1. New Compliance Requirements Impact of Exchanges Cost of Employee Benefits OBAMACARE – What Happens Now? OBAMACARE – What Happens Now?

2. -Effective 3/23/2010 -Bill contained 2600+ pages -Establishes National Health Care Program -Contains mandatory compliance provision to help fund Obamacare.

3. ERISA: - Federal Law Enacted in 1974 - Mandatory for all size employers - Regulated by DOL and IRS - DOL & IRS gearing up to regulate - Agencies hiring thousands of new Agents and Auditors

4. ERISA - Mandatory Requirements -ERISA Qualified Plan Documents, SPD’s, SMM’s, SBC’s, Notices, MLR Rebates, 5500 filings.

5. ERISA - Penalties for SPD Non-Compliance -HHS - $1,000 may apply for each willful failure to provide an SPD. -IRS can impose $100 per day for individuals affected. -DOL can impose civil and criminal penalties.

6. Total Administrative Service Corp (TASC): ERISA Edge - Provides everything necessary for ERISA Compliance Administrative Service Document and Form Preparation Mega-Wrap or Wrap Document

7. Plan Document and SPD IRS Form 5500 and Schedules Summary Annual Report ERISA and Health Care Reform Notices Audit Guarantee Low Cost

8. 1. Maryland will definitely have Exchanges 2. Maryland to set up 2 separate Exchanges. - Individual and Group 3. Individuals earning up to 400% of Poverty Level will be eligible for Medicaid or premium subsidies Family of 4 up to $88,000 a year

9. 1. States Required to implement by 1/1/2014 2. Minimum Benefits Required – Platinum Gold, Silver, Bronze. 3. Health Plans will have substantial Out-of- Pocket cost, ie, deductibles, co-insurance, copays, etc.

10. 1. Groups of 50 + FTE’s $2,000 Per Employee if no health plan provided. $3,000 Per Employee enrolled in Exchange if group premium exceeds 9.5% of employee’s household income. 2. All groups- Cost, participation, compliance.

11. We have been pleased to provide to you a brief summary of our thoughts concerning the future of Healthcare reform. For more information concerning solutions to these issues, please click here now and we will contact you shortly.click here now