Exchanges

Sometimes what happens in Vegas doesn’t just stay on the Strip – it blows across the Sagebrush State like a wayward tumbleweed. Case in point: Nevada Health Link enrollees have been reporting mistakes on the 1095-A IRS forms to calculate their premium tax credit on the federally supported state-based HIX.

Defined contribution plans have become one of the fastest-growing segments of the retirement industry, representing $7 trillion of the $24 trillion in retirement system assets in 2014, and while private companies have been at the forefront of the change, but government entities are following suit, which means DC plans will become even more important in the years ahead.

For many taxpayers, their first introduction to the ACA may be the Form 1095-A that they receive in the mail, and bring with them — or forget to bring with them — to their tax preparer. Many have questions about the form, and state exchange call centers have been inundated with inquiries. Here are top five questions being asked about Form 1095-A.

After two enrollment seasons under the Affordable Care Act's exchanges, the easily accessible and amenable are signed up for health care. With year three starting this fall, the task will be tougher to target the remaining uninsured, who are harder to reach. Who better to drive the message home, Washington state thinks, than brokers?

If there was a most-improved public HIX award, Maryland Health Connection certainly would be in the running for such an honor. Nearly twice as many state residents enrolled for 2015 in half as much time compared to the previous year.

As American workers are increasingly looking to a new range of employer-sponsored retirement products to help guarantee some securely funded golden years, they may be missing out on the advantages of a system they’ve paid into their entire working lives.

Many exchange budgets are being cut at the same time states are struggling to reach their remaining uninsured, and some are looking to brokers to provide assistance in filling that gap.

The Advance Premium Tax Credit probably contributed to an expansion in health insurance coverage last year, but some taxpayers may still lack access to affordable health plans.

In recent years, a number of states have begun toying with the idea of creating their own retirement systems to help smaller employers provide workers rudimentary retirement savings opportunities.

Although most employers who move to private exchanges are seeing some cost savings below trend in their initial years, that is not sustainable over time, says Rob Harkins, practice leader, private exchanges at Willis Group. For Willis, the exchange is not designed to be a long-term money-saving product on its own, but rather part of a larger program for its clients to manage health and wellbeing.