ACA Modeling and Scenarios

Penalty determinations

Penalty determinations
  • No coverage
  • Unaffordable coverage

Alternative strategy review
  • CDHP/alternative plan design
  • Workforce and eligibility management
  • Grandfathering pros/cons

Pay versus Play risk analysis
  • Employee and employer impact analysis under maintaining current plan, terminating current plan, and modifying current plan
  • Current plan affordability
  • Individual tax credits
  • Employee income distribution by Federal Poverty Level (FPL)
  • Modified Adjusted Gross Income (MAGI) assumptions will be made based on data supplied
  • Affordable contribution snapshot.
  • Plan actuarial value evaluation and sampling
  • Cadillac plan tax implication
  • PCORI and Transitional Reinsurance Fee (TRF) impact analysis