Affordable Care Act
ACA Timeline (summarized)
- 2010
- Dependent coverage up to age 26
- Lifetime dollar limits are prohibited
- Pre-existing conditions exclusions are eliminated for children under age 19
- Non grandfathered plans must cover certain preventive services
- Small business health care tax credit
- 2011
- Medical Loss Ration (MLR) rules apply to insurer premium spending
- Employee must report health coverage costs on Form W-2
- 2012
- Plans must provide SBCs during open enrollment
- Preventive care services for women are expanded
- PCORI fees begin
- 2013
- Improved HIPAA rules
- Employers required to distribute the “Exchange Notices”
- Medical devise tax
- 2014
- Individual mandate
- Health Insurance Exchanges are introduced
- Pre-existing conditions are prohibited on all individual plans
- Tax credits are available for individuals enrolling through healthcare.gov
- Employee waiting periods can not be longer than 90 days
- Small group and individual plans must provide plans that include Essential Health Benefits (EHBs)
- 2015
- Applicable large employers with 100 or more FTEs most offer affordable, minimum value coverage or pay a penalty
- Employer reporting, section 6055 and 6056 begin
- 2016
- Applicable large employers with 50-99 FTEs must now also offer affordable, minimum value coverage or pay a penalty
- 2020
- Cadillac tax implementation