5 Things You Must Know About Employee Health Benefits

Guest post by Jennifer K. Halford, Esq.

There has been a lot of information in the news about health care reform and how it affects small businesses. Yet, I still find many business owners scratching their heads trying to understand what it all means for their businesses.

You need to know what your business is required and not required to do. Not knowing can cost you unnecessary expenses and penalties.

Here are five things you must know about employee health benefits:

1. You don’t have to provide benefits now: Most employers are not required by law to offer health-related benefits to their employees. Talk with your attorney to make sure.

2. You may not have to provide benefits ever: In 2014, businesses with fifty or more full-time employees will be required to provide health insurance coverage for their workers or pay a penalty. This is will be the law unless the Supreme Court determines the Patient Protection and Affordable Care Act (ACT) is unconstitutional .

Regardless, you do not have to provide employee health benefits by 2014 if you employ fewer than 50 employees.

3. You do need to claim your tax credit: Your business is eligible for the Small Business Health Care Tax Credit if you have fewer than 25 full-time employees, cover at least 50 percent of the cost of their coverage, and your employees have average wages of less than $50,000 a year. To determine the amount of your credit, talk to your accountant and complete IRS form 8941 .

4. You don’t have to report benefits on your W-2’s: The ACT requires employers to report the cost of coverage under an employer-sponsored group health plan on employees’ Form W-2’s. However, this requirement was optional for all employers for the 2011 tax year. And the reporting requirement is still optional for businesses filing fewer than 250 W-2 forms for 2012. Reporting will remain optional for smaller employers until further guidance is issued.

5. You must provide proper notice: Under the Consolidated Omnibus Budget Reconciliation Act (COBRA), employers with 20 or more employees that provide health benefits must continue to provide coverage to an employee when he or she leaves. You can require the employee to pay the full cost of the coverage and a 2 percent administrative charge. However, you must notify your plan administrator within 30 days of the employee leaving so your administrator can provide the proper employee notice.


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