HR Strategies, LLC Monthly Strategies Two Ways to Reduce Costs Reminder it’s AAP Time – This year two discounts are available to your organization. A 10% discount will be given to those organizations that submit their AAP data to HR Strategies for processing during the month of January. The second discount will be $100 off your AAP fee, this year and every year thereafter, for each AAP referral that your organization gives to HR Strategies that result in a new AAP client. This will continue for each year they are an AAP client. Does My Company Need an Affirmative Action Plan? Many organizations have asked this question since receiving last month’s edition of Monthly Strategies. Several company’s wanted to know what an Affirmative Action Plan (AAP) is and where do we get one. Below is a brief overview to answer some of those questions. Affirmative action refers to programs that exceed state and federal laws on nondiscrimination and take proactive steps to hire and promote minorities, women and the disabled. Employers that are required to have formal affirmative action plans include federal contractors and first-tier subcontractors with 50 or more employees and $50,000 in contract revenue during any 12-month period, depositories of government funds in any amount and issuers or paying agents for U.S. Savings Bonds and saving notes. Other employers voluntarily follow affirmative action. The following website is a tremendous resource available to help you determine if you must comply with having an AAP for your organization: http://www.dol.gov/elaws/ofccp.htm. If you need further clarification or assistance, HR Strategies Volume 11, Issue 1 January 1, 2014 would welcome the opportunity to assist, answer questions or complete your AAP process. Employers should be tracking their employee’s information, applicants, hires, promotions, and terminations in preparation for conducting their 2014 Affirmative Action Plan. 2014 plans should be submitted to the DOL during the first quarter of 2014. Compliance Checklist The following checklist is for organizations that have group health plans: Business Associate Agreements (BAA) - Execute updated BAAs with all business associates. The BAAs should have been completed already. The BAAs are due to new regulations that codify HITECH legislation in the HIPAA privacy and security rules. HIPAA Privacy Notice – Provide updated privacy notice. The contents of the privacy notice have been materially changed due to the new HITECH regulations. When the privacy notice contents materially change, the notice must be redistributed. HIPAA Privacy Policies or Manuals – Updated privacy policy / manual. If the plan has a HIPAA privacy policy or manual, it should be updated for the new HITECH guidance. Summary of Benefits and Coverage (SBC) – SBCs describing coverage effective on and after January 1, 2014 must be updated to comply with the revised DOL template. SBC must also be update to reflect any benefit changes and this must be provided during open enrollment. Notice of Exchange Availability – Employers subject to the Fair Labor Standards Act (FLSA) must send notice of exchange availability no later than 14 days after date of hire. COBRA Notice – Update COBRA election notice. DOL has issued a new model COBRA notice. Page 2 Essential Health Benefits – Amend plan and SPD to remove any annual dollar limits on essential health benefits for plan year beginning 1/1/14. Preexisting Conditions Exclusions – Amend plan and SPD to remove any preexisting condition exclusions for plan year beginning 1/1/14. 90 Day Waiting – Review plan document and SPD for eligibility conditions and waiting periods. Amend plan as necessary to include compliant eligibility conditions and waiting periods not to exceed 90 days for plan year beginning 1/1/14. Clinical Trials – Non-grandfathered plans only: Amend plan to provide coverage for certain clinical trials for plan year beginning on and after 1/1/14. Out of Pocket Maximum – Non-grandfathered plans only: Review plan’s in-network out-ofpocket maximum to ensure compliance with 2014 limit ($6,350 per person / $12,700 per family) for plan year beginning on and after 1/1/14. Wellness Program – Review health-contingent wellness programs for compliant activity based and / or outcome based programs under new regulations. New wellness regulations create additional requirements for who must be given an opportunity to qualify and how the alternative standards must be formulated. You may consider whether to increase wellness incentives to statutory maximums (30% or 50% for tobacco cessation programs. Amend the plan as necessary for plan year beginning on and after 1/1/14. DOMA – If health plan covers same sex spouses: Stop imputing income for same sex spouse coverage for federal tax purposes; review and revise plan forms and procedures (example: COBRA and special enrollment procedures and forms) to ensure they treat same sex spouses as spouses; consider whether to extend coverage to (or continue coverage for) domestic partners and civil unions. Health Reimbursement Arrangements (HRA) – Review any HRA to determine whether it satisfies new rules for integration. If the HRA is not integrated, take steps to integrate (including establishing an opt-out procedure), terminate, or convert to a standalone, retiree-only HRA for plan year beginning on and after 1/1/14. For instance, Monthly Strategies “mini-med” and stand-alone HRAs cannot be maintained after 2013. New guidance provides that HRAs that are not integrated with a group health plan will fail to comply with the ACA rules prohibiting annual dollar limits and, for nongrandfathered plans, requiring coverage of preventive care services without cost sharing. Flexible Spending Arrangements (FSA) – Review any FSA to determine whether it is an excepted benefit. If the FSA is not excepted, and the FSA is non-grandfathered, take steps to convert to an excepted benefit FSA or terminate for plan year beginning on and after 1/1/14. New guidance clarifies that FSAs that do not qualify as excepted benefits will fail to comply with the ACA rule requiring non-grandfathered plans to provide coverage of preventive care services without cost sharing. Consider whether to amend FSA to allow carryover of up to $500 of unused FSA amounts. If choose to allow carry over, amend FSA to eliminate grace period, if applicable. The new guidance permits plan sponsors of FSA to either provide a grace period or allow participants to carry over up to $500 in unused FSA amounts to the following plan year. If your organization would like to learn more about the items in this newsletter, please feel free to contact Tricia Clendening at 302.376.8595 (office) or 302.373.1784 (cell) or [email protected]. Please contact us if you would like to be removed from our Monthly Strategies mailing list or if you would like for us to add someone to our mailing list. Happy Holidays! HR Strategies would like to take this opportunity to thank you for your business in 2013. We welcome the opportunity to again support your business needs, in the coming year. We hope you and your family have had an enjoyable holiday and we wish you a safe and happy new year!
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