SCHERERVILLE | Companies big and small across the United States are preparing for the new healthcare reform, which begins in January, 2014. In order to prepare our businesses in Northwest Indiana for the tremendous changes that will begin affecting them next year, the chambers and town representatives from Schererville, St. John, Highland and Dyer – known as the Quad Town EDC – invited Dyer, Indiana-based Employer Benefit Systems’ (EBS) President Willis (Will) Glaros to speak at the group’s luncheon, held recently at Teibel’s Restaurant.
The Chambers and Town Representatives at the group’s next meeting will be held on Monday, May 20 at the same venue from 11:30 a.m. – 1 p.m. Please RSVP to the Schererville Chamber at 219.322.5412.
“We have had so many questions about the impacts of this new health care reform,” said Glaros. “So many people don’t really understand the intricacies of the reform and how it affects them and their businesses and trying to read and analyze the voluminous reports that are distributed by our government is near to impossible,” he explained. “To assist our businesses, we have made it a priority to understand the ins and outs of the reform and present the main points and deadlines that are going to affect most everyone,” Glaros added. “Over the past year, we have spoken to numerous groups and companies throughout the region to present the upcoming changes and answer specific questions that people have.” Glaros and his son and Vice President, Matt Glaros, have facilitated these meetings. In July 2012, EBS hosted a free seminar on the subject and is planning to do so again in the near future this year. The brokerage is also redesigning their website and plans to have helpful tops and handouts that they provide to meeting participants available on their new site.
Healthcare Reform topics highlighted during the meeting included the following:
- Uniform explanation of group health plan’s benefits and coverage
- Notice of Material Modifications
- Quality Reporting
- Additional hospital insurance tax of 0.9 percent imposed on high income individuals ($200,000 individual, $250,000 joint)
- Additional 3.8% Medicare payroll tax imposed on unearned income for high income individuals ($200,000 individual, $250,000 joint)
- Employers required to provide written notice to employees about exchange and subsidies
- Tax exclusion of Medicare Part D drug subsidy eliminated
- Health FSA contributions capped at $2,500/year
- Employers with more than 50 employees must offer coverage or pay free rider penalty
- Employers required to offer free choice vouchers to qualified employees
- Cost sharing limits for group health plans – annual OOP limits cannot exceed HSA limits; deductibles cannot exceed $2,000 single and $4,000 family coverage (new plans)
- Pre-existing conditions exclusions banned for all individuals
- Waiting periods greater than 90 days banned
- Employers permitted to offer employees wellness incentive rewards of up to 30 percent of health plan premiums
- Employers must report on provision of minimum essential coverage and EE contributions exceeding 8% of wages
- Provides subsidies for families earning up to 400% of the poverty level or, under current guidelines, about $88,000 a year to purchase health insurance
- State based Insurance Exchanges operational for individuals and small groups; expanded to large groups in 2017
- Health plans must cover routine costs for clinical trial participants
If you are interested in having Will or Matt assist your company with healthcare reform and/or speak to your community group, please contact EBS at 219.322.1556.
About Employer Benefit Systems
Employer Benefit Systems (EBS) is proud to be the largest locally owned employee benefits firm in Northwest Indiana. Over the past 30 years, EBS has worked with the area’s leading employers to help them develop their benefit plans. EBS consults or brokers for over 120 clients in six states. Clients range in size from two to 4,500 employees. EBS manages more than $95 million dollars of premium annually and currently works with clients like Community Health Care Systems, Alverno Clinical Labs, First National Bank of Illinois, Town of Dyer and Legends Gaming. EBS is an Elite Agent with Anthem Blue Cross Blue Shield and a United Advantage Gold Broker with United Health Care. Our clients practice in a variety of markets and industries and we utilize our technology to leverage benchmarked information in our strategic planning for each client. EBS is a closely held firm led by its founder and owner, Willis Glaros, RHU, and his son Matthew Glaros, and supported by two benefit professionals and one support staff. More information can be found at http://www.ebsinsure.com or by calling 219.322.1556.