© 2009 jackson lewis llp north dakota hospital association t he s hifting l egal l andscape : c...
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![Page 1: © 2009 Jackson Lewis LLP NORTH DAKOTA HOSPITAL ASSOCIATION T HE S HIFTING L EGAL L ANDSCAPE : C RITICAL C HANGES I MPACTING H EALTH C ARE R EFORM, I MMIGRATION,](https://reader037.vdocument.in/reader037/viewer/2022110323/56649d7f5503460f94a637d4/html5/thumbnails/1.jpg)
© 2009 Jackson Lewis LLP
NORTH DAKOTA HOSPITAL ASSOCIATION
THE SHIFTING LEGAL LANDSCAPE:
CRITICAL CHANGES IMPACTINGHEALTH CARE REFORM,
IMMIGRATION, WAGE AND HOUR LITIGATION, AND THE NLRB
OCTOBER 12, 2011
Presented by:
Christopher E. Hoyme
Jackson Lewis LLP
10050 Regency Circle, Suite 400
Omaha, NE 68114
402-827-4232
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Today’s Agenda
• FLSA Workplace Audit
• Protected Concerted Activity and the NLRB
• Immigration
• Health Care Reform Legislation
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The Changed Face of the Department of Labor and FLSA Suits: Wage
and Hour Issues
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New Administration, New Focus
• President Obama has proposed $13.3 billion for the
DOL, an increase of 4.7 percent.
• Department of Labor’s Wage and Hour Division has
begun the process of hiring 250 new field
investigators.
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FLSA Basics
• Congress enacted the Fair Labor Standards Act in
1938 to address general economic conditions
prevailing during the Great Depression
• Four key components:
• Minimum wage
• OT for hours worked beyond 40 in a workweek
• Recordkeeping requirements
• “Oppressive child labor” prohibited
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LET THE REVIEW BEGIN
…
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Ask The Right Questions: Minimum Wage• Do all employees receive at least the current
minimum wage for every hour worked?
• Do you have casual laborers and, if so, are they
earning minimum wage?
• Are employees being paid for time spent on starting
or ending activities (booting up computer, changing
clothes, clocking in / out)
• Are lunch periods for non-exempt workers fully
undisturbed and 30 minutes or more?
• Are commission-only employees earning at least
minimum wage?
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Ask The Right Questions: Overtime• Are all hourly workers receiving at least time and
one-half for all hours worked over 40 in a workweek?
• Are bonuses and commissions paid and, if so, are
they being used to calculate the hourly overtime
rate?
• Are actual hours worked – as opposed to scheduled
hours – being recorded?
• What mechanisms are in place to ensure no “off the
clock” work? Who is Responsible?
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Ask The Right Questions: Exemptions
PRIMARY EXEMPTIONS UNDER FLSA
Executive
Administrative
Professional
Computer Professional
Learned Professional
Creative Professional
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Ask The Right Questions: Other Exemptions
Outside Sales
Seasonal Amusement or
Recreational Establishment
Agricultural
Motor Carrier Exceptions
Domestic Workers
Police, Firefighter, and Public Safety
Communication
Commissioned Sales
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Exemption Requirements
Under federal law, employee must meet 2 requirements:
1) salary basis test - the salary basis test is not
applicable to outside sales and certain computer
professionals.
AND
2) Have duties that are categorized as executive,
administrative, professional, computer or outside
sales under the FLSA
(Note: Most states generally track FLSA.)
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Executive Exemption
• Primary duty is management of the enterprise in
which the employee is employed or of a customarily
recognized department or subdivision thereof.
• Customarily and regularly directs the work of two or
more other full-time employees.
• Has the authority to hire or fire other employees or
whose suggestions and recommendations as to the
hiring, firing, advancement, promotion or any other
change of status of other employees are given
particular weight.
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Administrative Exemption
• Primary duty is the performance of office or non-
manual work directly related to the management or
general business operations of the employer or the
employer's customers.
• Primary duty includes the exercise of discretion and
independent judgment with respect to matters of
significance.
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Exempt Administrative Employees Should Meet at Least 2 or 3 of These Factors● Has authority to formulate, affect, interpret, or
implement policies/practices.● Carries out major assignments in conducting the
operations of the business.● Performs work that affects business operations to a
substantial degree, even if employee’s assignments are related to a particular segment of the business.
● Has authority to commit Company in matters that have significant financial impact.
● Has authority to waive or deviate from established policies/procedures without prior approval.
● Has authority to negotiate and bind Company on significant matters.
● Provides consultation or expert advice to management.● Involvement in planning long- or short-term business
objectives.● Investigates and resolves matters of significance on
behalf of management.● Represents Company in handling complaints, arbitrating
disputes, or resolving grievances.
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Professional Exemptions
• Two types:
1. Learned Professionals
The employee’s primary duty must be the
performance of work requiring advanced
knowledge.
In a field of science or learning.
Customarily acquired by a prolonged course of
specialized intellectual instruction.
2. Creative Professionals
The employee’s primary duty must be the
performance of work requiring invention,
imagination, originality or talent in a
recognized field of artistic or creative
endeavor.
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Outside Sales Exemption
• Primary duty of making sales or of obtaining orders
or contracts for services; or for the use of facilities
for which a consideration will be paid by the client or
customer; and,
• Customarily and regularly engaged away from the
employer’s place or places of business; customary
and regular typically done weekly
• [No Salary Basis Requirement!]
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“Computer Professional” Exemption• Primary duty of (A) application of systems analysis
techniques and procedures, including consulting with
users, to determine hardware, software or system
functional applications; or (B) design, development,
documentation, analysis, creation, testing, or
modification of computer systems or programs,
including prototypes, based on and related to user or
system design specifications; or (C) design,
documentation, testing, creation or modification of
computer programs related to machine operating
systems; or (D) a combination of duties described in
(A), (B) and (C), the performance of which requires
the same level of skills; or;
• Employed as a computer systems analyst, computer
programmer, software engineer, or other similarly
skilled worker in the computer field.
● [$455 per week or $27.63 per hour]
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Job Descriptions Should Be Accurate and Support Exempt Status
• Audits of employee job descriptions are important
to ensure that they accurately reflect what the
employee is doing.
• Exempt employees’ job descriptions should not
indicate ministerial tasks.
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MISCLASSIFYING EMPLOYEES AS INDEPENDENT CONTRACTORS
• Employment status is defined by law, not by the
parties’ agreement
• Most significant factor is whether the putative
employer has control or the right to control the
worker, both as to the work done and the manner in
which it is performed
• Case-by-case analysis
• “Factors” to determine status issued by IRS and
EEOC
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Ask The Right Questions: Independent Contractors
Factors to Consider:
• Right to Control Work
• Tools and Equipment
• Level of Skill/Expertise
• Parties’ Understanding
• Ability to Discharge Employee
• Tax Treatment
• Benefits
• Employee's Occupation or Business
• Regular Business of Employer
• Assistants or other Workers
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Ask The Right Questions: Independent Contractors
• Payment
• Hours of Work and Duration of Job
• Length of Relationship between Employer and
Employee
• Location of Work
• Opportunity for Profit
• Risk of Loss
• Exclusivity
• Costs Incurred
• Custom in Industry
• Right to Delegate
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Incorrect Rounding of Employee Work Time (29 C.F.R. § 785.48)
• Time clocks are not mandatory
• Employer may record starting and stopping times to
the nearest:
• Five minute;
• One-tenth of an hour
• Quarter of an hour
• Employer must round up and down uniformly.
Employer cannot always "round down”
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Incorrect Treatment of Breaks and Meal Periods
REST PERIODS
• Not required by FLSA
FLSA - (§785.18)
• Rest periods/coffee breaks from 5-20 minutes are
compensable working time
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Incorrect Treatment of Breaks and Meal Periods Cont.
MEAL PERIODS
• Not required by FLSA
FLSA (§ 785.19)
• Meal periods are considered non-working time if:
• at least 30 minutes in duration; and,
• employee is completely relieved of duties
• Meal periods are compensable if the employee is
frequently interrupted.
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Calculation of “Hours Worked” Under the FLSA (29 C.F.R. PART 785)
Compensable Working Time Includes . . .
• Time spent in primary work activities;
• Idle or stand-by time controlled or requested by
employer;
• Time spent by an employee outside normal hours
“required, suffered or permitted to work”.
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Calculation of “Hours Worked” Under the FLSA, Cont.
When Is “On Call” Time Compensable?
(29 C.F.R. § 785.17)
• An employee who is required to remain on-call on the
employer’s premises or so close thereto that he/she
cannot use the time effectively for his/her own
purposes is working while “on-call.”
• An employee who is not required to remain on the
premises but is merely required to leave word at
his/her home or with company officials where he/she
may be reached is not working while on-call.
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Calculation of “Hours Worked” Under the FLSA, Cont.
When Is Travel Time Compensable? (§§ 785.33-
785.41)
• Home-to-work and work-to-home travel is commuting
time and ordinarily not compensable working time;
• Travel time in a company vehicle is ordinarily
compensable working time;
• Travel time during the working day is compensable,
e.g., driving between patients, customers or sites;
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Calculation of “Hours Worked” Under the FLSA, Cont.
When Is Overnight Travel Time Compensable?
• Travel time during employee's normal working hours
is compensable; and,
• Travel time on Saturdays, Sundays and holidays
which corresponds to an employee's normal working
hours is compensable; but,
• Travel time outside employee's normal working hours
on a public conveyance is ordinarily not
compensable.
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Ask the Right Questions: Recordkeeping• Are non-exempt time entries and other payroll
records being kept for at least 3 years?
• Does your state require retention of records for
longer than 3 years and, if so, have you timely
retained all pay records under state law?
• Are your rounding practices lawful?
• Are all required posters up and current?
• Do your records contain all information required by
state and federal law?
• Who has authority to adjust time entries and how is
it monitored?
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Insufficient Recordkeeping
FLSA (29 C.F.R. Part 516) Employers must maintain the following information for all exempt and non-exempt
employees:• Name and address
• Date of birth (if 18 years old or younger)
• Sex and occupation
• Total weekly earnings
• Dates of wage payments
• Dates of pay periods
• Deductions or additions to pay
• Wage basis, i.e., hourly or salary
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Insufficient Recordkeeping, Cont.Employers also must maintain the following Additional information for all non-exempt employees:
• Regular hourly rate
• Total hours worked per week
• Straight time earnings for the first 40 hours worked
per week
• Payments excluded from the regular rate of pay
• Weekly overtime payments
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Posting Requirements
• Employers are required to post a notice explaining
the FLSA in a conspicuous place.
• Notice must list minimum wage and other
relevant provisions.
• Notice must advise that discrimination/retaliation
against those who seek relief under the FLSA is
prohibited.
• Consequences for failing to post can be severe, as
seen in Ke v. Saigon Grill, 07 Civ. 2329 (MHD)
(S.D.N.Y. Oct. 20, 2008) (defendants’ failure to
post any FLSA notices resulted in a suspension of
the statute of limitations until the plaintiffs
received notice of their rights). Class of food
delivery persons awarded more than $4.6 million
in back pay and damages.
• Additional state posting laws.
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Summary: Common Errors To Avoid
• Assuming that paying a salary makes an employee
“exempt.”
• Failing to pay for all hours an employee is “suffered or
permitted” to work.
• Directing staff to “get the job done” but ignoring the
time it takes to complete the task.
• Failure to pay for pre or post shift work activities.
• Thinking that the business is not covered by “Federal”
law or ignoring state law.
• Improperly applying an overtime exemption.
• Failure to properly calculate an employee’s regular
rate.
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Summary: Common Errors To Avoid
• Deducting 15 or 20 minute rest breaks from work
hours.
• The “clock rule syndrome” [Auto-deduct ½ hour for
meal periods; rounding up to scheduled start but
deduct one minute at end if employee clocked out
early].
• Employee does work at home but the hours are not
recorded, thus, not paid.
• Treating an employee as an independent contractor.
• Taking partial day deductions from salary – may cause
it to appear hourly based.
• Making improper deductions from hourly wages –
such as register shortages, drive offs, damage, tools,
uniforms, etc.
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Preventive Steps And Practice Development
• Ensure accurate timesheets and pay registers.
• Ensure no unauthorized off-the-clock work.
• Ensure bonuses and commissions are not wrongly
excluded from overtime.
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Preventive Steps And Practice Development
Building “Good Faith” Defense to FLSA Claims.
• Sound policies
• Reporting mechanism for alleged violations
• Review and certification of payroll records
• Safe Harbor Policy
• Audit for compliance
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Protected Concerted Activity and the NLRB
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Section 7 of the NLRA Says:
“Employees shall have the right to self-organization, to form, join, or assist labor organizations, to bargain collectively through representatives of their own choosing, to engage in other concerted activities for the purpose of collective bargaining or other mutual aid or protection.”
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• NLRA prohibits employers from engaging in the following unfair labor practices:• Interfering with, restraining, or coercing employees
in the exercise of their right to organize or to bargain collectively
• Dominating or interfering with the information or administration of any labor organization
• Encouraging or discouraging membership in any labor organization by discriminating with regard to hiring, tenure, or conditions of employment
• Discharging or otherwise discriminating against any employee because he or she filed charges or gave testimony under the Act
• Refusing to bargain collectively with representatives of the employees
Unfair Labor Practices
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CONCERTED
PROTECTED
TWO PART TEST
Protected Concerted Activity
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• Dangerous Working Conditions• Wages• Benefits• Terms and Conditions• Lawsuits• Administrative Charges• Legislators• News Media
What Is Protected?
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• Sit Down Strikes
• Partial Strikes
• Slowing Down on the Job
• Intermittent Strikes
What Is Not Protected?
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• Comments to third parties critical of the company which make no reference to a labor controversy
• Comments to third parties critical of the company made recklessly or which are maliciously untrue
• Deliberately or maliciously false or inaccurate allegations about the company made in connection with appeals or complaints to government agencies or elsewhere
What Is Not Protected?
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Examples:1. Two or more employees addressing employer about
improving working conditions and pay2. One employee speaking to his/her employer on
behalf of him/herself and one or more co-workers about improving workplace conditions
3. Two or more employees discussing pay or other work-related issues with each other
Concerted Activities
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Scrutinized Policies
• Confidentiality Provisions
• Premises Rules
• Chain of Command Rules
• Solicitation and Distribution
• Fraternization Rules
• Social Media
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“Employees may not discuss wages with co-
workers.”
“Office business is not a matter for discussion with
spouses, families or friends.”
“Company trade secrets and proprietary
information are confidential. Disclosure of such
information is prohibited.”
“Employees may not discuss confidential
proprietary information with competitors.”
NOT OK
NOT OK
OK
Confidentiality Rules
OK
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“Employees must leave company premises when not working.”
“Employees may not remain in the warehouse when not scheduled for work or engaged in work.”
OK
Premises Rules
“Employees may not discuss confidential proprietary information with competitors.”
NOT OK
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Solicitation
Distribution
Work AreasNon-Work Areas
Not OK, unlessall employees
involved are on non-work time
Not OK, unless all employees
involved are on non-work time X
Not OK, unless all employees involved are on non-work time X
X
Patient Care/
Cust. Serv. Areas
LAWFUL RULES FOR EMPLOYEES
Solicitation/Distribution Rules
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Solicitation by one employee of another employee is prohibited while either employee is on his or her working time. Working time is that time when employees are expected to be working and does not include time before work, breaks, meal periods, or time after work. Solicitation by employees is prohibited at any time in [patient care and patient treatment] [customer service] areas.
Example of A Lawful Solicitation/Distribution Rule
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The Current NLRB
• Aggressive stance
• Recent activity
• Posting requirements
• Property rights-bannering
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Early Warning Signs
• Employees in work areas they do not normally visit.
• Avoidance of supervision.
• Groups form that include individuals who do not
normally associate with each other.
• Argumentative questions being asked in department
meetings.
• Nature/Frequency of employee complaints changes.
• Complaints are made by delegations, not by single
employees.
• Any other factor which appears to be out of the
ordinary which separates management from the
work force.
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What Your Organization Should Do To Prepare
• Conduct A Vulnerability Assessment By:• Evaluating the effectiveness of:
• Orientation programs• Discipline/Discharge policies• Solicitation/Distribution Rules• Dispute resolution procedures• Front-line supervisors
• Recommit to Issue-Free Workplace• Evaluating safety and working conditions
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10 Proactive Measures to Maintain Employees Right to Choose Union-Free Status1. Publicize a Positive Employee Relations Union-Free
Philosophy
• Pro-employee; not anti-union
• Mention the “U” word
2. Conduct supervisory/ management education
• Responsibility for creating/maintaining an
“issue-free” environment
• NLRB free speech rights
• Policies
• “Early” warning signs
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10 Proactive Measures to Maintain Employees Right to Choose Union-Free Status3. Conduct employee education
• Your positive employee relations, union-free
philosophy
• The significance of signing a union authorization
card
• Union motivation for organizing
• The inherent risks of collective bargaining
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10 Proactive Measures to Maintain Employees Right to Choose Union-Free Status4. Promote your positive employee relations, union-
free philosophy in orientation
5. Implement an employee relations communication
plan
6. Review/revise relevant policies/practices for legality
and optimization of legal rights
7. Conduct potential bargaining unit analysis
8. Assess internal/external vulnerabilities
9. Establish a “Rapid Response” team/individual
10. Consider alternative dispute resolution
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Immigration Audit
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Immigration & Customs Enforcement Worksite Enforcement
FISCAL YEARS 2008-2010
WORKSITE ENFORCEMENT FY08 FY09
FY10
Cases Initiated 1,191 1,461 2,748
Administrative Arrests 5,184 1,644
1,216
Total Criminal Arrests 1,103 410 442
Criminal Arrests (Employees) 968 296 446
Criminal Arrests (Employers) 135 114 196
Indictments 900 376 387
Convictions 908 338 305
I-9 Inspections 503 1,444 2,196
Final Orders 18 52 237
$ Amount for Final Orders $675,209 $1,033,291
$6,956,026
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Fine Schedule
Substantive/Uncorrected Technical Violation Fine
Schedule
Substantive Verification 1st Offense 2nd Offense 3rd
Offense
Violations $110-$1100 $110-$1100
+$110-$1100
0%-9% $110 $550 $1,100
10%-19% $275 $650 $1,100
20%-29% $440 $750 $1,100
30%-39% $605 $850 $1,100
40%-49% $770 $950 $1,100
50% or more $935 $1,100 $1,100
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Factors For Fines
Other Factors for Fines:
1. Size of the Business
2. Seriousness of the violations
a. Failure to complete an I-9 is the most serious
b. Failure of an employer to complete the attestation is
also serious
3. Whether the employees are unauthorized aliens and history
of previous violations by the company
4. Good faith of the employer
5. External factors
a. The Economy
b. Company’s ability to pay the fine
c. Employment rate
d. Analysis of the above factors looks at whether the
company will need to lay off workers in order to pay the
fine
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Most Current I-9
Anti-Discriminati
on
Section 1:
Employee
Translator/ Preparer
Timing Issues
Attention -
Perjury!!
Sign/Date
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Most Current I-9 (Cont’d)
Certification:
Perjury!!
Section 2:
Employer
Section 3: Reverificati
on
Expiration
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Most Current List A, B, C
+
U.S.
New:All
documents must be unexpired
!
CANNOT HAVE
“TAG” LINE
No hospital certificates!
Do Not confuse
with List A I-766
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I-9 Challenge
Take the I-9 Challenge:
Desk Audit: Have a professional review a representative
sample of the I-9’s
The average is a 50-75% error rate.
Can you beat the odds?
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Health Care Reform Legislation
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Health Care Reform Overview
Grandfathered Plans
• Health Plans in existence on March 23, 2010, must comply with far fewer mandates than non-grandfathered plans
• Changes to a health plan can cause loss of grandfathered status
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Health Care Reform Overview
Health Care Reform Provisions Effective Plan Years Beginning After September 23, 2010, Applicable to Both Grandfathered and Non-Grandfathered Plans
• No lifetime dollar limits on the value of “essential benefits”
• No annual dollar limits
• Cannot rescind coverage except for fraud or material misrepresentation by the participant
• Must cover children up to age 26 (if not eligible for other coverage for grandfathered plans)
• No pre-existing condition exclusion for enrollees under age 19
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Health Care Reform Overview
Rules Immediately Affecting Non-Grandfathered Plans Only
• Certain preventive care must be covered with no cost sharing, e.g., immunizations and screenings
• Insured plans cannot discriminate in favor of highly compensated employees. Extended effective date to Plan Years beginning after regulations issued. Regulations are expected in 2011
• Emergency services must be provided without prior certification and allow out-of-network expenses under the same cost structure applicable to in-network emergency services
• Provide “essential benefits” without any cost sharing for those benefits
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Health Care Reform Overview
Effective 2012
Must comply with standardized summary of benefit disclosure rules to be developed
• 60-day notice of material change
• Quality reporting to HHS and participants
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Health Care Reform Overview
Effective 2013
Medicare portion of employee’s FICA tax increases to 2.35% (from 1.45%) for earnings over $200,000
Employer’s with more than 200 employees must automatically enroll employees in health plan
• Employees can opt out; waiting period can apply
• Notice requirement
Health FSA contribution must be capped at $2,500
• Subject to inflation adjustments
Employer must pay $2 per participant per plan year to help fund “Patient-Centered Outcomes Research Trust Fund”
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Health Care Reform Overview
Effective 2014
If minimum essential coverage is not offered to each full-time employee and dependents and one or more full-time employee obtains subsidized Exchange coverage, employer must pay penalty equal to:
• $2,000 per full-time employee (excluding first 30)
If minimum essential coverage is offered but one or more full-time employee obtains subsidized Exchange coverage, employer must pay penalty equal to lesser of:
• $3,000 x number of full-time employees who decline employer coverage and receive subsidized Exchange coverage or
• $2,000 x number of total full-time employees
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Health Care Reform Overview
Effective 2014 (cont’d)
Each “offering employer” must provide “free choice voucher” to each “qualified employee”
• Offering employer is one who offers and contributes to cost of minimum essential coverage
• Qualified employee is one who has income below 400% of family poverty level, whose required contribution for the employer coverage would be more than 8% (but less than 9.8%) of household income, and who enrolls in Exchange coverage
• Employee uses voucher to purchase Exchange coverage
• Voucher is equal to highest employer contribution for employer provided coverage and would offset the pay or play penalty
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Health Care Reform Overview
Effective 2014
All of the following apply to Grandfathered Plans:
• Eliminate waiting periods over 90 days
• Eliminate annual limits on essential benefits (already subject to restrictions for 2011)
• Eliminate all pre-existing condition exclusions (already eliminated for children in 2011)
• Delayed effective date for collectively bargained plans until last-to-expire Collective Bargaining Agreement
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Health Care Reform Overview
Effective 2018
“Cadillac Plan” Tax:
• 40 % excise tax to extent coverage value exceeds $10,200/$27,500 (HSA contributions count)
• Higher limits for “high risk” occupations and early retirees (age 55-64)
• Excludes dental-only and vision-only
• Insurer pays if insured; employer pays if self-funded
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Health Care Reform Overview
Critical Employer Sizes
• Less than 25 full-time equivalent employees (FTE’s) – tax credit may be available
• 25 - 49 FTE’s – less mandates apply to these employees
• 50 or more FTE’s – must offer sufficient health coverage or pay a penalty
• 200 FTE’s – auto enroll in 2013 applies only to these employees
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Presented by:
Christopher E. Hoyme
10050 Regency Circle, Suite 400
Omaha, Nebraska 68114
(402) 391-1991
(402) 827-4232 Direct
www.jacksonlewis.com