Health Care Reform Update: Employer Guidelines for 2014

Tuesday, September 17, 2013
9:00 a.m. to 2:00 p.m.
Michigan Chamber of Commerce, Lansing

Join us for an overview of the impact of the Patient Protection and Affordable Care Act (PPACA) on small and large employers, with a focus on market reform provisions that impact employee health benefit plans. You will learn about the Health Insurance Marketplace (also known as the Health Insurance Exchanges or SHOPs), how they will function and what they mean for employers. You will also learn in detail the “play or pay provisions,” including examples of different scenarios.



Overview of the Patient Protection and Affordable Care Act

  • General Timeline
  • Implementation
  • Challenges to the Act

Market Reform Provisions

Health Insurance Marketplace (Health Insurance Exchange)

  • Types of Exchange
  • Functions of the Exchange
  • Qualified Health Plan
  • Status of Michigan Exchange

What the Exchanges Mean for Employers

Individual Mandate

Employer Play or Pay

  • Key Terms
  • Individual Mandate
  • Small Employer vs. Applicable Large Employer
  • Penalty Calculations
  • Special Considerations
  1. Seasonal or Contingent Employees
  2. Safe Harbors

Steps Employers Should Take

Discussion with Insurance Providers

  • What they are doing to prepare for PPACA
  • How it affects employer groups
  • Representatives (depending on location) from Blue Cross Blue Shield of Michigan (BCBSM), McLaren Health Plan, Physicians Health Plan (PHP), Priority Health, United Healthcare

Kathrin E. Kudner is a member with Dykema's Ann Arbor office. Her practice is devoted to the representation of health care providers and payors and biotechnology manufacturers in various corporate and regulatory matters. Ms. Kudner is Chairperson of the Firm's HIPAA Task Force and a member of the Firm's Life Sciences, Insurance, Public Finance and White Collar Criminal Defense and Internal Investigations Teams.

Amy M. Christen is a member with Dykema's Bloomfield Hills office. She practices in all areas of employee benefits law. Her experiences involve compliance and design of qualified retirement plans (including governmental and private sector defined benefit plans and profit sharing and 401(k) plans), sections 457 or 403(b) plans, SEP or other nonqualified plans, and health and other welfare plans (including health care reform (PPACA), cafeteria plans, severance plans, COBRA and HIPAA issues); advising clients on employee benefit concerns in mergers and acquisitions; and ERISA litigation.