Health Care Reform and Open Enrollment for 2011. March 23, 2010 President Obama. The Patient Protection and Affordable Health Care Act. PPAHCA. Lifetime limits will be banned on medical coverage: District employees already have the benefit of no lifetime limits. Change to Annual Limits.
The Patient Protection and Affordable Health Care Act
Lifetime limits will be banned on medical coverage:
District employees already have the benefit of no lifetime limits.
dependents up to age 26 under Federal
In addition, the Ohio Department of Insurance extends this insurance up to age 28 and all criteria must be met:
Portable term-life insurance for employee & spouse ($10K to $500K)Portable child life - $5K (6 months to 18 years /age 23 if FT student)Issue up to $100K (<60 & No on medical questionnaire)
Voluntary Life Insurance/ AD&D House Bill 1AD&D: Individual & Family - Automatic guaranteeMust apply as new hire or during open enrollmentPayroll deduction
Enhancement to District’s short-term disability benefit
Premium deducted from your paycheck post tax
You will pay taxes on money added to your paycheck
Over-the-counter drug costs, not prescribed by a physician, cannot be reimbursed through Flexible Spending Accounts or any Health Spending Accounts that your spouse may have.
Flexible Spending Account (FSA) for
This eliminates reimbursements using tax-free dollars except for prescribed medications or a Note of Medical Necessity (NMN) from a physician.
Consider these new rules when estimating the dollar amount to put in your FSA -2011
2011 Cap remains at $4,000.00
FSA funds will be capped at $2,500.00 effective for 2013
NO changes to the Dependent Care Flexible Spending Account, cap remains at $5,000Other FSA information:
Employers are required to disclose the value of benefits provided by the employer for each employee’s health insurance coverage.
The amount shown on your W-2 is not being taxed. It is a reporting tool to show the value of your healthcare.
Group health plans or insurance companies providing group plans are prohibited from rescinding coverage once an enrollee is covered under a plan.
Exception will be in the case of an individual who has performed an act or practice that constitutes fraud or makes an intentional misrepresentation of material facts.
Hang in there, we will get through the changes together!