An Employer’s Essential Guide To:

Critical ACA Implementation Dates

www.SpringGroup.comtwitter.com/SpringsInsightlinkedin.com/company/spring-consulting-group-llc

© 2013 Spring Consulting Group, LLC. All rights reserved.

With many of the provisions of the Affordable Care Act (ACA) set to take effect on January 1, 2014, employers need to know the critical dates associated with this industry-changing legislation.

10/1/13 Employers must provide communication to employees regarding the availability

of coverage through state healthcare exchanges.

1/1/14Medicaid expanded to include individuals between the ages of 19 up to 65 (parents & adults without dependent children) with incomes up to 138% federal poverty level based on modified adj gross income.

1/1/14RTW Definition and 90 day limit on

eligibility waiting periods take effect.

1/1/14Wellness rewards or incentives may increase in 2014 from 20% to 30% of the cost for single coverage.

1/1/14Individuals must buy health coverage or

pay a tax (starts at the greater of $95 per person/ $47.50 per child or 1% of

household income).

1/1/15Employer “pay or play” mandate takes effect. The “Pay or Play” mandates that employers either offer their employees health insurance or pay a penalty.

1/1/16Employers with less than 100 employees

can purchase coverage through health insurance exchange.

1/1/1840% excise tax levied on “Cadillac Plans.” A “Cadillac Plan” is a high-cost health insurance plan with premiums exceeding $10,200 for individuals or $27,500 for a family (not including vision and dental benefits).

1/1/14Small group insurance market reforms (guaranteed issue & renewability); No

limits on pre‐existing conditions for adults; No annual benefit limits; Cover

costs of clinical trials; caps on deductibles ($2k individual, $4k family);

rate band increases from 1:2 to 1:3.

10/1/13Health insurance exchange open enrollment begins for coverage beginning 1/1/14.

1/1/14Health insurance exchange coverage begins.

3/31/14Health insurance exchange open

enrollment ends.

1/1/14Health Insurance Tax on all fully-insured health plans effective.