Health Care Reform‘Pay or Play’

Employer MandateModeling Application

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PPACA legislation requires that large employers offer each eligible full time employee qualified coverage that meets the ACA

affordability and sufficiency requirements or incur a

“Play penalty”,

or alternatively, not offer ACA qualified coverage and incur a

“Pay penalty”;

also referred to as the “Pay or Play Employer Mandate”

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I sponsor health coverage, how will Health Care Reform affect my company?

Should I Play…

What would be the financial impact of not offering coverage?

…or Should I Pay?

There are taxes and penalties if your coverage does not meet ACA requirements. Your employees, plan

benefits, and contributions need to be continuously evaluated to assure they meet ACA standards now and

in the future. Health Care Reform will not be fully implemented until 2018, so you’ll need a tool that can

project costs well into the future.

This may be an option that you need to consider under ACA. Aside from employee perception and

competitiveness in the labor market, not offering health benefits carries its own costs under ACA. You’ll

need a tool that can project and compare the cost of not offering benefits versus offering benefits to help

determine the best course of action.

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What will I learn from ?

PoP will analyze your employee information…

PoP evaluates the key employee

measures of ACA

PoP projects which employees are “At Risk” of

triggering a Play Penalty

PoP will forecast which employees will seek coverage under ACA

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View financial analysis for 2014 through 2018…

Estimated financial impact of eliminating

your plan; “Pay”.

Projected cost under ACA for your

sponsored plan; “Play”

Estimated baseline cost without applying ACA

regulations

Compare total Employer cost.

The “Cadillac” Excise Tax starts in 2018.

Government Penalties are trended into the future.

Forecast impacts to Corporate Taxes

Use PoP to model changes to benefits and contribution

What will I learn from ?

PoP will forecast premium using an actuarial model

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Compare multiple scenarios side-by-side…

Model scenarios like… Changes in staffing levels Changes in wages Modified working hours Changes in contribution Benefit plan changes And more…

Review your current situation, projected to ACA

Create another scenario that would

eliminate penalties and help control costs

What will I learn from ?

Create a scenario that would eliminate penalties

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PoP contains a wealth of information about ACA legislation and how to get the most out of the tool…

Online informational and instructional

videos…

… and quick-reference

‘PoP’ ups

Legislative and business information with diagrams help guide your decisions

on key concepts

Just look for the askPoP™ logo and click for help…

What else do I get from ?

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Health Care Reform regulations will continue to be issued…

…and PoP will be constantly updated to meet the challenge

Return to PoP at any time and simply click ‘Analyze’ on any of your prior scenarios to view updated results…

Create and save your scenarios

Copy and modify scenarios to quickly model alternate

outcomes

Click ‘Analyze’ and instantly update results

View your results in PoP’s easy to use library

What else do I get from ?

Copy and modify scenarios to quickly model alternate

outcomes

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#1 Gather Employee Information

#2 Gather Health Plan Information

#3 Gather Company Information

#4 Purchase a subscription to ….

For more details, review our Pre-Analysis Preparation Checklist,

available free on our website…

Getting started with PoP is four steps away…

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PoP is available on a subscription basis renewing monthly or annually.Customers with an annual subscription receive our PoP Newsletter, containing updates regarding

legislative and regulatory changes that impact your company.

Pay for each company you wish to analyze. Discounts are available for

customers that need to process multiple companies.You may create up to six scenarios for each company.

There are no limits on the number of analysis performed.

There are no limits on the number of reports and extracts created.

Purchase …

Contact us for subscription pricing…

Visit us at shouldipayorplay.com for more details and to create an account!