Affordable Care Act (ACA) Compliance

Protect your company from ACA penalties
with a guaranteed compliant program

 

 

Under the Affordable Care Act all individuals must have health benefits and all employers with 50 or more full-time employees must provide coverage to all eligible employees. The MEC Plan will eliminate the employee penalty for companies with less than 50 employees. With the Minimum Essential Coverage plan both employee and employer penalties are satisfied for companies with 50 or more employees.

The Minimum Value Plan has a limited enrollment period of 15 days, and is offered at an additional cost to the employee. All eligible employees will be offered this plan and will need to contact the enrollment center to opt for coverage. The enrollment center counselors will explain the Minimum Value Plan and, if applicable, provide information on more affordable and benefit rich options based on the employees individual needs including: Indemnity Plans, Fully Insured Plans, Major Medical Plans and Insurance Exchanges. The Minimum Value Plan is made affordable to all eligible employees and includes all 10 essential health benefits meeting IRS standards.

Both the Minimum Essential Coverage Plan and the Minimum Value Plan can be offered in conjunction with other plans. There are no minimum participation or minimum offering requirements. These plans allow you to easily comply with the ACA Employer Mandate.

Companies with 50+ Employees

Preventive Health Benefits

All eligible employees are auto-enrolled into a Minimum Essential Coverage Plan which provides 71 preventive health benefits.

ACA Penalty Protection

We are able to guarantee that the employer has complied with the $2,000 penalty and satisfied regulations for the the $3,000 penalty.

All eligible employees are also offered an affordable Bronze Minimum Value Plan. The plan is guaranteed to meet the minimum value requirements and affordability under the Affordable Care Act and has no participation requirements. We have a variety of different plans available with varying deductible amounts allowing employers to build a plan that works for them. Under all of our plans, employees will have access to an extensive network of doctors and specialists in their area and around the country.

A 1095-B is provided to each employee to protect them from the individual $695 penalty.

Required PCORI fees are paid on behalf of the employer. All COBRA administration handled on behalf of the employer. Unused claims funding will be returned to the employer on a quarterly basis. The Advanced Program is a perfect fit for business owners looking for an affordable and guaranteed compliant solution to the Affordable Care Act mandates.

Companies with Less Than 50 Employees

Provides a MEC Qualified Plan

The Essential Program can be offered to any company with 10 or more full time employees.

Under the Essential Program, all eligible employees are enrolled into a Minimum Essential Coverage(MEC) Plan that provides preventative health and wellness beneļ¬ts. Benefit highlights of the Minimum Essential Coverage include: Diabetes Screening, Immunizations, Depression Screening, STI Counseling, Contraception, Heart Disease Prevention, Colon Cancer Screening, Skin Cancer Counseling, Breast feeding Counseling, Breast Cancer Screening, Autism Screening, Dental Cavities Prevention, Iron Supplementation, Blood Pressure Screening, and Tobacco Use Interventions
Employers can gain control over their health care expenses and lower their costs now and for years to come. Choosing a self-funded plan that works for your business will allow more flexibility to build a plan that benefits their employees and encourages employee retention.

 


 

Employers are walked through the process step by step by their Account Coordinator with no lengthy applications needed for enrollment. Our experienced team has assembled everything employers need for their enrollment process, plan management and claims.

An exclusive legal guarantee of compliance is provided to employers that choose the Advanced Program. The Advanced program is a perfect fit for business owners looking for an affordable and guaranteed compliant solution to the Affordable Care Act mandates. All it takes to receive a no cost proposal is to provide us with a company census.

Protect your company and its employees. Pay for all or part of the ACA Solutions Programs by adding on our Tax Savings Program..

 

Complete our Business Information Request Form