ACA Answer Bank

 

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The twists, the turns, and the murky language in rules that businesses must follow for compliance with the Affordable Care Act's employer mandate can leave the sharpest and most diligent of business professionals feeling perplexed.

Questions always pop up.  We have an Answer Bank; we add Q&As daily.

 

Our Q&As are:

  • Organized. (Click on the image below.)

  • Searchable. (Indexed in multiple ways.)

  • Detailed. (An average of 400 words per paid answer; with examples and illustrations, whenever possible. When we've had a follow-up question for further clarification, that's in there, too.)

 

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Full access to our Q&As is via:

  • an Answer Bank Membership, which is a yearly subscription of $500;

  • or Full Membership to our e-learning site, which is a yearly subscription of $850 and includes access to all video courses and audio lessons.

 

 

10 of our Q&As are at no charge. You can find these below.

 

 

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Question:

If an organization that is an Applicable Large Employer (ALE) was fully insured for the first few months of Tax Year 2016, and then becomes self-funded in July, how should they approach their 1095 obligations?

Answer

Question:

What does ESRP stand for? Our HR director is showing me one thing; our CFO is showing me another.

Answer

Question:

What happens when an employee fails to make their contribution for coverage?

Answer

Question:

We have a full-time employee who will be going part-time. Can we discontinue coverage immediately when they go part-time?

Answer

Question:

How long do waivers last?

Answer

Question:

Coming at this cold; not sure what to make of all the ACA information I’m finding.

Our insurance company talks about “shared responsibility provisions.” Our ERISA lawyer talks about “4980H rules.” Vendors talk about “play or pay.” My predecessor’s hand-off notes talk about “the employer mandate.”

I know this is a big law. What am I missing?

Answer

Question:

How does COBRA work when someone loses their eligibility for coverage?

Answer

Question:

What notification do we have to give an employee who is losing their eligibility for coverage?

Answer

Question:

Why is reporting on self-insured health plans so complicated?

Answer

Question:

Why is there so much confusion over coverage for spouses?

Answer