ACA Replacement Bill for Withdrawn, Now What?

In late March 2017, Republican leadership in the U.S. House of Representatives withdrew the American Health Care Act (AHCA) and were unsuccessful at replacing and repealing the Affordable Care Act (ACA).

Because the House was unable to pass the AHCA, the ACA remains current law, and employers must continue to comply with all applicable ACA provisions.

While the future of the ACA as a whole is currently unclear, some definitive changes have been made to some ACA taxes and fees for 2017. Employers should be aware of the evolving applicability of existing ACA taxes and fees so that they know how the ACA affects their bottom lines.

Changes to ACA Taxes
A federal budget bill enacted for 2016 made the following significant changes to three ACA tax provisions:

  • Delayed implementation of the ACA’s Cadillac tax for two years, until 2020
  • Imposed a one-year moratorium on the ACA’s health insurance providers fee for 2017
  • Imposed a two-year moratorium on the ACA’s medical device excise tax for 2016 and 2017

Changes to ACA Fees
In addition, the ACA’s reinsurance fees expired after 2016, although the 2016 fees will be paid in 2017. Reinsurance fees may be paid in either one lump sum or in two installments. Reinsurance fees paid in one lump sum were due in full on Jan. 15, 2017. Reinsurance fees paid in two installments are due as follows:

  • Jan. 15, 2017: Remit the first contribution amount of $21.60 per covered life.
  • Nov. 15, 2017: Remit the second contribution amount of $5.40 per covered life.

Retirement Needs are Likely Higher then You Think

  • Questioning Your Retirement Needs

    What haven’t I done yet? Clients may want to check a few items off their bucket list right away

  • What didn’t I have time for? With an additional 40-60 hours on hand per week, clients can take on projects that they never got around to like remodeling the kitchen
  • How can I say no to my kid? Children and grandchildren often account for many unexpected costs during retirement…i.e. adult children are laid off for a period of time, divorced, need a place to stay while their new home is built, failed to accumulate enough education funds, etc.

When it Rains it Pours

When it Rains it Pours

Umbrella Insurance Protection

Umbrella insurance is extra liability insurance.  It helps to protect you and your assets from major claims and big-ticket lawsuits.  An umbrella insurance policy provides liability above and beyond the limits of your insurance policies and may cover claims that are excluded by other liability policies.

No matter how hard you try to avoid them; accidents happen. If you were to cause a major auto accident involving property damage and or extensive injuries to other parties, your hard-earned assets could be at risk. The costs of the property damage, injuries to other parties, and or subsequent lawsuits add up quickly and may exceed the limits of your auto insurance in no time. It is not simply auto accidents you need to worry about. There are other types of accidents as well.   Imagine this: You’re having a graduation party and someone slips, falls, and is injured. Think you won’t be sued? Think again. In today’s society, lawsuits are common…and costly. A lawsuit has the potential to destroy your financial security, but an umbrella insurance policy may protect you.

Examples of umbrella insurance benefits include protection from the following:

  1. Significant property damage. Your standard auto insurance liability limit may be exhausted if you are at fault in an auto accident where you destroy another vehicle and/or other property.
  2. Serious bodily injury liability. Your homeowner’s insurance liability limit may be insufficient to cover medical and other costs related to a guest falling off a balcony at your home, or being bitten by your dog.
  3. Landlord liability. A tenant might file an expensive suit over an injury sustained while renting your property.
    Libel or slander. Lawsuits could result from something that you say or write about another person.
  4. Malicious prosecution. You may file a suit against someone and in turn be sued for wrongfully, or maliciously, prosecuting that individual.

The right umbrella limits for you depend on where you live, your profession and your aversion to risk. Liability coverage in home and auto policies rarely exceed $500,000, yet 13% of personal injury liability judgements and settlements are $1 million or more, according to a report, citing data from Jury Verdict Research. The amount of coverage you choose should bear some relation to your net worth.

When trying to determine the right amount of coverage to carry, consider these items:

Total Assets: Setting your umbrella limit based on your total assets will give you more protection than basing it off of your net worth. Instead of matching your liability coverage to your net worth, these advisors recommend coverage equal to the value of your assets without regard for your debts (this could help you avoid selling your home to pay a judgment if your net worth is your home equity, for example). Applying this to the example above, then, you’d want at least $500,000 of liability insurance, because the assets total $500,000. You may need an umbrella policy if your insurer’s basic liability coverage limit is less than $500,000.

Future Income: But that’s not all. If someone sues you and gets a judgment that exceeds your liability coverage, your future earnings may also be on the line, and could be garnished up to 25 percent. To address this, consider multiplying your income by five and adding that amount to your asset total. If your total household earnings are $100,000 a year and you have $500,000 in assets to protect, you may want a $1 million policy. You’d almost certainly want umbrella coverage.

Collateral Damage: Another facet of this examination is the potential damage to others. If you’ve got two teens entering college, plan to retire soon, or are supporting aging relatives, a financial wipeout could be catastrophic and possibly permanent. That’s another indication you might need to expand your liability insurance with an umbrella policy. If you’re young, single, broke, renting and healthy, losing everything you own would be terrible, but you’d probably recover eventually.

Like any insurance, an umbrella policy should bring you some peace of mind. With any luck, you’ll never have a circumstance where you need to use the coverage. But bad things do happen, and just knowing it’s there is one way of knowing you’re prepared to deal with a tragedy or accident beyond your control — at least from a financial aspect.

 

Pogol, Gina.  “Umbrella Insurance Policy: Because When it Rains, it Pours.” Inurance.com Quinstreet, Inc., February, 21 2017. Web. April 24, 2017.

Professional Liability Insurance

Does your business counsel or provide advice to other businesses? If so, you’ll likely want to purchase professional liability insurance commonly known as errors and omissions insurance.

Professional liability insurance is a type of liability coverage designed to protect professionals including but not limited to:  accountants, attorneys, real estate brokers and consultants, against liability incurred as a result of errors and omissions in performing their professional services.

Some examples of what is covered under an E&O policy are:

  • Documentation errors
  • Verification mistakes
  • Failing to protect clients’ property or data and/or misusing it
  • Misrepresenting products or services
  • Violating legal or state laws
  • Breach of contracts, poor ethics, mistreating any aspect of the client or their business
  • Exposing proprietary or confident company information

Professional liability insurance will pay the cost of legal defense against claims and payment of judgments against you, up to the limit of the policy. In general, coverage does not extend to non-financial losses or losses caused by intentional or dishonest acts. Other fees, such as licensing board penalties, may also be included. Policies will generally have a deductible ranging from $1,000 to $25,000. The amount of professional liability insurance you will need and how much it will cost depends upon the size of your business and the level of risk it poses.

You may be able to include professional liability coverage in a Commercial Package Policy (CPP) as an endorsement. Note, however, the professional liability coverage is not included in an in-home business policy or Business Owners Policy (BOP).

Cleary Community Outreach

Presented by Michael Regan

Cleary Insurance is a member of the National Association of Surety Bond Producers (NASBP), which is the national professional organization for agencies that have a specialty in surety bonding.  We take pride in reaching out to contractors who may need assistance when obtaining surety bonding. Small, emerging, disadvantaged, minority, women owned, and service disabled are examples of contractors that may need assistance.

As part of the outreach, Mike Regan has been a presenter for surety bonding on numerous occasions including for the US Department of Transportation, The US Small Business Administration and at numerous trade organizations. Most recently, Mike was a presenter at Suffolk Constructions “access to capital” session of their Trades Partnership Program.  This is a program they run for contractors who would qualify for one of the categories mentioned above and would like to do business with Suffolk Consruction.

The outreach is an annual eight week program and will include Mike’s return in 2017 as a presenter on surety bonding.

Click here to read the NASBP Pipeline article.

Effect of Interest Rates on Investing

Presented by Douglas W. Greene CFP® CLU®

As a result of the prolonged Federal Reserve’s involvement in stimulating the economy, interest rates are and have been at extreme lows. Over the course of the next five to ten years, the Fed is expected to pull back its control in a way which will allow rates to increase, having an inevitable effect on the markets as a whole.

As a result, portfolios heavy in bonds may experience poor performance in the market during periods of rising interest rates. When rates in the open market are offering higher credited rates to lenders, investors tend to sell their existing debt, resulting in falling prices. Longer term debt is particularly more sensitive to interest rate risk.

Likewise, rising rates can have a negative effect on the Consumer Cyclical sector, as the fact that the general public will tend to have less discretionary spending money due to more expensive borrowing and potential price hikes. However, investing in bank equities can be attractive in anticipation of these times, as they are able to finance out at more profitable margins.

Ice Dam Guide

What is an Ice Dam?

  • Ice dams are ridges of ice that form at the edge of a roof and prevent melting snow from draining off your roof.
  • Water that backs up behind the dam can leak into your home and cause damage.
  • Walls, insulation and ceilings are at the greatest risk for damage from an ice dam.

How to Prevent Ice Dams?

  • Proper insulation: Attic insulation should have an R value of 30.* Insulate around areas that may allow for heat to escape easily –
    lights, bathroom fans, sky lights, etc.
  • Proper Ventilation: Allow heat to escape in other ways than the roof. Investigate gable vents, ridge vents and soffit venting.
  • Installation of Roof Leak Barrier: A rubberized film that gets installed under roof shingles to block water from leaking into vulnerable areas.
  • Keep all drains, downspouts and scuppers free of debris.
  • Maintain trees and plants that grow near your roof to prevent accumulation that may clog or slow roof drainage.
  • Get an energy audit done of your home to identify potential areas of concern.
  • * R value is how well the material used to insulate can function at keeping the heat where it needs to be.  The higher the value the
    better the insulating power.

What Other Factors Contribute to Ice Damming?

  • Complex roof designs
  • Skylights
  • Dormers
  • Vaulted Ceilings
  • Periods of unoccupancy greater than 30 days

What to do if you have an Ice Dam?

  • Remove the first three to four feet of snow from the roofline with a roof rake or soft bristled broom.
  • Warning: Be extremely careful while removing snow from your roof.
  • Make sure the ladder is secure.
  • Beware of falling snow and ice as you clear the roof.
  • Consult with a roofing professional when dealing with snow removal.
  • If the home is too tall to reach the roof then hire a roofing professional to clear the snow.
  • Contact your Insurance agent as soon as possible.

Sources:

https://bct.eco.umass.edu/publications/by-title/preventing-ice-dams,
http://www.gaf.com/Roofing/Residential/Products/Leak_Barriers,

Be sure to contact licensed professionals to assist with ice dam prevention techniques.

Click here to view more information on the MAPFRE website.

Trump Signs Executive Order on the ACA

On Jan. 20, 2017, President Donald Trump signed an executive order addressing the Affordable Care Act (ACA), as his first act as president. The order states that it is intended “to minimize the unwarranted economic and regulatory burdens” of the ACA until the law can be repealed and eventually replaced.

The executive order broadly directs the Department of Health and Human Services (HHS) and other federal agencies to waive, delay or grant exemptions from ACA requirements that may impose a financial burden.

ACTION STEPS

An executive order is a broad policy directive that is used to establish how laws will be enforced by the administration. It does not include specific guidance regarding any particular ACA requirement or provision, and does not change any existing regulations.
As a result, the executive order’s specific impact will remain largely unclear until the new administration is fully in place and can begin implementing these changes.

Overview

President Trump’s executive order begins by emphasizing his administration’s long-stated goal of repealing the ACA. Pending these repeal efforts—which are already underway in Congress—the executive order is intended to:

  • Minimize the ACA’s unwarranted economic and regulatory burdens; and
  • Prepare to afford states more flexibility and control to create a free and open health care market.

Specifically, the executive order directs HHS and other federal agencies responsible for administering the ACA to “exercise all authority and discretion available to them to:

  • Waive, defer, grant exemptions from, or delay implementation of any ACA provision or requirement that would impose a fiscal burden on any state or a cost, fee, tax, penalty or regulatory burden on individuals, families, health care providers, health insurers, patients, recipients of health care services, purchasers of health insurance, or makers of medical devices, products or medications;
  • Provide greater flexibility to states and cooperate with them in implementing health care programs; and
  • Encourage the development of a free and open market in interstate commerce for the offering of health care services and health insurance, with the goal of achieving and preserving maximum options for patients and consumers.”

The executive order specifically states that it does not, itself, make changes to any existing regulations. To the extent that the executive order’s directives would require revision of regulations, that will be done by federal agencies through the normal regulatory process.

Impact on ACA Provisions

The executive order is very broad, and does not include any detailed guidance as to how it should be carried out. Instead, it gives federal agencies broad authority to eliminate or fail to enforce any number of ACA requirements, as permitted by law. As a result, until the new heads of federal agencies are in place, it is difficult to know how the ACA will be specifically impacted.

There is some indication that the executive order is partially aimed at eliminating or providing exemptions from the ACA’s individual and employer mandates, since those requirements impose tax penalties that may impose a “fiscal burden” on individuals and employers. In addition, it is clear that the executive order is intended to help accomplish an idea that has been long supported by President Trump, which is to allow health insurers to sell policies across state lines in an effort to increase free market competition.

However, the immediate impact of the executive order will likely be small, since it will take time to implement policies, regulations and other subregulatory guidance to carry out the directives. In addition, health insurance policies for 2017 are already in place, and state law, in many cases, prohibits significant changes from being made midyear.

No ACA provisions or requirements have been eliminated or delayed at this time as a result of President Trump’s actions. Therefore, employers should continue to prepare for upcoming requirements and deadlines to ensure full compliance.

New Stand-alone HRA Option Available for Eligible Small Employers

Due to the Affordable Care Act (ACA), most stand-alone health reimbursement arrangements (HRAs)—an HRA that is not offered in conjunction with a group health plan—have been prohibited since 2014. However, on Dec. 13, 2016, the 21st Century Cures Act (Act) was signed into law, which allows small employers that do not maintain group health plans to establish stand-alone HRAs, effective for plan years beginning on or after Jan. 1, 2017.

This new type of HRA is called a “qualified small employer HRA” (or QSEHRA). Like all HRAs, a QSEHRA must be funded solely by the employer. Employees cannot make their own contributions to an HRA, either directly or indirectly through salary reduction contributions. Specific requirements apply, including a maximum benefit limit and a notice requirement.

Who is eligible?
To be eligible to offer a QSEHRA, an employer must meet the following two requirements:

  1. The employer is not an applicable large employer (ALE) that is subject to the ACA’s employer shared responsibility rules.
  2. The employer does not maintain a group health plan for any of its employees.

What is the maximum benefit limit?
The maximum benefit available under the QSEHRA for any year cannot exceed $4,950 (or $10,000 for QSEHRAs that also reimburse medical expenses of the employee’s family members). These dollar amounts are subject to adjustment for inflation for years beginning after 2016. Additionally, the maximum dollar limits must be prorated for individuals who are not covered by the QSEHRA for the entire year.

What is the notice requirement?
An employer funding a QSEHRA for any year must provide a written notice to each eligible employee. This notice must be provided within 90 days of the beginning of the year. For employees who become eligible to participate in the QSEHRA during the year, the notice must be provided by the date on which the employee becomes eligible to participate.

Transition Relief Extension
The Act also extends the transition relief under IRS Notice 2015-17, so that it applies with respect to plan years beginning on or before Dec. 31, 2016.

Health FSA Limit Will Increase for 2017

The Affordable Care Act (ACA) imposes a dollar limit on employees’ salary reduction contributions to health flexible spending accounts (FSAs) offered under cafeteria plans. This dollar limit is indexed for cost-of-living adjustments and may be increased each year.

On Oct. 25, 2016, the Internal Revenue Service (IRS) released Revenue Procedure 2016-55 (Rev. Proc. 16-55). Rev. Proc. 16-55 increased the FSA dollar limit on employee salary reduction contributions to $2,600 for taxable years beginning in 2017. It also includes annual inflation numbers for 2017 for a number of other tax provisions.

ACTION STEPS
Employers should ensure that their health FSA will not allow employees to make pre-tax contributions in excess of $2,600 for 2017, and they should communicate the 2017 limit to their employees as part of the open enrollment process.

An employer may continue to impose its own health FSA limit, as long as it does not exceed the ACA’s maximum limit for the plan year. This means that an employer may continue to use the 2016 maximum limit for its 2017 plan year.

The ACA initially set the health FSA contribution limit at $2,500. For years after 2013, the dollar limit is indexed for cost-of-living adjustments.

  • 2014: For taxable years beginning in 2014, the dollar limit on employee salary reduction contributions to health FSAs remained unchanged at $2,500.
  • 2015: For taxable years beginning in 2015, the dollar limit on employee salary reduction contributions to health FSAs increased by $50, for a total of $2,550.
  • 2016: For taxable years beginning in 2015, the dollar limit on employee salary reduction contributions to health FSAs remained unchanged at $2,550.
  • 2017: For taxable years beginning in 2017, Rev. Proc. 16-55 increased the dollar limit on employee salary reduction contributions to health FSAs to $2,600.

The health FSA limit will potentially be increased further for cost-of-living adjustments in later years.

Employer Limits
An employer may continue to impose its own dollar limit on employees’ salary reduction contributions to health FSAs, as long as the employer’s limit does not exceed the ACA’s maximum limit in effect for the plan year. For example, an employer may decide to continue limiting employee health FSA contributions for the 2017 plan year to $2,500.

Per Employee Limit
The health FSA limit applies on an employee-by-employee basis. Each employee may only elect up to $2,600 in salary reductions in 2017, regardless of whether he or she also has family members who benefit from the funds in that FSA. However, each family member who is eligible to participate in his or her own health FSA will have a separate limit. For example, a husband and wife who have their own health FSAs can both make salary reductions of up to $2,600 per year, subject to any lower employer limits.

If an employee participates in multiple cafeteria plans that are maintained by employers under common control, the employee’s total health FSA salary reduction contributions under all of the cafeteria plans are limited to $2,600. However, if an individual has health FSAs through two or more unrelated employers, he or she can make salary reductions of up to $2,600 under each employer’s health FSA.

Salary Reduction Contributions
The ACA imposes the $2,600 limit on health FSA salary reduction contributions. Non-elective employer contributions to health FSAs (for example, matching contributions or flex credits) generally do not count toward the ACA’s dollar limit. However, if employees are allowed to elect to receive the employer contributions in cash or as a taxable benefit, then the contributions will be treated as salary reductions and will count toward the ACA’s dollar limit.

In addition, the limit does not impact contributions under other employer-provided coverage. For example, employee salary reduction contributions to an FSA for dependent care assistance or adoption care assistance are not affected by the health FSA limit. The limit also does not apply to salary reduction contributions to a cafeteria plan that are used to pay for an employee’s share of health coverage premiums, to contributions to a health savings account (HSA) or to amounts made available by an employer under a health reimbursement arrangement (HRA).

Grace Period/Carry-over Feature
A cafeteria plan may include a grace period of up to two months and 15 days immediately following the end of a plan year. If a plan includes a grace period, an employee may use amounts remaining from the previous plan year, including any amounts remaining in a health FSA, to pay for expenses incurred for certain qualified benefits during the grace period. If a health FSA is subject to a grace period, unused salary reduction contributions that are carried over into the grace period do not count against the $2,600 limit applicable to the following plan year.

Also, if a health FSA does not include a grace period, it may allow participants to carry over up to $500 of unused funds into the next plan year. This is an exception to the “use-it-or-lose-it” rule that generally prohibits any contributions or benefits under a health FSA from being used in a following plan year or period of coverage. A health FSA carryover does not affect the limit on salary reduction contributions. This means the plan may allow the individual to elect up to $2,600 in salary reductions in addition to the $500 that may be carried over.

Plan Amendments
Plan documents that specify the health FSA dollar limit must be amended if the higher limit will be used in 2017.