9
Ongoing ACA Management Information System for Compliance, Cost Analytics, Reporting and Auditing Presented by: Tom Ference SVP New Client Development Health E(fx) Chicagoland Area Phone : 219-662-0201 Cell : 630-240-2583 [email protected]

Ongoing ACA Management Information System for Compliance, Cost Analytics, Reporting and Auditing Presented by: Tom Ference SVP New Client Development Health

Embed Size (px)

Citation preview

Ongoing ACA Management Information System for

Compliance, Cost Analytics, Reporting and Auditing

Presented by:Tom Ference

SVP New Client Development

Health E(fx)

Chicagoland Area Phone : 219-662-0201

Cell : 630-240-2583

[email protected]

Personal Introduction

Tom Ference • Northwestern Kellogg MBA - Finance / Marketing • Lincoln Financial Regional Manager• Mercer VP • Crowe Horwath Principal - HR Division • Aon Clients:

Large: -McDonalds, Kraft, Verizon, Office Max, Darden, Sears, US Bank, Ascension Health, etc.

Smaller: -Fanny May Candies, Krispy Kreme, Bassett Furniture, • Aon’s HR Division Worldwide CMO & ExCo Member• US Division - Discovery Holdings ExCo Member • Currently SVP Sales for Health E(fx)

Health E(fx) ACA Management Information System

• Cloud-based ACA management system • Developed over 3+ years by experienced regulatory software

engineers and Washington DC /ACA insiders• Continually

1) automates census data integration / validation

2) determines / manages employee Eligibility & Affordability

3) automates federal reporting and internal/external audit

4) provides management decision support through costs, plan

design and projections analytics• Supports division of labor between employer and / or its benefits

advisor

• Quantifies risks and liabilities associated with penalties and excise taxes for non-compliance

Health E(fx) ACA Management Information System

• Analytics to evaluate plan / demographic /risk-reward options for cost-reduction opportunities

• Integrated and proprietary alerting system to assure and complete and accurate data integration and validity for determining and managing employee eligibility based on wait, measurement and stability periods and affordability-based plan design and cost

• Facilitates employee grouping/parsing capability allowing for consolidation and disaggregation by numerous variables and parameters (i.e. hours, wages, age, sex, division, entity, groups,

• Manages state-by-state exceptions to federal ACA regulations• Automates all ACA compliance reporting, provides ad-hoc

reporting and archives audit tools for generating regulatory data and providing compliance support (i.e. SOX compliance)

Company Parameter Setting

© Copyrighted material – all rights reserved.

Federal and State Parameter Setting

© Copyrighted material – all rights reserved.

Instantaneous “Pay or Play” Scenario Modeling

© Copyrighted material – all rights reserved.

High Cost Plan Excise Tax Projections

© Copyrighted material – all rights reserved.

Next Steps

• Actions -Do Nothing

-Receive marketing collateral

-View 2.5 minute streaming video

-See system demo

-May require NDA

• Opportunities -Become compensated reseller

-Use system in client advisory capacity