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