Insurance News

  • Florida New Hire Reporting Now Includes Independent Contractors October 15, 2021
    Reporting Requirement Applies to Contractors That Render At Least $600 In Services Effective Oct. 1, 2021,  a new law in Florida requires employers and service recipients to report to the State Directory of New Hires (the Directory) information
  • District of Columbia Expands Paid Employee Leave October 13, 2021
    The District of Columbia has amended its Universal Paid Leave Act (UPLA) and Family and Medical Leave Act (DCFMLA). The amendments took effect Oct. 1, 2021, via emergency legislation and expire Nov. 21, 2021. An identical, permanent law is under Congressional review.
  • Allegheny County, Pennsylvania, Passes Paid Sick Leave Ordinance October 8, 2021
    Employers in Allegheny County, Pennsylvania must provide employees with paid sick time under a new ordinance passed Sept. 14, 2021.
  • Clarifying Guidance on COBRA Deadline Extension Relief October 7, 2021
    IRS Notice 2021-58 clarifies the application of certain COBRA deadline extensions for electing COBRA coverage and paying COBRA premiums under prior relief that was issued as a result of the COVID-19 outbreak (“Emergency Relief”).
  • Ohio Minimum Wage to Increase in 2022 October 7, 2021
    The New Rate Becomes Effective Jan. 1, 2022 On Jan. 1, 2022, Ohio’s minimum wage rate will increase to $9.30 per hour for nonexempt employees.  The state minimum wage in Ohio applies to employers that gross at least
  • Washington Announces 2022 Minimum Wage Rate October 7, 2021
    The New Rate Becomes Effective Jan. 1, 2022 Washington state has announced that its minimum wage rate will increase to $14.49 per hour on Jan. 1, 2022. Employers may continue to pay employees who are 14 or 15 years of
  • California Family Rights Act to Cover Care for Parents-in-Law October 6, 2021
    Effective Jan. 1, 2022, California employers subject to the California Family Rights Act must allow eligible employees to take leave under the act to care for a parent-in-law with a serious medical condition.
  • California Repeals Subminimum Wage Rates for Disabled Workers October 6, 2021
    A Multi year Plan Will Be Developed To Phase Out All Subminimum Wages For Employees With Disabilities By Jan. 1, 2025 On Sept. 27, 2021, California repealed a provision that enabled employers to pay wages below the state’s minimum wage
  • South Dakota Announces 2022 State Minimum Wage Rate October 6, 2021
    New Rates Become Effective Jan. 1, 2022 South Dakota has announced a $9.95 per hour minimum wage rate for nonexempt employees. The new minimum wage rate becomes effective Jan. 1, 2022.  State Minimum Wage Rate South
  • New York Announces Minimum Wage Rates for 2022 October 6, 2021
    New Rates Become Effective On Dec. 31, 2021 On Sept. 22, 2021, the New York Department of Labor (NYDOL) announced the state’s two minimum wage rates will increase on Dec. 31, 2021.  The rate for Nassau, Suffolk and

Employers have much to think about nowadays in addition to running their businesses. While Health Care Reform (PPACA) passed in 2010, to add to the confusion many of the changes the law created have been delayed or amended. Employers who fall under the mandate will have new reporting requirements and potential penalties. Small employers may consider the benefits of purchasing in the SHOP exchange where they may qualify for the small business tax credit or disbanding their group plan and having employees purchase individual coverage potentially getting subsidies for premium and cost sharing expenses. Glandon Insurance can help you with exploring your options, keeping you in compliance or when considering self insurance.

Pay or Play (Employer Shared Responsibility)

The employer shared responsibility provisions (also known as “pay or play”) require large employers—generally those with at least 50 full-time employees, including full-time equivalent employees (FTEs)—to offer affordable health insurance that provides a minimum level of coverage to full-time employees (and their dependents) or pay a penalty tax if any full-time employee is certified to receive a premium tax credit for purchasing individual coverage on the Health Insurance Marketplace (Exchange).

The “pay or play” requirements are delayed until 2016 for employers with 50 to 99 full-time employees who certify that they meet certain eligibility criteria related to workforce size, maintenance of workforce and overall hours of service, and maintenance of previously offered health coverage.

Employer Liability for the Pay or Play Penalty

For 2016 (and, if applicable for employers with non-calendar year plans, any calendar months during the 2016 plan year that fall in 2017), an employer who is subject to the “pay or play” requirements will be liable for a penalty only if:

  • The employer does not offer health coverage or offers coverage to fewer than 70% of its full-time employees (and their dependents, unless transition relief applies), and at least one full-time employee receives a premium tax credit; or
  • The employer offers health coverage to at least 70% of its full-time employees (and their dependents, unless transition relief applies), but at least one full-time employee receives a premium tax credit, which may occur because the employer did not offer coverage to that employee or because the coverage the employer offered that employee was either unaffordable to the employee or did not provide minimum value.

After 2016, 95% should be substituted for 70% in the bullets above.

Small Business Health Care Tax Credit

Certain small businesses and tax-exempt employers that pay at least half of the premiums for employee health insurance coverage may be eligible for the small businesses health care tax credit. For tax years 2010–2013, the maximum credit is 35% for small business employers and 25% for small tax-exempt employers. For tax years beginning in 2014 or later, the maximum credit increases to 50% of premiums paid for small businesses and 35% of premiums paid for small tax-exempt employers.

For a quick look at the Small Business Tax Credit and eligibility:

Small Business Tax Credit Calculator