From the National Business Coalition on Health: A recent Mercer survey of 4,000
employers, conducted the week after the Supreme Court's ruling on the
Affordable Care Act, revealed that a majority said they had been waiting for
the Court's decision before developing a strategy to respond to the law’s
provisions slated to go into effect in 2014 and beyond. While 40% said they
will begin taking action now that the court has ruled, another 16% said they
will continue to wait until after the November elections.
Employers must act quickly to implement new requirements for 2012 and 2013,
such as providing benefit summary disclosures, complying with new dollar limits
on health care flexible spending arrangements, and increased Medicare
withholding for high earners. But the rules going into effect in 2014 that are
aimed at expanding access will have broader implications for many employers.
More than a fourth of survey respondents (28%) said that compliance with the
new requirement that employees working an average of 30 or more hours per week
must be eligible for coverage will present a “significant challenge” for their
The requirement to auto-enroll newly eligible employees in a health plan –
which means that employees will automatically be covered unless they take
action to opt-out – is also expected to increase the rolls of the insured for
many employers. Nearly one-third (29%) of respondents to the Mercer survey said
this will be a significant challenge, especially because other provisions of
the law will limit the amount of health plan costs employers can pass along to
employees through higher premiums or deductibles.
Still, the provision that has the most employers worried – 47% of survey
respondents – is the excise tax on high-cost plans, expected to go into effect
Read MBGH's comments on how Memphis-area employers are reacting to the Supreme Court's ruling.