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Key Provisions in Healthcare Reform Legislation

Oasis has a team of experts dedicated to enhancing our PEO clients’ understanding of how the changes will impact their business. We’ve been at the forefront of the legislative process since the beginning, and we keep in constant communication with healthcare experts, regulators and independent advisors to make sure we have a thorough understanding of all facets of Healthcare Reform.

This page provides you with a brief overview of how Healthcare Reform can potentially impact your business. Keep in mind, this information is only intended to be used as a summary of some of the key provisions of the law; for additional information on how to address Healthcare Reform in your company, please call us at 866-709-9401 or click here to Request a Free Consultation.

2010

Small Business Tax Credit

Targeted Business Size: Less than 25 full-time employees with an average wage below $50,000.
Key Provision: Maximum amount of the credit is worth up to 35% of a small business’ premium costs. On January 1, 2014, the rate increases to 50%.
How we can help: Oasis conducts a review of all new clients to advise them if they may be eligible for this credit. Supporting payroll documentation is provided as required to assist in capturing all available tax credits.

Mandated Benefits

Targeted Business Size: All
Key Provision: Pre-existing conditions restriction eliminated for children under the age of 19. Lifetime maximums must be eliminated.
How we can help: All Oasis plans comply with this requirement.

2011

W-2 Reporting

Targeted Business Size: All
Key Provision: Employers must report the aggregate value of employer-provided coverage that is taken into account for purposes of the excise tax on high-value health coverage.
How we can help: The Oasis payroll system will be amended to comply with this requirement.

2012 and Beyond

New Plan Disclosure Obligations

Targeted Business Size: All
Key Provision: Plan sponsors must supply participants at enrollment or re-enrollment, a new form of plan summary that must include information on benefits exclusions and cost-sharing requirements. Businesses are subject to a $1,000 penalty for each failure.
Implementation: 2012
Key Provision: Employers must provide written notice regarding the existence of the Insurance Exchange and that the employee might qualify for subsidies.
Implementation: 2013
Key Provision: Plan sponsors will be required to provide an annual statement to the government and covered individuals reflecting the months during the calendar year for which the individual had “minimum essential coverage.” Businesses are subject to a $50 fine for each missed statement to an employee up to a maximum of $100,000.
Implementation: 2014
How we can help: Oasis will supply all required disclosures for clients participating in an Oasis-sponsored medical plan.

Health FSA limits

Targeted Business Size: All
Key Provision: Employee contributions to FSA are limited to $2,500/year.
Implementation: 2013
How we can help: The Oasis plan will be amended to comply with this requirement effective January 1, 2013.

Free Rider Surcharge

Targeted Business Size: Businesses that average 50 or more full-time employees
Key Provisions:

  • Plan design is expected to pay at least 60% of allowed charges.
  • Employee contribution must not exceed 9.5% of employee’s Household income.
  • Voucher Requirement if employee contribution is more than 8% and the employee’s household income is less than or equal to 400% of the Federal Poverty Level.

Penalty for noncompliance: If an employer offers some coverage but it’s not “qualifying” and “affordable”, then the employer pays a maximum annual penalty of $3,000 per full-time employee who receives a subsidy through an Insurance Exchange . If an employer does not offer coverage at all, the maximum annual penalty is $2,000 times total number of full-time employees.
Implementation: 2014
How we can help: The Oasis-sponsored medical plan designs will be amended to comply with this regulation.

Automatic Enrollment

Targeted Business Size: Businesses with 200 or more employees
Key Provision: Employers must automatically enroll new, full-time employees in health plan. Employees may opt out.
Implementation: 2014, after issuance of regulation
How we can help: The Oasis payroll system will automatically enroll eligible employees in the lowest cost plan.

Mandated Benefits

Targeted Business Size: All
Key Provision: Plans may not impose a waiting period of more than 90 days.
Penalty for noncompliance: Employers with 50 or more employees will be fined for waiting periods between 60-90 days ($600 per full-time employee in waiting period).
Implementation: 2014
How we can help: The Oasis payroll system will enroll eligible employees as directed by the employer.

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The major benefit of partnering with Oasis is the availability of great benefit plans and their purchasing power that give our employees a lot more options then we would, if we were to do the benefits on our own.

Matt L. | Country Club Industry

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I think it’s actually very difficult to find anyone who understands the Healthcare Reform. And the confidence that we have that someone at Oasis and a team at Oasis are actually working on our behalf lets us focus on what we do best.

Matt L. | Country Club Industry

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[ACA] is the most complex, comprehensive area and we would not even be successful if we tried to hire a myriad of people and spend time and energy trying to understand it. We completely rely on Oasis to guide us as the playing field seems to be constantly changing.

Bob G. | Printing Industry

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The electronic onboarding is painless and walks you through the e-verification process easily.

Chris R. | Retail Industry

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The client portal is pretty intuitive and easy to use. I’ve had no issues entering payroll or making changes to employees’ information. The available reports are relevant and easy to tailor.

Chris R. | Retail Industry

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I have been able to focus more of my time on the business because Oasis has taken the burden of our payroll, complying with all the new laws, the new standards with the health insurance. Oasis deals with all of that. They take care of everything.

Doug F. | Hospitality Industry

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All of my questions have been dealt with in a very timely manner. I like having dedicated contacts. It allows me to form a working relationship with a couple of people, rather than calling a 1-800 number and being put in a queue for the next available representative.

Chris R. | Retail Industry

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When it comes to health benefits, all phone reps are licensed benefit specialists- they answer the phone quickly and have strong knowledge when it comes to employees setting up or making changes to their health benefits.

Suzie S. | Retail Industry

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The expanded portfolio of benefits that we can offer to our employees certainly helps to make us an employer of choice. We feel our total compensation package (pay plus benefits) is competitive to our larger competitors.

Bob G. | Printing Industry

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I have only positives in regards to the 401(k) – they work quickly, are quite responsive and are always willing to conduct meetings as needed to keep employees informed & updated.  Personally, I have benefited from the support in administering changes to my own 401(k).

Suzie S. | Retail Industry

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I have called on Oasis HR specialists a couple of times for advice on how to handle certain situations. They have done a good job of giving me practical answers. I have confidence in the advice I have received. The customer service level is excellent.

Chris R. | Retail Industry

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I am a fan of their website- the payroll process is simple and easy to customize, the reports are easy to find and download.

Suzie S. | Retail Industry

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Oasis is able to keep things real competitive when it comes to insurance and workers’ comp rates have been real reasonable over the years.

Owen L. | Printing Industry

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Another thing that makes Oasis stand out to me is that their invoice is straightforward and easy to understand. I feel like I have a better idea of where my payroll dollars are going.

Chris R. | Retail Industry

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I think without having Oasis to rely on, to understand Healthcare Reform, we would be in a very serious quagmire.

Bob G. | Printing Industry

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In today’s world, especially, she stands out as a shining example of how to treat people and certainly clients.  Service is every bit as important as product and she certainly offers gold star performance.

Mary B. | Environmental Manufacturing Industry

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Oasis staff, especially in the HR section has been real helpful and friendly. They take the time one-on-one, always have good answers and always help you and guide you in the right direction when it comes to complicated problems that might arise with some employees.

Owen L. | Printing Industry

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The relationship with our HR specialist is very beneficial. She is always there to return a phone call, to bounce an idea off of and to give us advice on how to best handle a situation.

Matt L. | Country Club Industry

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We have taken advantage of the partnership with Oasis and their purchasing power to offer our employees great plans at very competitive rates.

Matt L. | Country Club Industry

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When I do need immediate support, my rep is very responsive, well-versed in HR matters and very professional, kind and easy to work with.  She is always willing to come out to meet with me if needed and [she is] easy to get a hold of on her office & cell phone.

Suzie S. | Retail Industry

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