IRS Extends Deadlines for Provided Forms 1095-B and 1095-C for Tax Year 2016

IRS Notice 2016-70, released November 18, 2016, provides additional time for Health Plans and Employers to provide recipients with Form 1095-B (Minimum Essential Coverage Reporting) and 1095-C (Employer Shared Responsibility Reporting) for tax year 2016. Continue reading

California Notice of Changes to Coverage Terms for 2017

Commercial Small and Large Group Certificate of Insurance (COI) and Evidence of Coverage (EOC) booklets, with the effective date of January 1, 2017 and later, will contain the updates as shown in the Notice of Changes link below. This Notice reflects Health Net/HNL’s compliance with new laws and regulatory requirements. It also addresses Health Net/HNL administrative changes. Continue reading

IRS Delays Filing Deadlines

All Western Region Brokers

IRS Notice 2016-4, released December 28, 2015, provides additional time for Health Plans and Employers to comply with Minimum Essential Coverage and Employer Shared Responsibility filing requirements for tax year 2015.

New IRS filing deadlines for Minimum Essential Coverage and Employer Shared Responsibility reporting provisions are as follows:

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PACE Act Signed: Definition of Small Business Group Varies by State

Last week brought another change to the Affordable Care Act.


Health care reform updateThe definition of small business group, which was slated to change to 1-100 employees in 2016, will remain at 1-50 employees nationally. What happens on the state level depends on the state legislatures.  On October 1, 2015, Congress approved legislation to repeal the Affordable Care Act provision, which previously expanded the definition of small business group to 1-100 employees.

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Same Sex Marriage Supreme Court Ruling – Update

California BillsFor Arizona Brokers

The U.S. Supreme Court ruling on June 26, 2015 deems that all couples have the right to marriage regardless of their gender. Additionally, all states must recognize a marriage that was entered into in a different jurisdiction.

Effective June 26, 2015 health plans must cover married couples, regardless of gender, if spousal/dependent coverage is offered. Health Net of Arizona, Inc. will offer an additional Special Enrollment Period (SEP) to allow spouses to be added through September 30, 2015.

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Supreme Court Ruling: Key Takeaways

Court Finds for the Government


Health care reform updateThe United States Supreme Court ruling upholding Affordable Care Act subsidies in federal-exchange states was made public on June 25, as only one of two cases released on this almost-final day of the court’s term. With its 6-3 decision, the court preserved the structure of the Affordable Care Act. Here are key takeaways of the decision.

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Health Law Has Helped Insure 16.4 Million

A total of 16.4 million non-elderly adults have gained health insurance coverage since the Affordable Care Act became law five years ago this month – a “historic” reduction in the number of uninsured, the Department of Health and Human Services said.

Those gaining insurance since 2010 include 2.3 million young adults aged 18 to 26 who were able to remain on their parents’ health insurance plus another 14.1 million adults who obtained coverage through expansions of the Medicaid program, new marketplace coverage and other sources, according to HHS’ report .

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ACA Update: Final Rule Issued on Excepted Health Benefits

ACA UpdateOn October 1, 2014, the Departments of the Labor, Health and Human Services and Treasury published a final rule regarding excepted health benefits. Excepted benefits are generally exempt from ACA’s market reform, including limits on pre-existing conditions and guaranteed renewability.

The final rule is effective December 1, 2014 and applies to group health plans effective January 1, 2015 and later.

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Billing Policy for Newborns and Adoptees

For Arizona Brokers

The Arizona Department of Insurance has advised Health Net of Arizona, Inc. and Health Net Life Insurance Company (Health Net) that based on Sections 20-1057, 20-1342, 20-1402 and 20-1404 of the Arizona Revised Statutes, health plans must automatically cover a Subscriber’s newborn or adopted child for the first 31 days following the date of birth, the date of adoption or the date of placement. These provisions apply to all individual and Marketplace plans, as well as all other fully insured group plans in Arizona.

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Reminder: We Need Your 2015 Curriculum Certificates!

Arizona Brokers

If you are a Broker selling Individual business of the Federally Facilitated Marketplace (FFM) and you have not completed your 2015 plan year curriculum certificates you will experience a lapse in your commissions!

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