The Affordable Care Act’s Employer Reporting Simplified

The Affordable Care Act’s Employer Reporting Simplified


Employer Reporting Simplified

Obamacare… the infamous phrase we so readily hear seems to never lose its luster when commenting on controversy and general misunderstandings.

We often wish no one actually “cared” to simply get a relief in discussion.

The headlines, even more than five years after forwarding the act, gleam constantly with corruption and rumored foul play. The reality of such can only be left to debate, speculation and often with little information supporting the current state of the care we know that’s being offered.

Let the reader decide for themselves.

Properly, the enactment, in full, is called the Patient Protection and Affordable Care Act.

You can see it abbreviated as PPACA and also as the Affordable Care Act which would appear ACA in short abbreviation. The provisions written have baffled people nationally and abroad, so clarification is necessary in many ways for the enactment and for a healthy public consensus.

The ACA is detailed and requires time to read and consume–even special knowledge to interpret at times. So this write up aims to clarify the ambiguity that may abound, educate all those with interest and those who are seeking coverage at the moment.

The season for open enrollment is only months away and is a short span of time for consumers to take advantage of.


ACA Complications


The complications of the Patient Protection and Affordable Care Act largely come from a huge change in infrastructure. That is an infrastructure where insurance companies no longer have substantial leverage in setting standards and cost for medical precedence in American patient’s lives.

The actual overhaul was intended to “afford” Americans quality health insurance and without burdening the government in expense or oversight.

The results were then expected to be a reduction in overall spending on health in the USA. These expressed intents were signed into law on March 23, 2010. The Supreme Court supported the reformation of US health care roughly two years later on the 28th of June, 2012.

The Affordable Care Act was thus upheld since and its accessibility to the public made sure. As long as consumers follow policy, no one is denied access to these provisions.

The advancements Affordable Care provides are for the relief in such areas that include taxes, subsidies, protection for consumers, regulations and exchanges.



Enrollment in the ACA

Enrollment in the program for American citizens is always yearly and during a two and a half month – to three month period. This is commonly called “Open Enrollment” and coverage under the act, in common, is inaccessible without registration within this period.

These are the open windows where Americans get “Minimum Essential Health Coverage” without needing “Special Enrollment.”

Special Enrollment is an exception to the open enrollment status whereas citizens receive access to coverage due to expressed life events. Those are qualifying life events and as they occur–establishing the emergent need for medical care or an adjustment thereof.

It ensures that consumers are not overlooked during the fiscal year as circumstances arise.


ACA Enrollment Events

Special Enrollment Events

Such events consist of child birth, losing coverage, marriage, relocating to a new Sate, income changes, divorce and even new recognition within a tribal status such as those established in Alaska. All enable qualification to bypass the parameters of open enrollment thereby offering such candidates special access to health coverage.

Since its implementation, a few things have been granted to Americans under the Affordable Care Act. Roughly seven from 10 returning consumers have access to plans of less than $75 monthly whereas higher numbers get care for $100 or less monthly. One in six Americans paid less than $100 and less monthly in 2015.

Eighty-seven percent of those who did qualify and pay for coverage received financial assistance during their approved time of care. The enactment enables those who shopped and actually compared coverage to, on a common basis, establish less expense which saved consumers tremendously regarding the options to available plans.

Misconceptions about ACA Coverage

Clarification can be made that Affordable Care does not interfere with private insurance Medicaid and Medicare. The clarification is that health care itself is not regulated, but instead, the health insurance companies are. …in-order to avoid bad or manipulating practices.

Consumers can also expect new features to their coverage in 2016. They include: prevention in discrimination on gender, expiration, changes to annual dollar and life-time limits, denying coverage on health status, charging more, unprecedented spikes in prices and that adults remain with parent’s plan up to the age of 26.

New accommodations to health care for the year of 2016 also include:

  • – Expansion into additional States
  • – Improved care for seniors
  • – Subsidies for insurance
  • – Tax incentives for small businesses
  • – Free preventive care
  • – Free birth control


The year 2016 saw many changes to what Americans have traditionally known as healthcare.

The developing stats and data will only prove an even larger world of change and over time.


Article provided by NECHES FCU, with locations in Port Neches and Beaumont Texas.
Neches FCU is a Texas credit union with an attentive team of professionals ready to provide services to its 45,000+ members. “Ultimate Member Satisfaction” is the driving force for every employee on staff. They are well-known for a personal service experience, where all clients are known by their name.