PPACA and FLSA Updates: June 8, 2016

PROVEN RECORD OF RESULTS
SUPERIOR EXPERTISE ON COMPLEX ISSUES

AVAILABLE WHENEVER, WHEREVER YOU NEED US
PPACA and FLSA Updates

June 8, 2016
Marc A. Fishel
Fishel Hass Kim Albrecht LLP
Application to employers with 50-99 FTEs- 1/1/16.
Safe Harbor is 95% of employees working at least 30 hours per

week.
Offering employers will have a penalty of $270 per month
($3,240/yr.) for each month an employee working 30 hours per
week is not offered coverage and receives a subsidy for
purchasing coverage through a marketplace.
Non-offering employers subject to $180 per month penalty
($2,160/yr.) for each employee working 30 hours per week, less
the first 30 employees.
2
Maximum out of pocket for 2016- $6,850 for single and $13,700 for family.
Includes medical and drug coverage.
3
PCORI Fee.
Due on July 31, 2016.
$2.08 per covered person for plan years

ending between October 1, 2014 and
October 1, 2015.
4
Transitional Reinsurance Fee.
Due by November 15, 2016.

$27 per covered individual for 2016 calendar year.
5
New Summary of Benefits.
Will apply to plans beginning after April 1,

2017.
https://
www.cms.gov/CCIIO/Resources/Regulations-and-Gui
dance/Downloads/SBC-Template.pdf
https://
www.cms.gov/CCIIO/Resources/Regulations-and-Guid
6
Cadillac Tax.
Delayed until 2020.

Consideration to be given to age and gender
impact on the amount.
Standard besides Blue Cross/Blue Shield
federal plan.
7
Reporting Requirements.
No delay in 2017. 1095-B and 1095-C due

by January 31, 2017.
1094-B and 1094-C due by February 28,
2017 if by paper and by March 31, 2017 if
electronic.
No good faith standard in 2017.
8
Affordability.
9.66% in 2016.
9.69% in 2017.
Automatic enrollment repealed.
9
Wellness Rules. ADA and GINA.
1630.14- Permits medical inquiries as part of a wellness
program. Must be reasonably designed to promote health or
prevent disease.
Voluntary.
Incentives- Limited to 30% of the total cost of self only coverage.
If no disability related inquiries, new rules do not apply. Ex.
Attending classes.
Reasonable accommodation.
Confidentiality of records.
10
Final Rule- GINA.
Regulates the use of genetic related information

that is disclosed during wellness process.
Tax implications for wellness incentives.
11
Update: DOLs New FLSA Overtime Regulations for White Collar, Exempt Employees
The Final Rule will:

Raise the salary threshold from $455 per week / $23,660 per year, to
$913 per week / $47,476 per year for executive, administrative, and
professional employees.
This constitutes the 40th percentile of full-time salaried workers in the lowest
income Census region (currently the South).
Amends the salary basis test to allow Employers to pay up to 10% of the
new standard salary level (approximately $4,747) annually in non-
discretionary bonuses, commissions or incentives.
https://www.dol.gov/WHD/overtime/final2016/overtime-factsheet.htm
12
Practical Considerations
Employers should start planning now to be in

compliance on December 1, 2016. This includes
reviewing and revising employee classifications
and job descriptions, agency policies and
procedures, performing wage and hour audits,
etc.
13
Exempt Employees
A white collar employee generally must:
Be salaried, meaning they are paid a predetermined and fixed
salary that is not subject to reduction because of variations in
the quality or quantity of work performed (Salary Basis Test);
Be paid more than a specified weekly salary level under the
Final Rule (Salary Level Test); and
Primarily perform executive, administrative, or professional
duties, as defined by the Regs. (the Duties Test).
14
Executive Exemption
To qualify for the executive employee exemption, all of the following criteria
must be met:
Salary Basis Test: The Employee must be compensated on a salary basis (as defined
in the Regs.);
The Employees primary duty must be managing the enterprise, or managing a
customarily recognized department or subdivision of the enterprise;
The Employee must customarily and regularly direct the work of at least two or more
other full-time employees; and
The Employee must have the authority to hire or fire other employees, or have
particular weight given to his/her suggestions to hire, fire, advance, promote or any
other change of status of other employees.
15
Administrative Exemption
DOL Wage & Hour Division, Fact Sheet #17(C): To qualify for
the administrative employee exception, all of the following
criteria must be met:
Salary Basis Test: The Employee must be compensated on a salary
basis (as defined in the Regs.);
The Employees primary duty must be the performance of office or non-
manual work directly related to management or general business
operations of the Employer or the Employers customers; and
The Employees primary duty includes the exercise of discretion and
independent judgment with respect to matters of significance.
16
Professional Exemption
Professional Exemption
DOL Wage & Hour Division, Fact Sheet #17(D): To qualify for
the learned professional exemption, all of the following criteria
must be met:
Salary Basis Test: The Employee must be compensated on a salary
basis (as defined in the Regs.);
The Employees primary duty must be the performance of work
requiring advanced knowledge;
The advanced knowledge must be in a field of science or learning.
17
IF YOU HAVE ANY
QUESTIONS, PLEASE ASK!
THANK YOU!
Marc A. Fishel
Fishel Hass Kim Albrecht LLP
400 South Fifth Street, Suite 200
Columbus, Ohio 43215
www.fishelhass.com
18
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PROVEN RECORD OF RESULTS

SUPERIOR EXPERTISE ON COMPLEX ISSUES

PPACA and FLSA Updates

Safe Harbor is 95% of employees working at least 30 hours per

Includes medical and drug coverage.

Due on July 31, 2016.

$2.08 per covered person for plan years

Due by November 15, 2016.

Will apply to plans beginning after April 1,

Delayed until 2020.

No delay in 2017. 1095-B and 1095-C due

Automatic enrollment repealed.

Regulates the use of genetic related information

The Final Rule will:

Employers should start planning now to be in

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