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Blog By: Beth Ede, SPHR

With fall fast approaching, here’s a quick wrap-up of the 2012 health care reform mandates and a preview of upcoming 2013 requirements. 


Beginning with renewal on or after August 1, 2012, non-grandfathered group health plans saw a mandated expansion of women’s preventive health care services.  Also in August, some employers received a medical loss ratio premium rebate.  Finally, employers should be preparing for the distribution of Summary of Benefits and Coverage (SBC) documents.  Remember, SBC distribution is an employer responsibility and compliance begins on the first day of open enrollment or on the first day of the plan year on or after September 23, 2012 – whichever is applicable to the plan. 


What will the future of health care reform be based on the presidential election results?  We are all uncertain, but what is certain at this point is that we need to ready ourselves for what currently lies ahead.


In addition to the carry-over of some 2012 health care reform provisions into 2013, the upcoming year contains its fair share of mandates – with quite a few directly impacting employers.


Here is a quick list of some of the major 2013 mandates:


·        Annual Dollar Limits on Essential Benefits Increase

·        Form W-2 Reporting Requirement

·        Medicare Payroll Tax Increase

·        Health Flexible Spending Arrangement (FSA) Contribution Limit

·        Medical Device Excise Tax

·        Employer Retiree Coverage Subsidy Elimination

·        Extension of the Children’s Health Insurance Program (CHIP)

·        Health Insurance Exchange Notification

·        Comparative Effectiveness Fee / Patient-Centered Outcomes Research Fee


As we prepare to exit 2012 and enter 2013, we’re all a bit unsure of what the future of health care reform will look like.  What we do know is that it will be an interesting and busy 2013.


Posted 10:02 AM

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