ObamaCare Presentation to Eugene Greeters

USA Benefits Group“The State of Health Insurance”

• Patient Protection and Affordable Care Actaka: Obama Care

Tom Koanui541-914-8441

Shonna Butler541-357-8751

• The information given within this presentation is accurate as of May 2013 and comes directly from the Cover Oregon Public Exchange. It is subject to change.

• Note that ACA details shared informally by word of mouth may not represent the state of Oregon. A number of states around the country are defaulting to the Federal Exchange program or choosing the Co-op Exchange format.

Disclosure



Patient Protection Affordable Care Act

Changes for January 01, 2014• All individuals MUST have M.E.C. (Minimum Essential

Coverage).• Guaranteed acceptance• No pre-existing condition exemptions• NO RATING for health, gender, build & industry• Essential Health Benefits as defined by program• Metallic Levels: Bronze- Silver- Gold- Platinum



Affordable Care Act – Small Employers

Small Employers of <50 Employees:• Employer is NOT required to provide group insurance in 2014• NO tax penalty will be assessed to employers if group insurance is not provided in 2014 or 2015• A 35% to 50% tax credit will be available to employers through 2015 who DO offer group insurance• Metallic Plans currently available to employer: Bronze, Silver, and Gold



• Oregon Zip Code• 2-50* Employees• Pay at least 50% of

employee only premiums• At least 75% participation

*2016 up to 100 employees 2017 over 100 employees

• Have less than 25 FTEs (full-time equivalent)

• Have average income of less than $50K

• Contribute at least 50% of employee only premiums

*Federal small business tax credits for 2-yrs (2014 & 2015)

Small Employer Program Requirements

To Qualify for Tax Credits:*To Shop Through Cover Oregon:



Four Options for Employers

• Option 1: Employer chooses plan and carrier• Option 2: Employer chooses carrier but

employee chooses plan• Option 3: Employer chooses plan but

employee chooses carrier• Option 4: Employee chooses both plan and

carrier



Oregon Exchange Plan Design

Platinum Plan details are not yet available



Exchange Prescription Drug Plan




How the Exchange Will Work

Now What?This is a confusing new health care act.

We would enjoy speaking with you and your organization about the changes happening through the Oregon Exchange and what it means for you and your company.

Please contact Shonna at: 541-357-8751 or Tom at: 541-914-8441 to set up an appointment to discuss your health care options in greater detail.

Thank you for your time and attention!

Where there is no vision the people perish, but he that keeps the law, happy is he. Proverbs 29:18



ObamaCare Presentation to Eugene Greeters

Economy & Finance

Transcript of ObamaCare Presentation to Eugene Greeters