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Aca Insurance Jobs in Michigan (NOW HIRING)

Branex Group

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Benefits and Leave Specialist

Macomb, MI ยท On-site

$50K - $80K/yr

... insurance, disability, FSA/HSA, retirement plans, and wellness initiatives. ๏‚ท Coordinate and ... ACA, COBRA, HIPAA, ERISA, FMLA, ADA, and applicable wage and hour laws. ๏‚ท Prepare and support ...

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Aca Insurance information

What are some common challenges faced by ACA Insurance agents when assisting clients with health coverage enrollment?

ACA Insurance agents often encounter challenges such as explaining the complexities of various health plans, keeping up with frequent policy changes, and ensuring clients understand their eligibility for subsidies or special enrollment periods. Agents must also manage tight deadlines during open enrollment and navigate technical issues with marketplace platforms. Strong communication skills and up-to-date knowledge of ACA regulations are essential to effectively guide clients through their coverage options.

What are ACA Insurance agents?

ACA Insurance agents are licensed professionals who help individuals and families understand, select, and enroll in health insurance plans that comply with the Affordable Care Act (ACA). They provide guidance on plan options, eligibility for subsidies, and the enrollment process. These agents ensure clients find coverage that fits their needs and complies with federal and state requirements. They can assist with both Marketplace and off-Marketplace plans, answer questions about coverage, and help with renewals or changes to existing policies.

What are the key skills and qualifications needed to thrive as an ACA Insurance Agent, and why are they important?

To excel as an ACA Insurance Agent, you need a thorough understanding of health insurance policies, ACA regulations, and the enrollment process, typically backed by a state insurance license. Familiarity with electronic enrollment platforms, CRM systems, and continuing education certifications is essential. Strong interpersonal skills, active listening, and the ability to explain complex information clearly help agents build trust with clients and guide them through coverage options. These competencies are vital to ensuring clients select appropriate health plans and remain compliant with regulations, resulting in client satisfaction and business growth.

What is the difference between Aca Insurance vs Health Insurance Agent?

AspectAca InsuranceHealth Insurance Agent
CredentialsMay require licensing and knowledge of ACA regulationsRequires health insurance licensing and sales certification
Work EnvironmentTypically involves policy analysis, customer support, and complianceFocuses on selling health insurance plans and client consultations
Employer & Industry UsageUsed by insurance companies, brokers, and government programsEmployed by insurance agencies, brokers, and independent agents
Search & Comparison IntentUnderstanding ACA-specific coverage options and regulationsComparing health insurance plans and selling strategies

While Aca Insurance focuses on health plans compliant with the Affordable Care Act, a Health Insurance Agent actively sells and advises clients on various health insurance options, including ACA plans. Both roles require licensing and industry knowledge, but their primary functions differ: one emphasizes policy compliance and administration, the other sales and client engagement.

Aca Insurance jobs near you

Benefits and Payroll Compliance Specialist

EPIC Fitness Group

Northville, MI โ€ข On-site

$49K - $64K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

We are seeking a Benefits and Payroll Compliance Specialist to join the EPIC Fitness Group team. Epic Fitness Group operates 69 Planet Fitness franchise locations in Michigan, Northern Ohio and Illinois. As a member of the corporate staff, you will experience a very collaborative environment, working in our Northville office, at least 3 days per week, with our hybrid work schedule. Benefits include a 401(k) with generous employer match, profit sharing, medical, dental and vision insurance and a FREE Black Card membership to the clubs.
About the Role
The Benefits and Payroll Compliance Specialist is a key member of the Human Resources team and serves as a subject matter expert and primary point of contact for payroll taxes, benefits compliance, and employee inquiries. This role partners closely with internal stakeholders and external vendors to deliver best-in-class HR operations, and is cross-trained to support multi-state payroll processing and 401(k) plan management. This individual will also contribute to special projects, auditing, reporting, and HR initiatives, on a regular basis.
Essential Job Functions & Responsibilities
Payroll Processing & Compliance
  • Serve as backup to process payroll accurately and on schedule
  • Partner with HR Systems and Payroll Specialist to drive HRIS enhancements and efficiencies
  • Validate accuracy of all payrolls prior to submission
  • Proactively manage multi-state payroll tax processing, including tax account setup, SUTA rate management, and timely upload of tax rate notices in HRIS
  • Stay current on existing and new payroll tax legislation and changing laws
  • Lead and perform audits of payroll and employment tax data
  • Manage resolution of tax matters with HRIS, States, Localities, and Federal entities
  • Monitor HRIS Tax Center for Notices and bring them to resolution
  • Serve as the primary contact for all payroll tax matters
  • Complete BLS monthly voluntary payroll reporting (including 12th-of-month) and quarterly multi-worksite wage reporting
  • Monitor and report on employee hours and status on a bi-monthly basis
  • Serve as backup for PTO loads and accruals; anticipated to take full ownership in the future
  • Process PAFs including pay changes, status changes, promotions, demotions, and transfers
401(k) Plan Administration
  • Serve as backup and validator to HR Systems and Payroll Specialist for the organization's 401(k) plan, including deferral and loan processing
Benefits Administration
  • Lead benefits administration including new hire enrollment and qualifying life events
  • Manage all aspects of annual benefit open enrollment in conjunction with benefit broker and insurance carriers; assist with plan design and premium determinations
  • Generate reports, conduct audits, and ensure accuracy of all benefits enrollments, eligibility, and carrier billing
  • Lead benefits education and communications for all employees
  • Manage COBRA, ACA, and benefits administration setup and maintenance within HRIS
  • Complete ACA annual filings (1095-C and 1094-C) for applicable entities
  • Manage ACA checklist and annual reporting requirements in Paycom
  • Monitor part-time to full-time status transitions for benefits eligibility
  • Review and respond to National Medical Support Order (NMSO) notices
  • Manage employee benefits deductions and payment plans
  • Oversee file feed setup through HRIS and conduct regular carrier discrepancy reporting
  • Ensure compliance with ERISA requirements and maintain plan documentation
  • Reconcile insurance invoices monthly and prepare Excel files for Accounting
  • Create and manage data sets for benefits reporting and analysis
  • Resolve employee questions by interpreting benefit policies and working with Benefits broker/administrator
  • Ensure compliance with the Affordable Care Act and other applicable state and federal benefit laws
Strategy, Vendor Management & Employee Support
  • Research and analyze internal/external data relating to benefit plan elements, including market trends and benchmarks
  • Lead annual benefits strategy including renewals, vendor management, and cost optimization
  • Develop and deliver clear, compelling communications for benefits and 401(k) programs
  • Create training, communications, and process documents to promote knowledge of benefits and 401(k) plan
  • Manage broker and vendor relationships as the primary liaison for benefits partners
  • Serve as primary responder for the Ask Here employee HR inquiry platform
  • Implement cost containment strategies and employee education on benefit plans
  • Collaborate with the broader HR team on special projects, initiatives, and organizational priorities
General Duties
  • Support management in ad hoc reporting requests
  • Audit completion of checklists and documents in HRIS and conduct follow up
  • Serve as backup for HR Coordinator in setting up requisitions, I-9 processing, onboarding, and background checks
  • Track Fitness Trainer certifications and follow up on completion and recertifications
  • Partner with Accounting and Finance to support external audit compliance
  • Manage projects, training, and activities related to payroll and employee benefits
  • Provide prompt and courteous responses to all questions and requests for information
  • Other duties and tasks as assigned

Qualifications & Requirements
Required
  • 5+ years of progressive experience in payroll and benefits administration
  • Demonstrated experience with multi-state payroll tax processing and compliance
  • Strong working knowledge of ACA, ERISA, COBRA, and applicable federal/state employment laws
  • Experience leading open enrollment, setup, and employee communications while managing Benefit Broker relationships
  • Experience successfully managing 401(k) safe harbor plans, including audits and compliance
  • Proficiency in Microsoft Excel and HR data reporting
  • High attention to detail, strong organizational skills, and ability to manage competing deadlines
  • Excellent written and verbal communication skills; ability to present complex topics clearly and accessibly
  • Ability to build trust, rapport, and credibility within the business
  • Ability to establish and maintain effective relationships with management, employees, and external parties
  • Must be at least 18 years of age
  • Ability to work independently in a time-sensitive, confidential environment
Preferred
  • Paycom HRIS experience (strongly preferred)
  • Multi-state payroll processing experience (strongly preferred)
  • Experience with file feed management and carrier integrations
  • Familiarity with BLS reporting requirements
  • PHR, SHRM-CP, Certified Payroll Professional, or equivalent HR/payroll certification
  • Bachelor's Degree preferred

EPIC Fitness Group is an Equal Opportunity Employer.

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