Insurance News/Publications

AJM Associates News and Publications provide up to date industry specific topics and updates to educate and advise regarding Group Insurance, Employee Benefits, Medicare and Individual Insurance.

2019 - State Disability Insurance (SDI)

In the United States, there are several states and one commonwealth that provide statutory disability programs,commonly known as "disability insurance". They are funded by mandatory contributions of employees (optionally covered by employers). Employees' contributions are federal tax‐deductible.

Are You Disability Procedure Ready?

The Department of Labor (DOL) confirmed the final disability claims regulations on January 5, 2018. These regulations are effective for all claims filed on or after April 1, 2018

1095 Filing Reminder

Insurers, self-insuring employers, other coverage providers, and applicable large employers have until March 2, 2018, to provide Forms 1095-B or 1095-C to individuals, which is a 30-day extension from the original due date of January 31, 2018. 

HICA Repealed - Replaced by IPA

The Michigan Health Insurance Claims Assessment (“HICA”) tax has been repealed, effective as of October 1, 2018. On June 11, 2018, Governor Snyder signed a series of bills repealing the HICA tax.

2019 HSA Contribution Limit Changes

The 2019 HSA contribution level maximum will be $3,500 for individual coverage, and $7,000 for family coverage. The new limits increase the pre-tax amounts individuals and families may contribute to their HSA over 2018 limits by $50 and $100, respectively.

2019 Affordability Percentages Increase

For plan years beginning in 2019, the ACA Affordability Contribution Percentages increase as follows:

  • 9.86% under the pay or play rules

  • 9.86% under the premium tax credit eligibility rules

  • 8.3% under the exception form the individual mandate

The Wake of Individual Mandate

As a result of the repeal there is uncertainty as to the material impact on enrollments and premium rates.  Estimates indicate a decrease in current enrollment of nearly 13 million nationwide for 2019 as many younger, healthier people may opt to take the risk of being uninsured as they did pre-ACA..