Impact of Affordable Care Act on Public Sector Health Plans
June 20, 2011
"The Affordable Care Act places new and increasingly stringent requirements onto public sector health plans," observes Rick Johnson, senior vice president and national public sector health practice leader at The Segal Company.
He points out that the role of state and local government in providing health benefits for active and retired employees is changing, and the health reform law now includes numerous federal compliance and benefit requirements that states and local jurisdictions did not have to meet in the past.
A recent presentation by Johnson covers all significant provisions of the new law and how they affect public sector health plans at present and in the coming years. Among the topics he discusses:
- Rules for grandfathered status.
- Impact on retiree health benefit strategy and public employee plans.
- Early retiree insurance program.
- Medicare Advantage Plans, Part D changes, closing the doughnut hole.
- Pros and cons of retiree-only plan exemption.
- Changing the public employer's role.
- Health insurance exchanges and free rider penalty - 2014.
- Premium assistance tax credit calculation and examples.
- Free-choice vouchers and excise tax on high cost plans.
- Seven things public employers should be doing now.