Overview: Health care benefits are an important part of the overall compensation package and employee benefit program that employers use to attract and retain workers. Employees value health care benefits because they soften the financial impact of a catastrophic, unanticipated illness or injury.
Employees are typically provided an opportunity to participate in the employer's group health plan. Eligibility for participation may depend on a number of factors including working for a required period of time and/or an individual's employment status (e.g., full time or part time).
Most health care benefit packages include medical and prescription drug coverage, but many employers offer more comprehensive packages that include dental and vision benefits as well. Basic health insurance covers costs related to hospital care, including hospitalization, inpatient surgery and doctor fees related to the hospitalization.
Trends: The requirements of the Affordable Care Act pose some real challenges for HR professionals, and its requirements have a significant impact on how both employers and employees view health care benefits.
Author: Tracy Morley, SPHR, Legal Editor
Updated to reflect IRS final regulations defining 'spouse' for federal tax and benefits purposes.
This webinar discusses what the Supreme Court's term will mean for HR and in-house counsel with expert insights and analysis from Anthony Oncidi, who heads the labor and employment practice group in the Los Angeles office of Proskauer Rose, and XpertHR Legal Editor David Weisenfeld.
The IRS has issued proposed regulations that confirm the position it took in Notice 2015-87 with regard to unconditional opt-out payments - payments made to employees who forgo group health benefits, which increase the amount of their monthly premium by the amount of the payments. The proposed regulations, which also cover eligible conditional opt-out payments, would take effect for plan years beginning in 2017.
Updated to reflect additional health insurance Marketplace information that may be included with an election notice.
Updated to incorporate an amendment regarding enrollment of pregnant individuals in the state health insurance exchange, effective July 1, 2016.
The IRS is urgently reminding self-insured employers, applicable large employers and providers of health coverage that the due date to electronically file information returns in compliance with the Affordable Care Act (ACA) is this week - on June 30. This includes electronic filing of the 1094 and 1095 series of forms.
The Supreme Court will not resolve a contentious case involving the Affordable Care Act's (ACA's) contraceptive coverage requirement Instead, it issued a unanimous ruling that sends Zubik v. Burwell back to the lower courts without any broad pronouncement.
HR guidance on understanding the value of health care benefits.