Insurance News

  • DOL Updates Regular Rate of Pay Rules December 13, 2019
    Final Rule Clarifies What to Include in the Regular Rate On Dec. 12, 2019, the U.S. Department of Labor (DOL), announced a new final rule that clarifies how to calculate an employee’s regular wage rate under the Fair Labor Standards
  • DOL Issues 2020 Form W-4 December 13, 2019
    Employers Must Begin Using the New Form Jan. 1 On Dec. 5, 2019, the Internal Revenue Service released an updated version of its W 4 form, also known as the “Employee’s Withholding Certificate.”  Employers use IRS
  • Court Halts San Antonio Paid Sick Leave November 27, 2019
    San Antonio’s paid sick leave law will not go into effect Dec. 1 as scheduled as a result of a temporary injunction granted Nov. 22.
  • DOL Proposes Revisions to Fluctuating Workweek Overtime Method November 13, 2019
    Comments on Proposed Rule are Due by Dec. 5 On Nov. 5, 2019, the U.S. Department of Labor (DOL) published a proposed rule to update the “fluctuating workweek” method for calculating employee overtime wages under the Fair Labor Standards Act
  • California Increases Overtime Threshold for Medical and Computer Employee Exemptions November 8, 2019
    New Requirements Take Effect Jan. 1, 2020 The California Department of Industrial Relations (DIR) has published updates to the minimum salary threshold that computer employees, physicians and surgeons must receive in order to qualify for the state’s overtime exemptions. The
  • 2020 QSEHRA Contribution Limit Announced November 7, 2019
    Contribution Limit to Increase in 2020  The IRS has announced that the contribution limit for qualified small employer health reimbursement arrangements (QSEHRAs) will be $5,250 per employee and $10,600 per family in 2020. For 2019, the contribution limit is $5,150
  • 2020 Health FSA Contribution Limit Announced November 7, 2019
    Contribution Limit to Increase $50 in 2020 The IRS has announced that the contribution limit for health flexible spending arrangements (health FSAs) will be $2,750 in 2020. For 2019, the contribution limit is $2,700.
  • IRS Releases 2020 Retirement Contribution Limits November 6, 2019
    The IRS has announced that the amounts employees can contribute to 401(k)s and some IRAs will increase in 2020.
  • HHS Rescinds Health Plan Identifier (HPID) under HIPAA October 29, 2019
    On Oct. 25, 2019, HHS released a final rule that officially withdraws the HPID requirement.
  • Washington's Domestic Violence Poster Is Now Available October 24, 2019
    New Law Took Effect July 28 Last May, Washington adopted a new law requiring employers to display a poster about domestic violence. The poster was published recently by the Washington Employment Security Department (ESD) and it includes instructions employees can follow

Click Here to Buy Coverage


In 2014 it’s the law that with few exceptions everyone must maintain insurance that meets minimum essential coverage. While for the most part insurance rates have not come down the good news is there are significant subsidies available that both help with paying for coverage and for helping to meet up front and out of pocket expenses.

Who is eligible for the premium tax credit?
An individual is eligible for the premium tax credit if he or she meets all of the following requirements:

  • Purchases coverage through the Marketplace.
  • Has household income that falls within a certain range.
  • Is not able to get affordable coverage through an eligible employer plan that provides minimum value.
  • Is not eligible for coverage through a government program, like Medicaid, Medicare, CHIP or TRICARE.
  • Files a joint return, if married.
  • Cannot be claimed as a dependent by another person.

Glandon Insurance has their FFM Certification and can help you purchase coverage through the exchange.

To find out if you may be eligible to receive either premium or cost sharing subsidies: Subsidy Calculator

 

Who is subject to the individual shared responsibility provision?
The provision applies to individuals of all ages, including children. The adult or married couple who can claim a child or another individual as a dependent for federal income tax purposes is responsible for making the payment if the dependent does not have coverage or an exemption.

When does the individual shared responsibility provision go into effect?
The provision is effective as of January 1, 2014 and applies to each month in the calendar year.

In order to provide transition relief during the first year the penalty tax applies to individuals, an employee (or an individual having a relationship to the employee) who is eligible to enroll in a non-calendar year eligible employer-sponsored plan with a plan year beginning in 2013 and ending in 2014 will not be liable for the penalty tax for certain months in 2014. The transition relief begins in January 2014 and continues through the month in which the 2013–2014 plan year ends.

What counts as minimum essential coverage?
Minimum essential coverage includes employer-sponsored coverage (including self-insured plans, COBRA coverage and retiree coverage), coverage purchased in the individual market, Medicare Part A coverage and Medicare Advantage, Children’s Health Insurance Program (CHIP) coverage, and certain other types of coverage.

Calculating the Payment
The penalty in 2014 is calculated one of 2 ways. In general, individuals will pay whichever of the following amounts is higher:

  • 1% of the individual’s yearly household income above his or her applicable filing threshold (the amount of gross income that triggers the requirement to file a federal income tax return). The maximum penalty is the national average yearly premium for a bronze plan.
  • $95 per person for the year ($47.50 per child under 18). The maximum penalty per family using this method is $285.

The fee increases every year. In 2015, it increases to 2% of income or $325 per person. In 2016 and later years, the fee is 2.5% of income or $695 per person. After that it is adjusted for inflation.

If an individual is uninsured for just part of the year, 1/12 of the yearly penalty applies to each month the individual is uninsured. (If an individual is uninsured for less than 3 months, the individual does not have to make a payment.)