Employers Should Watch for Ruling on Health Care Subsidies

The U.S. Supreme Court has agreed to review a case about whether premium subsidies are available for individuals who purchase health care insurance on federally-run exchanges.

In King v. Burwell, the 4th U.S. Circuit Court of Appeals determined that, even though the language of the Patient Protection and Affordable Care Act (ACA) says tax subsidies may be paid for insurance purchased on an exchange “established by the state,” based on the intent of Congress, any exchange would allow for the federal government to provide subsidies. However, in Halbig v. Burwell, the U.S. Court of Appeals for the District of Columbia Circuit ruled the plain language of the ACA provides that only those in state-run exchanges may receive premium subsidies. The full panel of both circuits has been asked to rehear the cases.

But, the Supreme Court has agreed to review the decision in the King case. It is expected to give its ruling next summer.

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Aside from the effect a Supreme Court ruling similar to the Halbig case would have on the ACA overall and on low-income individuals, the case has implications for employers. For one thing, employer penalties for not offering affordable coverage to employees are triggered when one employee goes to an exchange for coverage and receives a subsidy. For the 36 states, including D.C., where the exchanges are federally run, federal tax subsidies would stop, and employers would not be subject to a penalty.

In addition, as American Benefits Council President James A. Klein pointed out in a statement, some employers have considered whether their employees might be better served through steady coverage in exchanges, especially for workers that move from job to job. The lack of subsidies for workers in some states would change the dynamics in that decision making.

While employers should keep an eye out for the Supreme Court decision, for now, nothing is changed, and employers should continue with their efforts to comply with the law. “The IRS’ position right now is nothing has changed, so employers, until we get a consensus, have to comply,” John Haslinger, vice president of strategic advisory services at ADP in Alpharetta, Georgia, recently told PLANSPONSOR.

CalSTRS Set to Bring More Assets In-House

The California State Teachers’ Retirement System (CalSTRS) announced the completion of its Investment Branch leadership restructuring.

Debra Smith has been named CalSTRS chief operating investment officer (COIO). Glenn Hosokawa was named director of the $22.4 billion asset class, Fixed Income, the CalSTRS funds’ second largest. Paul Shantic was named director of Inflation Sensitive, the newest and smallest asset class with an investment portfolio at $1.4 billion.

“These three appointments, coupled with our 2010 creation of a deputy chief investment officer, complete a new organizational structure that allows us to bring more assets in-house,” says CalSTRS Chief Investment Officer Christopher J. Ailman. “This structure matches what you find in most large investment money managers. This also fits our plans to internally manage more of our assets—currently at 45% in-house—to a projected 60% internally managed.”

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All three new appointments moved up from high-level positions in CalSTRS. Smith was director of investment operations. Hosokawa and Shantic were acting co-directors of Fixed Income.

The new structure has the COIO overseeing Investment Operations, Branch Administration, and a new unit comprised of Compliance, Internal Controls, Ethics and Business Continuity. The new position will also directly report to the Investment Committee twice per year. This fulfills a goal of CalSTRS’ internal auditors, who recommended the separation between investment management and investment operations.

CalSTRS, with a portfolio valued at $186.4 billion as of September 30, 2014, is considered the largest educator-only pension fund in the world. CalSTRS administers a hybrid retirement system, consisting of traditional defined benefit, cash balance and voluntary defined contribution plans. It also provides disability and survivor benefits. CalSTRS serves California’s 868,000 public school educators and their families from the state’s 1,600 school districts, county offices of education and community college districts.

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