Health Care Reform | Self Insured Plans LLC
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Curious About Health Care Reform

Employer PPACA Planning for 7/1/13 to 12/31/13

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SBC Glossary of Terms and FAQs

sbc-glossary-of-termsUnder the ACA, Self Insured Plans is required to post the Summary of Benefits Coverage (SBC) Glossary of Terms on our website. This glossary has many commonly used terms, but isn't a full list. These glossary terms and definitions are intended to be educational and may be different from the terms and definitions in your plan.

SBC Glossary of Health Coverage and Medical Terms

> View and download the SBC Glossary of Terms

  • Bold blue text indicates a term defined in this Glossary.
  • See page 4 of this PDF for an example showing how deductibles, co-insurance and out-of-pocket limits work together in a real life situation.

SBC Frequently Asked Questions

> View and download the SBC FAQs

The Affordable Care Act after the Supreme Court

The dust has settled! The Supreme Court has determined that the Affordable Care Act (ACA) is constitutional and it is important to begin to plan for your future responsibilities, as well as, becoming informed about ACA provisions which may lead to increased future employer costs. While the forthcoming Presidential Election might impact ACA, it is naïve to ignore your current responsibilities or not plan for the future. As indicated below, penalties for failure to comply with ACA provisions are significant and even with a major political change in November; many of your ACA responsibilities will not change.

The ACA provisions will be implemented through 2018. Many of the provisions will impact Medicare and Medicaid only. Therefore for the purpose of the following timeline, we have only identified those provisions which we believe will require employer action, and in some instances, will impact future employer healthcare costs. However, this is not intended to be a complete listing of all of the ACA provisions.

> View the ACA Timeline

What does It Mean For Your Business?

View and download this educational piece on what health care reform will mean for your business.

> Download Now...

Health Care Reform... This Will Reduce Health Care Costs?


> Click for a larger view of this Chart



More flexibility and the opportunity for savings make small group self-funding worth considering.