Overview: Health care insurance provides protection against the risk of medical expenses and generally provides coverage for doctor visits, hospital stays, medicines and other medical expenses defined in the contract. Issuers of group health insurance can assess the risk associated with an employer's group and develop a financial arrangement typically in the form of a monthly insurance premium.
A health insurance policy or contract is a written document that defines the type and amount of health care services covered, and, if both parties agree, are renewable on a periodic basis, usually annually. In employer group health plans, employees usually share the cost of their health plan with their employer by paying their share of premium contributions and by paying deductibles, co-payments and co-insurance.
Author: Tracy Morley, SPHR, Legal Editor
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.
Updated to reflect information on the Patient Protection and Affordable Care Act's maximum annual limitation on cost sharing.
For Affordable Care Act purposes, the IRS has adjusted the "pay or play" penalties for inflation and equalized the rate for determining health care coverage affordability for 2015 and 2016.
Affordable Care Act (ACA) market reform final rules will apply beginning January 1, 2017. Also, the IRS has issued guidance on various ACA provisions.
The Affordable Care Act Cadillac tax that was to go into effect in 2018 has been postponed to 2020.
Affordable Care Act information-reporting due dates for 2015 have been extended.
HR guidance on the importance of understanding health care insurance.