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
Large employers may soon receive a notice from the IRS if they are liable for an employer shared responsibility payment for calendar year 2015 under the Affordable Care Act. The employer shared responsibility payment is the penalty assessed against an Applicable Large Employer if it does not provide affordable, minimum essential coverage to at least 70 percent of its full-time employees.
President Trump has issued two executive orders intended to weaken the regulatory structure supporting the Affordable Care Act. One order asks the Department of Labor to propose rules to let more employers participate in association health plans while the other halts the payment of subsidies to healthcare insurers.
More employers with religious or moral objections to providing birth control may be granted an exemption from Affordable Care Act regulations requiring them to provide coverage under two interim rules issued by the Trump administration.
In Notice 2016-70, the IRS extended the deadline for employers to furnish individual statements to employees under the Affordable Care Act and continues to provide relief from penalties for incomplete or incorrect information reports filed in good faith.
HR guidance on the importance of understanding health care insurance.