PWX13: Study Guide-ACA–Employer Mandate

Study Guide-ACA–Employer Mandate

The study guide is provided to guide you through the course material in a step by step format.

Course material is a PDF document.

Chapter 1 – Overview of PPACA Coverage Provisions

Assignment: Chapter 1 <<>> Review Questions  Group #1: # 1-3

When you have completed this chapter, you should be able to:

  • Identify the rules applicable to –
    • grandfathered health plans,
    • the use of pre-existing condition exclusions, and
    • annual and lifetime benefit limits;
  • List the conditions that would permit an insurer to rescind health insurance coverage and the applicable notice requirements; and
  • Recognize the requirements imposed by healthcare reform legislation with respect to –
    • patient protection provisions, and
    • dependent coverage to young adults.

Chapter 2 – Employer Tax Credits & Requirements

Assignment: Chapter 2 <<>> Review Questions Group #2: #1-6

When you have completed this chapter, you should be able to:

  • Identify the –
    • W-2 reporting requirements imposed on employers providing employer-sponsored health coverage, and
    • transition relief provided applicable to W-2 reporting;
  • Define “full-time employee” and “full-time equivalent employee” for purposes of employer tax credits and penalties under the PPACA;
  • Recognize the –
    • rules that apply to a small employer’s eligibility for a health insurance premium credit, and
    • nature of a “qualifying arrangement” under which an employer pays premiums for employee health insurance coverage;
  • Identify the types of coverage that meet the PPACA definition of health insurance coverage for purposes of the small employer health insurance premium credit;
  • Apply the various limitations that may reduce the amount of health insurance premium credit available to an otherwise eligible small employer;
  • Calculate the potential penalties applicable to large employers under the PPACA; and
  • Identify the –
    • transition relief available to applicable large employers, and
    • annual return and notification requirements imposed by the PPACA on applicable large employers.