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2016 Compliance Webinar Series: Managing ACA Subsidy Notifications and Appeals

July 19, 2016 | 1:00-2:00 PM CST – presented by Manufacurers Insurance Services of Illinois, the IMA’s insurance partner . . .

Just as employers wrap up their 2015 Form 1094-C/1095-C reporting obligations, many are facing the next ACA hurdle — Marketplace subsidy notifications and appeals. The first wave of subsidy notifications were mailed to employers in late June, and we can expect more to come.

Premium subsidies (sometimes referred to as advanced premium tax credits) are available to individuals who purchase health insurance through the public health insurance Marketplace and who are determined to meet certain eligibility criteria. Marketplaces are required to notify employers when an employee enrolls in Marketplace coverage and is determined to be eligible for a subsidy. Because subsidies are the trigger for penalties under the ACA’s employer shared responsibility provision (the so-called “employer mandate”), it is important that employers understand what the notices mean and how to respond. Employers only have 90 days from the date the notification is sent to appeal the Marketplace’s subsidy determination.

In this webinar, we will:

  • Review the subsidy application, determination and appeal process.
  • Discuss when and why employers should appeal a subsidy determination.
  • Offer tips and best practices for managing, analyzing, documenting and responding to subsidy notifications.
  • Consider a variety of common scenarios and offer practical suggestions on how to respond in each scenario.

July 19, 2016 Webinar — 1:00-2:00 PM CST

Register here.

About The Speakers

Sara B. Tountas, J.D., is Director of Health Reform and Benefits Compliance at Acrisure, LLC. As Director of Health Reform and Benefits Compliance, Sara assists Acrisure clients and prospects in navigating the increasingly complex environment of employee benefit compliance. Sara enjoys helping employers think “outside the box” and identify new and innovative ways to leverage compliant strategies to meet their employee benefit objectives. She is also actively involved in Acrisure’s strategic Health Reform-related initiatives and provides ongoing compliance education and support to Acrisure agency partners across the country. Sara has particular experience in health and welfare benefit compliance issues, including the Affordable Care Act, ERISA, COBRA, HIPAA, IRC Sections 125 and 105(h), and wellness programs.

Brad Urhausen, Executive Vice President, Employee Benefits, Wine Sergi Insurance, an Acrisure Agency Partner, began his career with Wine Sergi in 2005, and since that time he has seen the rapid evolution and transformation of the Employee Benefits space. With a passion for technology, entrepreneurship, and following rules, Brad has built a strong competency in strategic plan designs, legislative compliance, population health management, and benefits administration technologies. Brad is a regular guest speaker at industry trade groups and associations on the topic of the Affordable Care Act (ACA), and he finds energy in helping his clients strategically prepare for, and address, the ever-changing benefits environment. Contact Brad at 630-513-6600; email: benefits@winesergi.com; web: http://www.winesergi.com.

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