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
As mandated by the California Department of Health Care Services (DHCS) some employers are required to provide this notice to terminated employees.
Courts in Arkansas and Mississippi struck down bans on same-sex marriage. However, both decisions have been stayed pending appeal.
The IRS has issued the annual pension and fringe benefit plan cost-of-living adjustments (COLAs) for tax-year 2015. Employers must reprogram their computers and payroll systems with these amounts before the first payroll of 2015.
The ACA employer mandate delay is the subject of a new House lawsuit.
The Affordable Care Act's transitional reinsurance program helps fund the cost of covering high-risk individuals in the individual health insurance market. For 2014 through 2016, health insurance issuers and sponsors of self-insured group health plans must pay a fee per covered life, per year.
In-depth review of the spectrum of Arkansas employment law requirements HR must follow with respect to health care benefits.
In-depth review of the spectrum of Mississippi employment law requirements HR must follow with respect to health care benefits.
Courts declared same-sex marriage bans unconstitutional in Kansas, Missouri, Montana and South Carolina. The 6th Circuit Court of Appeals upheld same-sex marriage bans in Kentucky, Michigan, Ohio and Tennessee.
Employer-sponsored health care benefits are an important part of the overall compensation package used to attract and retain employees. Employers, however, face a number of issues when deciding on employee health care benefits. This section assists HR professionals in understanding the different types of benefit plans (e.g., traditional indemnity, managed care), the benefits that may be offered (e.g., prescription drug, dental, vision), how cafeteria plans work and the impact of the Patient Protection and Affordable Care Act (PPACA).
In-depth review of the spectrum of Montana employment law requirements HR must follow with respect to health care benefits.
HR guidance on understanding the value of health care benefits.