Forum addresses healthcare changes for businesses

The Supreme Court spoke loud and clear almost a month ago when it upheld the entire Affordable Care Act (ACA) as constitutional in a monumental decision that will affect businesses and individuals alike.

Businesses in the Richmond area are now left trying to decipher and understand the complexities of the bill and how it will affect them and insurance carriers.

“Whether you represent small, large, public or nonprofit entities, we’re all going to be effected as employers and consumers,” Greater Richmond Chamber of Commerce and BB&T Insurance Services of Virginia executive Seth Roth said during a panel discussion about healthcare reform July 19 at the Anthem Headquarters in Henrico.

The discussion, hosted by the Chamber to address the changes that come with the ACA, involved four leading experts who spoke on behalf of various health-related businesses to assist in the understanding of what the decision means and what local companies need to do to move forward.

The ACA essentially will make going without insurance something that is taxable by the government, while enlisting new laws that employers must comply with or face penalties. Many of the ACA changes have started to take effect this year.

Employers now will be required to complete W2 reporting on the cost of employer-sponsored group health care coverage.

For the W2 reporting a section will be added to box 12 to include a new code “DD” that reports the costs of employee sponsored healthcare coverage.

Anthem and other health insurers in Virginia already are dealing with the new laws, as rebate checks are being mailed to customers for not spending enough of health premiums on medical costs under some health plans.

The medical loss ratio rebates issued to consumers require insurance companies to spend a certain percentage of premium dollars on medical care and health care improvement. The rebates have to be distributed as taxable income to employers, said Susan Maley Rash, vice president at BB&T Benefit Consultants of Virginia.

Employers also must cover specific preventative health services for women with exceptions applying to religious employers. Employers also must have offer a $2,500 maximum contribution to healthcare flexible spending (FSA) plans and enlist new Medicare taxes, which will be increased by nine percent.

There also will be a tax on unearned income for high-income individuals and couples.

Opinions on law split
One of the ACA decisions that already has been implemented and will remain in effect is the requirement to cover adult children until age 26 and the requirement of non-grandfathered plans to cover certain preventative care services without cost-sharing.

By 2014, people may no longer be declined for pre-existing conditions, and there will be a modified community rating for small groups and individuals.

The rates will be based upon family tier, age, geography and tobacco use. The change is designed to decrease insurance rates for those who are older and increase rates for insured younger people.

“The healthcare reform laws were needed,” said Mckinley Tucker, CEO of Risk and Identity Solutions, a Henrico-based small business.

“We are the only industrialized nation without healthcare and I think people should try to get some of the emotion out of the issue and look at the positives,” Tucker said. “My daughter is 23 years old and was in the hospital over 20 times between Feb. 14 and now, and she has more pre-existing conditions than you could imagine. As a retired teacher, I was thinking about taking a job to help her pay for her insurance because it would go up. But with the new law she can stay on my insurance until 26 and I can keep her on the plan for as long as I can.”

Not everyone is so optimistic about the ACA; larger companies of 50 employees or more may have to deal with penalties.

Beginning in 2014, there will be an employer penalty for not offering minimum coverage, as well as an employer tax for not offering minimum coverage and an annual insurer fee for fully insured businesses.

If companies have less than 25 full-time employees who each make an average of less than $50,000, there is a credit allowable for a two-year period but only if coverage is purchased through the exchange.

“We will probably benefit from the new law,” said Charles E. McCabe, president and CEO of People’s Tax in Glen Allen. “I have about 15 full-time and 20 seasonal employees so we’re below 50 employees and will not be affected by the penalties, and we pay 50 percent of the employees’ health care now.”

Tax credits will help small businesses and nonprofit organizations, and the credits currently total as much as 35 percent of the businesses’ health premiums but will increase to 50 percent in 2014.

However medium to large businesses - those with at least 50 full-time employees - will not benefit because the “pay or play” penalty will be enacted. Certain employers that either don’t offer health care or do not meet the law’s test for affordability will face penalties.

It is possible that changes could be made to the ACA through future legislation or court rulings; however, the health care reform law is currently in effect and employers should continue to prepare for ACA changes that will become effective in the next two years. For answers to many of the big questions, carriers and employers will have to wait until after the election in November.
Bail Bonds Chesterfield VA

Section of Lauderdale Drive to be closed April 26 for drainage improvements


The westbound lanes of Lauderdale Drive will be closed between John Rolfe Parkway and Cambridge Drive on Wednesday, April 26 for drainage improvements.

The lanes are expected to be closed from approximately 9 a.m. to 4 p.m. Motorists will be detoured from westbound Lauderdale onto John Rolfe, Gayton Road and Cambridge before being directed back onto Lauderdale. > Read more.

Henrico Police to host prescription drug take-back event April 29


The Henrico County Division of Police and the U. S. Drug Enforcement Administration will participate in the nationwide Prescription Drug Take Back Program Saturday, April 29. The event will take place from 10 a.m. to 2 p.m. at the Henrico County Training Center, 7701 East Parham Road, next to the Public Safety Building.

The program is free and anonymous. Unused or expired pills, patches and liquid prescriptions (in their sealed original container) will be accepted. Needles and sharp items will not be accepted. No questions will be asked. > Read more.

Henrico home sales rose in March

Parts of the greater Richmond real estate market experienced an increase in the number of homes sold during the month of March, according to Long & Foster.

The number of homes sold increased in much of the Richmond region in March compared to year-ago levels. In Henrico County, the number of homes rose by 16 percent. Median sale prices varied in the Richmond region in March when compared to the same month last year. In both Hanover and Henrico counties, the median sale price rose by 10 percent. > Read more.

Henrico house fire contained quickly


APR. 24, 9:15 A.M. – A house fire in Henrico's West End Sunday caused minor damage but resulted in no injuries. At about noon Sunday, Henrico Emergency Communications Officers received phone calls of smoke coming from a home in the 1700 block of Shewalt Circle, just one block off Hungary Road. > Read more.

Business in brief


The Jenkins Foundation has granted The McShin Foundation $25,000 for residential recovery services to serve those with a Substance Use Disorder. The Jenkins Foundation is focused on equitable access to health care services, as well as programs that help reduce risky behaviors and promote safe and healthy environments. The McShin Foundation was founded in 2004 and is Virginia's leading non-profit, full-service Recovery Community Organization (RCO), committed to serving individuals and families in their fight against Substance Use Disorders. > Read more.
Community

YMCA event will focus on teen mental health


The YMCA, in partnership with the Cameron K. Gallagher Foundation and PartnerMD, will host a free event May 2 to help parents learn how to deal with teen mental health issues. “When the Band-Aid Doesn’t Fix It: A Mom’s Perspective on Raising a Child Who Struggles” will be held from 6:30 to 8 p.m. at the Shady Grove Family YMCA,11255 Nuckols Road. The event will focus on education, awareness, and understanding the issues facing teens today. > Read more.

Villa’s Flagler Housing wins national NAEH award


St. Joseph's Villa’s Flagler Housing & Homeless Services was one of three entities to earn the National Alliance to End Homelessness' Champion of Change Award. The awards were presented Nov. 17 during a ceremony at the Newseum in Washington, D.C.

NAEH annually recognizes proven programs and significant achievements in ending child and family homelessness.

Flagler completed its transition from an on-campus shelter to the community-based model of rapid rehousing in 2013, and it was one of the nation's first rapid re-housing service providers to be certified by NAEH. > Read more.
Entertainment

Restaurant Watch


Find out how your favorite dining establishments fared during their most recent inspections by the Virginia Department of Health. > Read more.

 

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The Pocahontas Chapter of the Virginia Native Plant Society will visit the John J. Radcliffe Conservation Area in southern Chesterfield at 10 a.m. The area consists of 87 acres of woodlands and swampland along the Appomattox River with 1.5 miles of trail and over 500 feet of elevated boardwalk. Anyone with an interest in the native landscape is welcome, from novice to expert. The trip may be canceled if there is heavy rain. For details, including carpool information, contact Trip Leader Richard Moss at 748-2940 or 380-7262. Full text

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