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 recently heard arguments in a case that could decide the future of the Affordable Care Act. XpertHR takes you inside the courtroom for a unique perspective on this hotly-debated issue in King v. Burwell.
The Supreme Court heard arguments on March 4 in a hotly-debated Affordable Care Act case which affects the future of the 2010 health care law. At stake in King v. Burwell is whether Congress intended nationwide tax credits when it passed the ACA, or whether tax subsidies were only meant for purchases on a state-run exchange established by a state.
Employers seeking to advise employees who is eligible to participate in medical and dental insurance, whether and to what extent coverage may extend to spouses and other family members and when benefit selections should be made should consider including this model policy statement in their handbook.
The requirements of the Affordable Care Act (ACA) go into effect over several years. This chart summarizes major provisions of health care reform that are already in effect as well as those that will become effective over the next several years.
Final regulations on the Affordable Care Act's 90-day waiting period limitation, which clarify the one-month maximum length of orientation periods preceding the waiting period.
These FAQs help explain how the Affordable Care Act determines full-time employee status. An employer can use this information to determine whether it must offer health benefits or else pay a penalty, and to whom health benefits must be offered.
HR guidance on the importance of understanding health care insurance.