Category Archives: Department of Labor

Public Exchange Notice- Employees Must Be Told

Employers Must Provide The Correct Public Exchange Notice to Employees

Employers must comply by providing the correct public exchange notice of coverage options to each employee, regardless of whether employees are part-time, full-time, enrolled or not enrolled at all.

Public Exchange Notice Disclosure Requirement

President Obama Signs Healthcare Legislation

[Related Story: Huge Penalties for Reimbursing employees for individual health insurance policies]

It is remarkable to note that the DOL public exchange notice disclosure forms read like a sales pitch to join the public exchange. Some industry observers have speculated about the motive behind this notice: Is it to provide neutral information on coverage options, or rather is it an attempt to raid plan participants and shift them to the public exchange?

“When key parts of the health care law take effect in 2014, there will be a new way to buy health insurance:  The Health Insurance Marketplace,” states a required regulatory notice, which all employees must receive from their employers beginning October 2013, as required by the Fair Labor Standards Act.

Regulatory notice OMB No. 1210-0149 goes on to disclose basic information about the new Health Insurance Marketplace, including how to save money on health insurance premiums in the marketplace etc.

As the individual marketplace continues to deteriorate, the small group market has gained a firmer footing, including stable PPO networks and easier participation rules with Kaiser and traditional PPO plans.  Is it time to review available small group plans?   Reserve your appointment early for Open Enrollment, which begins this November.  Find local assistance in San Jose, Santa Clara and the San Francisco bay area or via telephone, throughout Northern and Southern California..

View online pricing, free of charge

Sample Public Exchange Notice From DOL- 

To satisfy the content requirements for FLSA section 18B, employers may refer to the Department of Labor’s website www.dol.gov/ebsa/healthreform.   To save you some time from reading through the DOL website maze, I have included links below.  Note: There is one model for employers who do not offer a health plan and another model for employers who offer a health plan to some or all employees.  Employers may use one of these models, as applicable, or a modified version, provided the notice meets the content requirements described in Regulatory notice OMB No. 1210-0149.

The above public exchange notices are in PDF format. If you prefer an MS Word version for easy Edit & Print, use these versions: FLSAwithoutplans (employers who do not currently offer a plan) or FLSAwithplans (for employers who do have an existing medical plan).

There are additional requirements and upcoming ACA deadlines that affect small employer health plans: Read about them in a related article, 4 Actions Employers Must Complete By October 1st.

For additional employer requirements under the Affordable Care Act legislation click here.

 Finally, some good news…

Announcing the new VSP Individual Plan, great for the self-employed who can often write-off the premiums (but usually not the cost of self-insuring vision care).

Watch the VSP’s new vision care video for Individuals, Families, Retirees, and especially, the self-employed:VSP Video

4 Actions Employers Must Complete By October 1, 2013

Employers Must Act Soon (deadlines apply to all future new hires):

[Employers also read Huge Penalties for Reimbursing employees for their Individual Health Insurance Policies]

  1. This Department of Labor (DOL) regulation may surprise small employers who do not yet offer employee healthcare coverage:  The requirement hits them, too. Basically, the DOL requires that employers with as few as one employee hand out a disclosure form, even for 1099 employees. Further, the DOL has adopted different notices for different employer situations.  Make sure you are using the correct notice: Read more here.
  2. COBRA Notices- Amend existing COBRA notices to include new Department of Labor required language for employer COBRA disclosures.  Your COBRA administrator or vendor should be updating this notices.
  3. Move the money:  It is time to allocate monies you received in July, on behalf of your employees i.e. the Medical Loss Ratio (MLR) rebates.  Can you keep the refund?  Read our article about this very question.
  4. Download and properly distribute Summary Benefit Coverage forms by the appropriate deadline.  For a quick reference, download a free PDF Summary of SBC Requirements, which outlines employer requirements and deadlines. Kaiser employers read a related article here.

As the individual marketplace continues to deteriorate, the small group market has gained a firmer footing, including stable PPO networks and easier participation rules with Kaiser and traditional PPO plans.  Is it time to review available small group plans?   Reserve your appointment early for Open Enrollment, which begins this November.  Find local assistance in San Jose, Santa Clara and the San Francisco bay area or via telephone, throughout Northern and Southern California..

Eventbrite - Shopping For Obamacare And Better Covered California Insurance

or view online pricing, free of charge

Obamacare Healthcare Exchange Notice Is A New Requirement For Employers By October 2013

Obamacare Healthcare Surprise: Even Employers With No Health Plan Must Distribute Notices By October 1st

This article provides important information for California employers.   If you are an employee checking out Obamacare healthcare plans for yourself, read our Covered California Buyer Guide.

The Fair Labor Standards Act requires all employees to receive a disclosure notice from their employer beginning Ocrober 1, 2013.  The notice includes the following advertisement:  “When key parts of the health care law take effect in 2014, there will be a new way to buy health insurance:  The Health Insurance Marketplace.”  The Health Insurance Marketplace is another term for the new ObamaCare Healthcare Exchanges, such as the Covered California exchange (see related story), which is accepting enrollments in October 2013.

Regulatory notice OMB No. 1210-0149 goes on to disclose basic information about the new Health Insurance Marketplace, including how to save money on health insurance premiums in the marketplace etc.  If you are interested in a copy, send an email to info@coverage-ca.com.