The 5th Circuit Court of Appeals recently heard oral arguments regarding the ACA’s preventive care services. We cover the details here.
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The ACA electronic filing deadline for the 2023 tax year is April 1, 2024. Here’s everything you need to know about the approaching due date.
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A federal court rules that a transgender woman’s discrimination claim can proceed under ACA. The result of the case could expand minimum essential coverage.
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As the 2024 election approaches, learn about Trump’s stance on the ACA and its potential impact on U.S. healthcare.
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It’s that time of year again. Organizations that opt to paper file their ACA details for the 2023 tax will need to submit them to the IRS by today, Feb.…
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ACA Resource
Employer’s Guide to Coding The 1095-C Forms
Head into the ACA filing season with the guide that makes it crystal clear how to complete Forms 1095-C. Including real world scenarios and a code glossary, the Employer’s Guide to Coding ACA Form 1095-C has you covered with everything you need to know to file with confidence.
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The IRS recently made available the 2024 ACA penalty amounts for non-compliance with the Employer Mandate. And they have increased yet again. In Rev. Proc. 2023-17, the tax agency makes…
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After a sharp fall in 2023, M&A activity is expected to rise in 2024. But ensuring ACA compliance during mergers can slip down the priority list of both target and…
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The stakes just got higher for employers that misclassify their workers. The U.S. Department of Labor (DOL) issued its new Independent Contractor Rule, which takes effect on March 11, 2024,…
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It’s that time of year again – Affordable Care Act reporting season, when employers prepare to comply with ACA 1095-C furnishing deadline 2023. To meet ACA deadlines, employers must furnish…
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There’s good news for Applicable Large Employers (ALEs) in 2024 when it comes to filing their state ACA reports. Because the filing date falls on a Sunday, they’ll have an…
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With the New Year well underway, the IRS has begun assessing new ACA penalties, setting the tone for compliance in 2024. Earlier this month we received notice from a new…
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How do employers prove to the IRS that the healthcare plans they offer their workforce are affordable under the ACA? It’s an important question for Applicable Large Employers (ALEs), employers…
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We recently held a webinar regarding changes pertinent to the upcoming ACA reporting season. After receiving numerous questions from attendees during the session, we thought it best to compile and…
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ACA Repeal
Trump Targets ACA Repeal and Replace in Election Campaign
by Robert Sheenby Robert SheenTrue to his history with the ACA, former President Donald Trump has once again voiced plans for dismantling the nearly 14-year-old healthcare law. Just when you thought the ACA was…
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As 2024 approaches, now is the time to begin preparing for the 2023 ACA reporting requirements. To assist you with your ACA responsibilities, we’ve curated a list of some of…
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Affordable Care Act (ACA) compliance may be here to stay. This election cycle is the first time in more than a decade that the ACA has taken a back burner…
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ACA Repeal
ACA On Solid Ground Ahead of the 2024 Presidential Election
by Robert Sheenby Robert SheenFor the first time in more than a decade, Republican frontrunners eyeing the 2024 election aren’t campaigning for the elimination of the ACA. It’s a rather big shift from previous…
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The IRS recently announced the ACA affordability threshold for the 2024 tax year and it’s significantly lower than last year’s, which was a historic low at the time. In IRC…
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Michigan Governor Gretchen Whitmer recently enacted legislation that makes the ACA’s pre-existing conditions provision state law. The move ensures that residents of The Great Lakes State have continued access to…
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The IRS recently released new Affordable Care Act (ACA) IRS forms for 2023. The now well-known “Employer Mandate” outlines employer responsibilities for ensuring employees, and their families, have access to…
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With open enrollment for the 2024 calendar year approaching quickly, organizations should turn their attention to ACA compliance efforts to ensure their processes and procedures for administering health plans are…
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Employers have long taken on the role of providing healthcare coverage for employees—it’s a highly valued benefit that can help employers stand out in competitive job markets. The advent of…
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The Affordable Care Act (ACA) was designed to lessen the financial burden of healthcare insurance for Americans and ensure access to insurance for all. Employers have taken on an important…
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The Affordable Care Act (ACA) has reshaped the healthcare landscape, introducing a number of daunting compliance challenges in the process. Navigating the ACA compliance landscape can be challenging, even for…
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The landscape of the Affordable Care Act (ACA) has been witnessing significant shifts, particularly concerning subsidies and their implications. We’ve recently explored how IRS safe harbors for affordability help businesses…
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Affordable Care Act
Reinsurance in Virginia: Navigating the Uncertainties and Implications
by Robert Sheenby Robert SheenIn the ever-evolving landscape of health insurance, Virginia finds itself at a pivotal crossroads. The recent inability of the Virginia General Assembly to reach a consensus on the reinsurance program…
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Affordable Care Act
National Uninsured Rate Reaches All-Time Low in 2023
by Robert Sheenby Robert SheenThe U.S. Department of Health and Human Services (HHS) recently released a report showing that the national uninsured rate reached an all-time low of 7.7 percent in early 2023. This…
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The IRS has issued its first ACA penalty letters for tax year 2021. While employers have been forewarned, many may not be fully armed to respond in a timely and…
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House Republicans recently passed a package of health insurance bills, known as the CHOICE Act, intended to reduce health insurance costs for certain businesses and consumers. The proposed reforms would…
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Is your business ready to face increased government scrutiny of Affordable Care Act (ACA) Employer Mandate compliance? A recent surge in resources targeting tax evaders and ACA enforcement means that…
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The Affordable Care Act (ACA) has undergone recent developments that carry significant implications for employer ACA compliance and reporting requirements. One of the most notable changes is the resolution of…
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ACA Reform
What Biden-era Junk Insurance Coverage Changes Mean for Employers
by Robert Sheenby Robert SheenAs the saying goes: “Elections have consequences.” That’s a lesson being driven home to employers as they consider their compliance requirements under the Affordable Care Act (ACA). The U.S. has…
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Affordable Care Act
Two New Laws Transform the Illinois Health Insurance Market
by Robert Sheenby Robert SheenTwo new bills signed into law by Governor JB Pritzker are likely to fundamentally reshape the Illinois health insurance market. Among the stated goals of these new pieces of legislation…
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The Internal Revenue Service (IRS) has intensified its enforcement of the Affordable Care Act’s (ACA) Employer Mandate, signaling a shift in its approach toward suspected non-compliance. Recent reports indicate that…
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Summer is upon us and with it come a number of opportunities, and risks, for employers. One critical area of risk is ACA compliance. The summer months mark a critical…
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ACA compliance has been a complex, time-consuming, and costly endeavor for employers across the country, and compliance isn’t made any easier by the fact that ACA requirements are dynamic and…
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Many organizations find ACA compliance to be challenging and time-consuming, leading to potential penalties from the IRS. But while almost all organizations need to comply with reporting requirements (those that…
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Looking for ways your company can potentially save hundreds of thousands of dollars? The IRS has recently handed it to you with their recently released IRS Letter 5699, also known…
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Summer is upon us and with it a number of annoyances. Mosquitos. Road construction. And those pesky Affordable Care Act (ACA) compliance responsibilities that tend to slip during summer months…
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While the Affordable Care Act’s Employer Mandate is likely very well known (if not well loved) by employers, many are unaware of the ACA’s Rule of Parity, which offers some…
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ACA Compliance
Classify Workers Correctly to Determine ALE Status and Avoid ACA Penalties
by Robert Sheenby Robert SheenClassifying workers correctly is critical for determining if the requirements of the ACA’s Employer Mandate apply to an organization. The reason? Worker classifications directly impact an employer’s Applicable Large Employer…
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One of the silver linings of the COVID-19 pandemic and all of the illness, death, and economic upheaval it created is the fact that the pandemic led to millions more…
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ACA ComplianceACA Penalties
Avoid These Compliance Triggers to Minimize ACA Penalty Risk
by Robert Sheenby Robert SheenIt’s no secret the IRS is ramping up ACA enforcement. With additional funding for improving its tax correspondence processing infrastructure, more staff than ever, and a renewed focus on compliance,…
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The deadline for electronically filing ACA forms 1094-C and 1095-C for the 2022 tax year was March 31. Did you make the deadline? If you did, were all your submissions…
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Shortly after the White House celebrated 13 years of success with the ACA last month, Northern Texas federal judge Reed O’Connor issued a nationwide injunction regarding the law’s free preventive…
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It’s true the 2022 ACA reporting season deadlines have passed, but that doesn’t mean it’s the end of the ACA compliance efforts and ACA penalties. As we’ve previously communicated, IRS…
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ACA Compliance
Receive an ACA Penalty from the IRS?
Here’s What to Doby Robert Sheenby Robert SheenIt’s no secret that IRS enforcement is ramping up. With an additional $80 billion in funding and 87,000 new agents, employers should accept the fact that ACA penalties could be…
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ACA Full-Time: What is it and Why Does it Matter? What constitutes a full-time employee under the ACA? The answer is not as simple as it seems. And getting your…
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Now that the IRS received an influx of resources, including $80 billion in funding and 87,000 new tax agents, employers should keep their eyes peeled for the ACA warning notice,…
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Friday, March 31, 2023, is the ACA electronic filing deadline for submitting Forms 1094-C and 1095-C to the IRS for the 2022 tax year as required by the ACA’s Employer…