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
The IRS announced that the adjusted applicable dollar amount for the Patient-Centered Outcomes Research Institute (PCORI) fee will increase to $2.08 for plan or policy years ending on or after October 1, 2014, and before October 1, 2015.
The 7th Circuit Court of Appeals upheld recent lower court decisions invalidating Indiana's and Wisconsin's laws banning same-sex marriage.
The value of health insurance benefits provided to an employee's same-sex spouse or partner and/or their dependents is taxable in Indiana.
The IRS has released draft instructions for employers to use when completing the forms required by the Affordable Care Act (ACA) under Internal Revenue Code § 6055 and § 6056. An employer must use these forms to report to the Internal Revenue Service on its employee health care coverage.
A federal court declares Florida's same-sex marriage ban unconstitutional, but the decision is stayed pending appeal.
New rules on the Affordable Care Act's contraception coverage mandate were published in light of the Supreme Court's Hobby Lobby and Wheaton College decisions. Interim final rules provide an alternative way for religious nonprofits to provide notice of their objection to covering contraceptive services, and proposed rules cover accommodating closely held, for-profit companies with religious objections.
New California legislation, SB 1034, aligns state health insurance waiting periods with the federal Affordable Care Act's (ACA's) maximum 90-day waiting period. The state had previously established a 60-day cap.
The health care reform resource page can be used as a tool to help subscribers comply with the complex requirements of the Affordable Care Act (ACA).
These FAQs cover the excise tax on Cadillac Plans under the Affordable Care Act.
HR guidance on understanding the value of health care benefits.