Cut Through the Confusion of Health Care Reform! Employers Guide to Health Care Reform, 2012-2013 Edition by Brian M. Pinheiro, Jean C. Hemphill, Clifford J. Schoner, Jonathan M. Calpas, Kurt R. Anderson List Price: $275.00   Eligible for Free Standard Shipping on U.S. Prepaid Orders Imprint: Aspen Publishers ISBN: 9781454810322 Paperback: 484 pages Publication Cycle: Published annually Last Updated: 11/15/2012 Automatic Supplementation More Info. Available: Item ships in 3-5 Business Days

Employer's Guide to Health Care Reform is the premier step-by-step practical guide for employers struggling to keep up with the rapid pace of changes affecting their health benefit plans. Specifically, it will help you: Grasp every implication of health care reform from the employer's perspective Fully understand even the most complex rules Achieve significant cost savings Meet deadlines and take advantage of opportunities to delay implementation And much more! Written by experts from Ballard Spahr LLP, the 2012-2013 Edition of Employer's Guide to Health Care Reform has been updated to include coverage of the latest health care reform developments, including: A review of the landmark U.S. Supreme Court decision in National Federation of Independent Business v. Sebelius, which upholds the constitutionality of the Affordable Care Act When is a plan a "grandfathered" health plan - and how to keep it that way Whether an employer-sponsored health plan covering solely retirees is subject to the Affordable Care Act design changes, such as the requirement to cover children through age 26 What types of subsidies and tax credits are available right now to employers that provide health coverage to employees Which health plans and benefits are currently subject to new prohibitions on annual and lifetime limits, and what exemptions are available How and when the Affordable Care Act restricts preexisting-condition exclusions When must an employer-sponsored health plan provide full coverage for preventive health services without cost-sharing What are the consequences of offering health plan coverage to children up to age 26 What are the new claims and appeals processes mandated by the Affordable Care Act for health plans What additional changes to health plan design are going to be required beginning in 2014 How will employer-sponsored health plans need to change their employee communications to address the Affordable Care Act requirements What new types of reporting will be required for health plans What is the "individual mandate" to enroll in health coverage Which employers will have to pay a penalty if they do not provide adequate and affordable health plan coverage How employers can determine whether their coverage is adequate and affordable What is a health care Exchange, and how will it affect the U.S. health care system What states will need to do to set up a health care Exchange How the Affordable Care Act affects retiree prescription drug coverage under Medicare Part D and how the changes create new opportunities for employers How and when the new nondiscrimination rules apply to insured health benefits, and what are the consequences of discriminatory coverage Which employer-sponsored health plans are subject to auto-enrollment and when do the rules go into effect What are the new FormW-2 reporting requirements for employer-sponsored health plans and when do they go into effect When health care flexible spending accounts (Health FSAs) and health savings accounts (HSAs) may and may not pay reimbursements for over-the-counter medicines and drugs And much more View the Highlights for this title. EVOLUTION OF HEALTH CARE REFORM Reasons for Health Care Reform The Employer-Based Health Care Coverage Landscape Prior to Health Care Reform The Legislative Process: Making Sausage Enforcement Responsibility CONSTITUTIONAL CHALLENGES TO HEALTH CARE REFORM Federal Government's Taxing Power Federal Government's Commerce Clause Power HEALTH CARE COVERAGE KEY TERMS HEALTH CARE REFORM EXEMPTIONS Grandfathered Health Plans: "If You Like Your Current Insurance, You Will Keep Your Current Insurance" Collectively Bargained Insured Plans Exemption for Retiree-Only Plans Exemption for Excepted Benefits QUALITY, AFFORDABILITY, AND ACCESSIBILITY Immediate Steps to Expand and Preserve Coverage Transition Period Coverage Improvements Applicable to Group Health Plans Coverage Improvements Applicable to Employment-Based Coverage Effective January 1, 2014 New Reporting Obligations Additional Electronic Transaction Standards PRESERVING AND EXPANDING IMMEDIATE ACCESS TO COVERAGE Temporary Reinsurance Program for Early Retirees Pre-Existing Condition Insurance Plans Small-Employer Incentives COVERAGE IMPROVEMENTS DURING THE TRANSITION PERIOD Prohibitions on Lifetime and Annual Dollar Limits on Benefits Prohibition on Preexisting-Condition Exclusion Provisions for Children Under Age 19 Coverage of Preventive Health Services Extension of Coverage for Children Up to Age 26 Mandated Claim and Appeal Process Prohibitions on Rescissions Patient Protections IMPROVEMENTS EFFECTIVE JANUARY 1, 2014 Prohibitions on Preexisting-Coverage Exclusions or Other Discrimination Based on Health Status Fair Health Insurance Premiums Guaranteed Issue and Renewability Prohibiting Discrimination Against Health Care Providers Quality Coverage Provisions Limits on Waiting Periods Coverage for Individuals Participating in Approved Clinical Trials TRANSPARENCY AND ACCOUNTABILITY Uniform Summary of Benefits and Coverage Reporting on Claims Practices and Plan Financing Quality-of-Care Reporting Containing the Cost of Health Insurance Coverage Ensuring That Consumers Get Value for Their Dollars Empowering Consumers With Information State Health Insurance Consumer Information MANDATES AND EXCHANGES Individual Enroll-or-Pay Employer Pay-or-Play (Shared Responsibility) Free Choice Vouchers Health Care Exchanges OPERATIONAL CHANGES FOR HEALTH PLANS Medicare Part D Nondiscrimination Rules Applicable to Insured Health Benefits Auto-Enrollment Employer Notice of Coverage Options Nursing Mothers Reporting Cost of Coverage on Form W-2 Simple Cafeteria Plans for Small Businesses NEW TAXES AND OTHER REVENUE-RAISERS “Cadillac” Tax Health FSAs HSAs Administrative Feesfor Self-Funded and Insured Plans Additional Taxes on High Earners Other Taxes ANALYZING THE IMPACT OF HEALTH CARE REFORM Difference Based on Employer Size Differences Based on Full-Time vs. Part-Time Employees Differences Based on Union vs. Non-Union Workforces Employers Providing Retiree Health Care Coverage Looking Ahead APPENDICES Affordable Care Act Provisions Applicable to Grandfathered Health Plans Tri-Agency Regulations on Grandfathered Health Plans Amendment to Grandfathered Health Plan Regulations HHS Regulations on Web Portal Requirements IRS Form 8941 and Instructions (Small Employer Tax Credit) Tri-Agency Regulations on Preventive Care Recommended Immunization Schedules Tri-Agency Regulations on Coverage of Contraceptive Services by Religious Employers CMS Temporary Enforcement Safe Harbor for Coverage of Contraceptive Services by Religious Employers Advance Notice of Tri-Agency Proposed Rulemaking on Coverage of Contraceptive Services by Religious Employers Tri-Agency Regulations on Extended Coverage for Adult Children IRS Notice 2010-38 (Exclusions from Income for Adult Children Coverage) Tri-Agency Regulations on Claims and Appeals Process Amendment to Tri-Agency Regulations on Claims and Appeals Process Model Notices for Claims and Appeals Decisions Blank and Completed Template Summaries of Benefits and Coverage DOL Technical Release 2011-04 - Guidance on Rebates for Group Health Plans Paid Pursuant to the Medical Loss Ratio Requirements of the Public Health Service Act HHS Center for Consumer Information and Insurance Oversight - Essential Health Benefits Bulletin and Corresponding Frequently Asked Questions Complete Guide to Human Resources and the Law, 2013 Edition Dana Shilling The Complete Guide to Human Resources and the Law will help you navigate complex and potentially costly Human Resources issues. You'll know what to do (and what not to do) to avoid costly mistakes or oversights, confront HR problems - legally and effectively - and understand the rules. The C more... Add to cart   |  Price: $219.00  |  ISBN: 9781454810261  |  Format: Paperback  Imprint: Aspen Publishers  Mandated Benefits 2013 Compliance Guide The Balser Group Mandated Benefits Compliance Guide, 2013 Edition is a comprehensive and practical reference manual covering key federal regulatory issues that must be addressed by human resources managers, benefits specialists, and company executives in all industries. Mandated Benefits Compliance Guide i more... Add to cart   |  Price: $359.00  |  ISBN: 9781454810445  |  Format: Paperback  Imprint: Aspen Publishers  Employee Benefits Answer Book, Tenth Edition Dorinda D. DeScherer, Terence M. Myers Employee Benefits Answer Book provides comprehensive guidance for those involved in the design and administration of employee benefit plans. The Q&A format is ideal for probing key topics such as: Health care reform COBRA continuation coverage Retiree health care coverage Health cover more... Add to cart   |  Price: $355.00  |  ISBN: 9780735591165  |  Format: Hardcover  Imprint: Aspen Publishers  Benefits Law Journal Davis E Morse For over 20 years, the most respected and accomplished employee benefits professionals have shared their expertise, as well as formulas for success and cautionary tales, exclusively in the pages of Benefits Law Journal . Each quarterly issue offers in-depth analysis of new legislation, regulat more... Add to cart   |  Price: $545.00  |  PIN: 9900038000  |  Format: Paperback  Imprint: Aspen Publishers  Employee Benefit Plan Review Steven A. Meyerowitz Employee Benefit Plan Review is a monthly journal designed to alert employee benefits professionals to developments and trends in the field. It covers the entire spectrum of benefit plans: Retirement plans 401(k) plans Health and disability plans International benefits Work and family init more... Add to cart   |  Price: $359.00  |  PIN: SS00136808  |  Format: Journal  Imprint: Aspen Publishers  American Payroll Association (APA) Basic Guide to Payroll, 2013 Revised Edition Joanne Mitchell-George, Delores Risteau Between the American Taxpayer Relief Act of 2012, a new Form I-9, active courts, and the IRS has been promulgating new regulations, it's more important than ever to be in compliance with payroll laws and regulations! How do you keep up with all the changes and stay in compliance to avoid penalties more... Add to cart   |  Price: $389.00  |  ISBN: 9781454825340  |  Format: Looseleaf  Imprint: Aspen Publishers  Flexible Benefits Answer Book, Sixth Edition Ashley Gillihan Flexible Benefits Answer Book includes detailed coverage of today's most important topics and issues, including: Health Care Reform Health Flexible Spending Accounts Health Reimbursement Arrangements Health Savings Accounts Adoption Assistance Plans Transportation Reimbursement Plans HI more... Add to cart   |  Price: $355.00  |  ISBN: 9780735582002  |  Format: Hardcover  Imprint: Aspen Publishers  Health Insurance Answer Book, Tenth Edition John C. Garner From designing a cost-effective new health care plan…to administering an existing plan…to complying with the many state and federal rules that govern health benefit plans - you know how difficult it is to manage your company's group health insurance. With Health Insurance Answer Book more... Add to cart   |  Price: $355.00  |  ISBN: 9780735591578  |  Format: Hardcover  Imprint: Aspen Publishers  Medicare Handbook, 2013 Edition Judith A. Stein, Alfred J. Chiplin, Jr. To provide effective service in helping clients understand how they are going to be affected by health care reform and how to obtain coverage, pursue an appeal, or plan for long-term care or retirement, you need the latest Medicare guidelines from a source you can trust - the 2013 Edition of  more... Add to cart   |  Price: $289.00  |  ISBN: 9781454810452  |  Format: Paperback  Imprint: Aspen Publishers  Social Security and Medicare Answer Book, Fourth Edition David A. Pratt Social Security and Medicare Answer Book provides the specific guidance you need so you can ensure your clients receive maximum benefit under the law. Get answers to vital questions such as: Does the health care reform legislation change the benefits under Part B? How has the Social Security more... Add to cart   |  Price: $355.00  |  ISBN: 9780735591462  |  Format: Hardcover  Imprint: Aspen Publishers  State by State Guide to Human Resources Law, 2013 Edition John F. Buckley, Ronald M. Green State by State Guide to Human Resources Law is the most comprehensive, authoritative guide to the employment laws of the 50 states and the District of Columbia. It is designed to provide quick access to each state's laws on the expanding number of issues and concerns facing business executives  more... Add to cart   |  Price: $365.00  |  ISBN: 9781454810636  |  Format: Paperback  Imprint: Aspen Publishers  U.S Master Employee Benefits Guide, 2013 Edition Lauren Bikoff, Kathleen Kennedy-Luczak, Melanie King, Linda Panszczyk, Elizabeth Pope, Carol Potaczek, Tulay Turan The 2013 U.S. Master Employee Benefits Guide is the ideal reference for HR personnel, benefits professionals, benefits attorneys, payroll managers, or anyone involved in the area of employee health and welfare benefits. This handy, authoritative book discusses pertinent federal tax and employme more... Add to cart   |  Price: $109.95  |  ISBN: 9780808034179  |  Format: Paperback  Imprint: Aspen Publishers