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ACA compliance has fallen to the shadows as most ALEs (Applicable Large Employers) have implemented a MEC and/or MVP solution. The majority of these platforms are on some type of self-funding, while most plans have provided excess claims dollars back to the employer on an annual basis. This seems to be the good news. What has been lost over time is the struggle of reconciling monthly premium statements against weekly payroll. This hands-on involvement at the corporate level has become accepted as a cost of compliance. This is especially true for groups with lower wage/high turnover employees. For the fortunate few employers who work with a TPA providing true weekly administration, this is not an issue.
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