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Five Years LaterAn Updated Look at Health Care Reform and Small Business

#mantaexperts

CEO

WelcomeJohn Swanciger

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Q&AResource listTechnical ?

The Story

We’ll Talk

AboutFive Years LaterAn Updated Look at Health Care Reform and Small Business

1. Meet the experts: Jeffrey Ingalls and Laura Roane2. Health Care Reform

Health insurance literacy and why it mattersThe ACA: a law in transition and a disruption of business-as-usual

3. What you want to talk about: Q&A with Jeffrey & Laura

Meet Our Experts

Click on the speaker widget to learn more about Jeffrey & Laura

Jeffrey Ingalls Laura Roane

• 6.7 million now buying insurance through the marketplaces

• Millions have gone online and selected a plan with varying premiums, deductibles, copays, provider networks, and drug formularies

• Surveys show many people have a hard time understanding what they’re buying

Health Insurance

Literacy

Open the resources widget to link to health care and health insurance terms, as well as the ADP study

Small Biz in the Middle

yesno

Individual mandateEmployer mandate

The Mandates

Individual Mandate

For the Self-Employed

• Use the individual Health Insurance Marketplace to enroll

• You may qualify for tax credits and other savings, based on your projected net income and household size

• Varied plans; know what you’re getting• Use a broker, navigator or DIY

• Penalties if not compliant

Link to the Kaiser Foundation’s individual mandate coverage requirement chart from the resource widget

For Employers With 50 or More

Employees • Defining full-time employees–the count vs. the penalty

• Part-time and seasonal employees—included or not included?

• Coverage available to employees and dependents (children to age 26)—2016

• The $2,000 “no coverage” or “A” penalty

• The $3,000 “unaffordable” or “B” penalty

• Effective date and transitional relief–for plan year contracts and mid-size employers

Employer Mandate

Small Biz in the

Middle• Essential health benefits

• “Metal” tier plans—platinum, gold, silver, bronze

• The marketplace: Small Health Options Program (SHOP)

• Guaranteed issue coverage

• Member level rating

• Gender not a price variance: only 3:1 ratio for age

and 1:1.5 for tobacco use

• Administrative and compliance issues

• Notice of marketplace options

• Waiting periods

• Definition of FTE

• Summary of benefits and coverage

The Exchanges

(marketplaces)

Individual Exchange

Private Exchanges · not part of the ACA

Small Business Exchange: SHOP

SHOP Tax CreditOpen the link to in the resource

widget to learn about estimating your SHOP tax

credit

Health Insurance Literacy Resources

Healthcare.gov• https://www.healthcare.gov/

U.S. Department of Health and Human Services• http://www.hhs.gov/

Internal Revenue Service• http://www.irs.gov/Affordable-Care-Act

Kaiser Family Foundation• http://kff.org/health-reform/• http://kff.org/understanding-health-insurance/

Accredited Investors

ACA: Law in Transition

• Costs in transition

• Exchanges in transition

• States in transition

• Law in transition

• Disrupting business as usual

Costs in

Transition• Reasons for increased costs• Individual and group markets

• Lack of consumer directed healthcare

• Guaranteed issue vs previously underwritten

• Inclusion of essential health benefits

• Costs are beginning to level out• Higher deductibles• Defined contributions

Link to Manta’s latest research through the resources widget on the platform

Exchanges in Transition

The Future of SHOP

• Current limitations

• Future advantages

• How this may “change the game” for small employers

States in Transition

• Four types of marketplaces: which type of marketplace exists in your state?

• The type of marketplace determines how you enroll

• Only Mississippi, New Mexico and Utah offer state-based SHOP marketplaces

• The ACA is a broad law that’s not always applied broadly

Link to the Kaiser Foundation’s table of state-based marketplaces from the resource widget

Law in Transition

• King vs. Burwell

• 7.5 million people could lose their subsidies in 34 states that use the federal health care marketplace

• The status of people in three other states—Oregon, Nevada and New Mexico—is unclear

• Effects on the employer mandate

Disrupting Business as

Usual• Health care insurance goes retail

• Competitive over quality and price• Industry more responsive to customers

• Higher quality, lower cost care

• Companies pursuing health care partnerships

• Do it yourself health care, telemedicine

• Next generation expectations of medicine/insurance delivery

• Small business and retirement benefits

Ask the Experts

Connect with other business owners in the Manta community

Chat with Jeffrey and Laura on Twitter immediately following the webinar#mantaexperts

Open the resources widget to get more information about our upcoming webinars

Jeffrey Ingalls Laura Roane

Manta believes in empowering small businesses to achieve success. We’re inspired by your determination and energy. And we understand that every company is unique.

We strive to provide the marketing tools and educational resources you need to stand out, connect with your customers and your peers, and grow your business.

Send us a note and let us know what you’d like to learn from upcoming webinars like this one.

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