Health Care Reform Timeline

Learn which Health Care Reform provisions are already in effect, and start planning ahead for future provisions that may have an impact on your business.

Health Care Reform FAQ

Find answers to common questions about Health Care Reform regulations, including small business tax credits, grandfathered plans, W-2 reporting, and more.

What Employers Need to Know

Register for a free Web seminar series that explains how Health Care Reform may impact your business, when it takes effect, and what actions you may need to take.

Paychex Insurance Agency Can Help

Our full service agency has taken a leadership role in transforming how businesses like yours adapt to and benefit from the rapidly changing insurance industry.

Health Care Reform Provisions

Health Insurance Exchanges

Health Insurance Exchanges

Health Insurance Exchanges are meant to expand health care competition and choice by offering private and government insurance programs to groups of individuals and businesses with up to 100 employees.

Small Business Tax Credits PDF

Small Business Tax Credits

Possible Health Care Reform tax credits are available for businesses with fewer than 25 employees and average annual wages of less than $50,000 that also offer health insurance. Need help? Our Small Business Tax Credit Package can help you assess your eligibility and file for them.

Grandfathered Plans PDF

Grandfathered Plans

Depending on your health plan, the "grandfather" provision may delay when certain health care reform rules take effect, or even exempt your plan from those rules.

Non-Discrimination PDF

Non-Discrimination

New employer group health plans that are not "grandfathered" cannot drop sick individuals from coverage, deny coverage to children under age 19 with pre-existing conditions, impose lifetime limits on essential health benefits, or favor highly compensated employees (HCEs).

FSA PDF

FSA, HSA, and HRA

Participants can submit FSA claims for expenses incurred by their adult dependents who will not reach age 27 by the end of the calendar year. Additionally, eligible expenses for these dependents incurred on or after March 30, 2010 are eligible for reimbursement.

Young Adult Coverage PDF

Young Adult Coverage

In order to cover the 30 percent of adults under the age of 26 who have no health insurance, employers must continue health insurance coverage until the dependents turn 26.

W-2 Reporting PDF

W-2 Reporting

On October 12, 2010 the federal government advised that implementation date for reporting the value of the cost of coverage under an employer-sponsored group health plan on employees' W-2s is optional for tax year 2011.

Appeals PDF

Health Care Appeal Process

A $30 million grant program will help states establish or strengthen consumer assistance offices to help consumers enroll in health coverage, file complaints and appeals, learn about their rights, and feel empowered to take action.

PCIP PDF

Pre-Existing Condition Insurance Plan

The Pre-Existing Condition Insurance Plan (PCIP) is a temporary program to help people who have been unable to obtain health insurance due to pre-existing medical conditions. PCIP will remain in place until 2014.

Preventative Services PDF

Preventative Services Without Cost-Sharing

Many preventative health care items and services will no longer require cost-sharing, benefiting employees in employer-sponsored plans and others who may have put off preventative health screenings due to cost.

Wellness Programs PDF

Wellness Programs

The federal government is making $200 million available to small businesses to implement wellness programs as part of the Patient Protection and Affordable Care Act (PPACA).

Repealed 1099 Reporting Provision

Repealed 1099 Reporting Provision

On April 14, 2011, the Form 1099 reporting provision of the Patient Protection and Affordable Care Act of Health Care Reform was repealed.

Accountant Resources

Provide Health Care Reform information and assistance to clients with tools and resources from the Paychex Insurance Agency.

Health Care Reform News

New: Accountant Resources

Estimate Your Small Business Tax Credits

Provision Update: Pre-Existing Condition Insurance Plan

back to top