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Health Care Decisionsfor the

Small Business OwnerUniversity of Nebraska-Lincoln Extension EducatorsMarilyn Schlake & Carroll Welte

Presentation date: 4/2/14

The Muck and Mire of The Muck and Mire of Shifting SandShifting Sand

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Regulations are still being written

Not everything is ready or defined

Political debate continues

As of As of today…today…

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Official Disclaimer The information is not intended as tax or legal

advice, and it may not be relied on for the purpose of avoiding any federal or state tax penalties.

Educational materials designed to serve as a starting point for further discussions with an attorney, accountant, human resource (HR) consultant, or other advisor who is well-versed in the new health care regulations.

Not an endorsement for or against the ACA

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Perspectives

Business Owner Employee Competition Federal Government State Government

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Frustrations

4 years of information dated & changed

Controversial Complicated Inter-related

Full Implementation

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How will the ACA affect your business?

Large Employers 50 – 99 (2016) 100 + (2015)

Small EmployersLess than 50Less than 25

Non-employer

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Business Considerations Healthcare costs – premiums & contributions ACA compliance

Minimize risk of penalties if large employer

Workforce Quality Retention Salary and wages Hours

Short and long-term goals Sustain Growth and/or expansion

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Business Strategy Adjust employer contribution Consider a less expensive plan(s)

Bare bones or the skinny plan Increase employee contribution

Morale? Loyalty?

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Small < 25 FTE Strategies

No coverage Coverage with current or “grandfathered”

plan SHOP coverage Co-operative Memberships Defined contributions

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Small < 50 FTE Strategies No coverage Coverage with current or “grandfathered”

plan SHOP coverage Co-operative Memberships Defined contributions Private exchanges Self-funded plans Staff changes

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Where to start: eship.unl.edu/healthcare

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Questions? Email:

ACAbizNE@unl.edu