance Assessment Fee; and an introduction to the Cadillac Tax, with proactive considerations that include consumer-driven strategies.
March/April 2014: Employer Mandate Final Regulations and Clarification
In this three-part web meeting series, guest presenters from Crowell & Moring, a nationally-renowned law firm based in Washington, D.C., discussed the Employer Mandate including what changed with the final regulations. Our insights and discussion helped attendees gain clarification on this ever-changing provision and understand employer’s obligations with regard to the final rules.
Part I, March 19 – Explained the difference between the final and proposed rules, and spoke to the ins and outs of transitional relief and requirements based on employer size
Part II, March 27 – Featured discussion about full-time employee status, measurement and stability periods, and unique rules applicable to various types of workers
Part III, April 2 – Clarified final rules for reporting health insurance coverage by large employers and reporting minimum essential coverage by insurers and self-funded employers
- 2013 Web Meetings
December 2013: Reinsurance Assessment Fee: Facts and Impacts
In this interactive web session, we provided an overview of the Reinsurance Assessment Fee, which is a three-year fee that begins in 2014 and impacts both insured and self-insured commercial medical plans.
Our insights and discussion helped attendees to understand impacts and key dates associated with the Reinsurance Assessment Fee.
September 2013: Essential Health Benefits, Cost Sharing Limits and Benefit Plan Designs
In this interactive web session, we discussed the impacts of Essential Health Benefits (EHBs) and cost-sharing limits on employer group plan, including:
- Why large employers need to understand and take action relative to EHBs
- Steps to take during benefit planning
- How to evaluate and comply with new benefit design and out-of-pocket maximum rules
We brought insight to help our attendees understand why it is important to select an EHB state, and how they may need to adjust benefit plan designs.
August 2013: Medical Loss Ratio (MLR) Rebates
To answer questions about MLR rebates and how employers can use them, we sponsored a seminar featuring the Groom Law Group. This web meeting provided an overview of how MLR rebates are determined and the rules organizations must follow in sharing rebates with their employees.
June 2013: Public Exchanges – Impacts and Readiness
In this interactive web meeting, we focused on pressing information as we approach the initial open enrollment of the new Health Insurance Marketplace, including:
- Operational readiness and impacts on insurers, employers and individuals
- Highlights of the most significant developments, including roles for brokers
- Review of Cigna's position and plans for public Exchange/Marketplace participation
Our insights and examples helped bring understanding to this swiftly changing marketplace, and how it may affect consumers, employers and brokers.
March 2013: Insights Heading into 2014
In this interactive web meeting, we discussed the latest regulations impacting employer-sponsored plans–critical information to help develop strategies for 2014 and beyond. Topics covered include: what will trigger employer penalties in 2014; how “affordability” is defined for individuals versus employers; what employers need to know about Essential Health Benefits; the difference between the Actuarial Value and Minimum Value calculators; and other provisions that will impact employers. Our insights and examples will help ensure your ongoing compliance with the legislation.
- 2012 Web Meetings
November 2012: Public Policy, New Fees/Taxes and Essential Health Benefits
In this session, we brought to life the latest info on public policy and politics, new fees and taxes, and what we know so far about how Essential Health Benefits (EHBs) are evolving. We looked at which states are furthest along in defining their benchmark plans for EHBs and what this means for 2014 benefits strategies. We offered our constituents the opportunity to gain clarity around confusing terms like: "Essential Health Benefits," “Minimum Value” and “Minimum Essential Coverage." And, we provided actionable insights about how employers and benefit advisors can ensure ongoing compliance with the legislation and be proactive in their efforts.
August 2012: Understanding Medical Loss Ratio (MLR) Rebates
To answer questions about MLR rebates from benefit consultants and fully insured employers, we sponsored a seminar featuring the Groom Law Group. This web meeting provided an overview of the MLR provision and rebate process, followed by an intensive question-and-answer session.
July 2012: The Supreme Court Ruling – What it Means for You
In this web meeting, we went beyond the recap to delve into the Supreme Court’s decision to uphold the individual mandate as constitutional under Congress’ taxing authority. We covered the nuances of the ruling while discussing policy and business implications for individuals, businesses and benefits advisors. We also outlined the potential impact of the upcoming presidential and congressional elections on PPACA’s future, and provided a fresh look at near-term provisions to help position our stakeholders.
May 2012: Preparing for the New Exchange Marketplace
As the Exchange marketplace continues to develop, employers, brokers and consultants are eager to better understand the potential impacts on our industry. In this session, we provided an update on regulatory status, state readiness and evolving Exchange models. We also went through common employer scenarios and reviewed strategic considerations employers can take today to be prepared for 2013 and beyond.
March 2012: Rolling Out the Summary of Benefits and Coverage
Our March web meeting began with a lively policy and politics briefing on the federal budget and relevant legislative and regulatory issues. We also offered an update on the national elections and insights into the Supreme Court and judicial processes as they relate to health care reform. Our feature topic, the Summary of Benefits and Coverage (SBC), focused on the February 9th final regulations and recently issued FAQs. We presented key differences between the notice of proposed rule making and the final regulations, which highlighted roles and responsibilities along with the triggers and timing for compliance. We fleshed these out with examples, and talked about what Cigna is doing to assist our stakeholders.
February 2012: “Essential” Education
Our first web meeting of the year provided a packed regulatory, legislative and political overview including an update on the 112th Congress’ second session, a summary of the relevant provisions, a discussion of the federal budget situation and a synopsis of the upcoming Supreme Court challenge. Our feature topic, essential health benefits, included insights and analysis from the October 2011 Institute of Medicine recommendations and the December 2011 Bulletin. We outlined in detail the implications of the state-by-state approach for all stakeholders, and our panel of experts fielded questions from our record number of participants.
- 2011 Web Meetings
November 2011: Gearing Up for 2012 and Beyond
Reform topics included: the "Super Committee's" deficit reduction plan, analysis of the potential outcomes of the 2012 Supreme Court perspective on 2012 elections, rule status review of upcoming provisions, potential compliance delay for Summary of Benefit and Coverage, and employer considerations on preparing hearing, for 2012 and beyond.
September 2011: The Latest on Exchanges and the Summary of Benefits and Coverage
Reform topics included: the latest exchange development, overview of states’ various stages in establishment, and proposed regulations on exchanges published July and August 2011, an update on Summary of Benefits and Coverage proposed regulations published August 2011, and the final rule issued February 9, 2012.
July 2011: Summary of Benefits and Coverage
Reform topics included: the standardized Summary of Benefits and Coverage, including format, delivery and timing requirements and the penalty for non-compliance.
May 2011: Transforming the Care Delivery Marketplace
Reform topics included: potential outcomes of Supreme Court rulings, an update on state insurance exchanges, as well as current changes and trends transforming the care delivery marketplace accelerated by reform.
February 2011: Exchanges 101
Reform topics included: legal challenges to the Individual Mandate, the development of state insurance exchanges, including structure and requirements, and coverage levels and aspects of qualified health insurance plans.
January 2011: Strategic Cost Considerations
Reform topics included: PPACA court challenges, provision activity around Medicare Part D Prescription Drug Benefit and the Coverage Gap Discount Program, interim regulations issued in December 2010, Medical Loss Ratio (MLR) rules, clarification on Flexible Spending Account debit cards, and insight into strategic cost considerations in the reform era.
- 2010 Web Meetings
November 2010: Post-Election Legislative and Health Care Landscape
Reform topics included: the post-election landscape and the potential implications for stakeholders, and updates on the grandfathered status amendment and medical loss ratio (MLR) methodology.
September 2010: Health Care Reform Readiness
Reform topics included: the status of medical loss ratio (MLR) calculations, the appeals process, annual/lifetime limits and the annual dollar limits waiver, changes affecting health savings and reimbursement accounts, and implications of grandfathered status provisions and cost-saving opportunities driving the shift.
July 2010: Interim Final Health Care Regulations
Reform topics included: some early interim final regulations and their impacts on plans and costs, the Patients’ Bill of Rights, preventive services provision and the value of grandfathered status.