5 minute read: The end of 2019 is here and that means that if you haven’t done so already, it’s time to get your Affordable Care Act (ACA) filings in …
2019
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Affordable Care Act
ACA to Remain Following Fifth Circuit Court Decision
by Robert Sheenby Robert Sheen2 minute read: On Wednesday of this week, the Fifth Circuit handed down a ruling regarding the constitutionality of the Affordable Care Act. The majority of the ACA will continue …
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ACA ReportingAffordable Care Act
New Jersey Issues Updated State-Level ACA Reporting Guidance
by Robert Sheenby Robert Sheen2 minute read: The state of New Jersey has issued updated guidance regarding state-level ACA health insurance reporting. Employers, regardless of size, who offer Minimum Essential Coverage to employees will …
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Affordable Care ActHealth Care Coverage
Proposed Health Care Data Transparency Rule Complements ACA
by Robert Sheenby Robert Sheen2 minute read: As the Affordable Care Act’s Employer Mandate moves into its sixth year of operation, federal agencies have proposed a rule to promote better health care cost transparency. …
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3 minute read: The Trump Administration has proposed changing the methodology for calculating the federal poverty level (FPL). As expected, it could have serious implications for the Affordable Care Act. …
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ACA ReportingAffordable Care ActIRS
Employers Need to Meet IRS Deadlines to Avoid ACA Penalties
by Robert Sheenby Robert Sheen3 minute read: The IRS recently issued an extension for furnishing forms 1094-C and 1095-C to employees for the 2019 tax year, which extends the schedule employers need to keep …
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ACA ReportingAffordable Care Act
IRS Issues Deadline Extension for Furnishing Forms 1095-C
by Robert Sheenby Robert Sheen2 minute read: To kick off the holiday season, the IRS has issued Notice 2019-63, which extends the deadline for distributing Form 1095-C for the 2019 tax year to full-time …
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Affordable Care Act
What to Expect from California’s Individual Mandate
by Robert Sheenby Robert Sheen2 minute read: The new year is almost upon us and a number of states including California will have their statewide Individual Mandate take effect. Come January 1, 2020 employers …
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Affordable Care Act
Letter 972CG Late Penalty Assessments are Becoming More Difficult to Repeal
by Robert Sheenby Robert Sheen2 minute read: Earlier this year, the IRS started issuing in Letter 972CG ACA penalties to employers who filed their annual ACA information past IRS deadlines established in IRC Section …
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Affordable Care Act
IRS Issues Draft 2019 ACA Forms 1094-C and 1095-C and Reporting Instructions
by Robert Sheenby Robert SheenThe IRS has released draft versions of Forms 1094-C and 1095-C, as well as the reporting instructions for the 2019 tax year, to be filed and furnished in 2020. You …
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3 minute read: In 2020, the affordability threshold will decrease. What that means is that employers will need to contribute more to their employee’s health coverage in order to fall …
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Affordable Care Act
D.C. Offers Employers Guidance on New ACA-Related Individual Mandate
by Robert Sheenby Robert Sheen2 minute read: The District of Columbia’s Office of Tax and Revenue (OTR) has issued new guidance on employer reporting requirements for the District’s Individual Taxpayer Health Insurance Responsibility Requirement …
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Affordable Care Act
Incorrect ITINs Will Cause Havoc With ACA Compliance
by Robert Sheenby Robert Sheen3 minute read: Earlier this year the IRS announced that roughly 2 million ITINs are set to expire December 31. This could pose a significant risk to your organization’s Affordable …
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ACA ComplianceAffordable Care Act
The Triangle of Trust Is Critical for ACA Compliance [UPDATE]
by Robert Sheenby Robert Sheen3 minute read: Creating the optimal alignment of data, regulatory expertise and software is critical in achieving ACA compliance. We call this principle the Triangle of TrustSM. This principle has …
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3 minute read: A legal case focused on transgender rights may provide further validation of the protections offered by Section 1557 of the Affordable Care Act. The case involves Sergeant …
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ACA ComplianceAffordable Care Act
The ACA Monthly Measurement Method: A Few Examples
by Robert Sheenby Robert Sheen3 minute read: When trying to determine whether employees are considered to be full-time under the Affordable Care Act, employers must use one of two measurement methods mandated by the …
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Affordable Care Act
California Bill AB5 May Impact Your ACA Compliance Process
by Robert Sheenby Robert Sheen2 minute read: California employers may have another level of complexity coming their way in regards to compliance with the Affordable Care Act. The California state legislature has passed a …
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Affordable Care Act
Proposed IRS Regs Provide Guidance on ACA and HRAs
by Robert Sheenby Robert Sheen3 minute read: Recently proposed IRS regulations provide guidance to employers who want to start offering individual coverage HRAs in place of offers of health coverage under the Affordable Care …
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Affordable Care Act
Get to Know the ACA’s Statewide Individual Mandates
by Robert Sheenby Robert Sheen3 minute read: In January 2019, the federal Individual Mandate was effectively eliminated. Many states responded by implementing their own and some of them have both employer and employee penalties …
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Affordable Care Act
Eliminating the ACA’s Cadillac Tax Will Not Impact the Employer Mandate
by Robert Sheenby Robert Sheen3 minute read: All eyes on are the U.S. Senate to see if a vote will be taken to eliminate a tax associated with the Affordable Care Act. The tax …
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2 minute read: Maine will become the next state to administer its own statewide health exchange. The state will however, continue to operate on the federal healthcare.gov website platform. The …
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Affordable Care ActIRS
Government Employers Are Not Exempt from the ACA
by Robert Sheenby Robert Sheen3 minute read: No organization is immune to the responsibilities of the Affordable Care Act, as a Texas County recently discovered. Galveston County, Texas, received an IRS Letter 972CG penalty …
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ACA ComplianceACA ReportingAffordable Care Act
New Jersey Issues Employer Guidance on State-Level ACA Reporting
by Robert Sheenby Robert Sheen2 minute read: The state of New Jersey has issued information for employers on third-party reporting to support the state’s new individual healthcare mandate. Employers with employees in New Jersey …
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Affordable Care Act
IRS Penalties Create A Hurricane for Businesses Failing to Comply with the ACA
by Robert Sheenby Robert Sheen5 minute read: It’s a hurricane of IRS penalty notices. And it’s no laughing matter for businesses that have failed to comply with the Affordable Care Act. The IRS is …
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1 minute read: The IRS has released Notice 2019-50, which outlines the Applicable Fee amount for the 2020 tax year. This is the fee to be charged to health insurance …
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Affordable Care ActHealth Care Coverage
ACA Approval Ratings on The Rise
by Robert Sheenby Robert Sheen3 minute read: As the discussion over the 2020 election begins to take shape, we can expect the Affordable Care Act to be a topic of debate. However, based on …
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Affordable Care ActHealth Care Coverage
Three More States Decide to Expand Medicaid Under the ACA
by Robert Sheenby Robert Sheen3 minute read: Utah, Nebraska, and Idaho will join 33 states and the District of Columbia in expanding Medicaid under the Affordable Care Act. The expansion will take place under …
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ACA ComplianceAffordable Care Act
IRS Enforcement of the ACA Not Wavering
by Robert Sheenby Robert Sheen2 minute read: Give the IRS credit. It is consistent. In 2017, the federal tax agency responded to an inquiry about waivers to business owners from U.S. House Representative Bill …
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ACA ReportingAffordable Care Act
IRS Issues Letter 972CG to Employers for Late ACA Filings
by Robert Sheenby Robert Sheen4 minute read: The IRS has started to issue ACA penalties to employers who have filed their annual ACA information past IRS deadlines, another sign that the IRS is further …
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Affordable Care Act
Expect Increased IRS Penalties in 2019 for ACA Non-Compliance
by Robert Sheenby Robert Sheen3 minute read: Expect to see increased ACA penalties for employers that do not comply with the ACA in the 2019 tax year. Here’s how the anticipated ACA penalties for …
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ACA ReportingAffordable Care Act
The IRS Is Intensifying ACA Enforcement Efforts
by Robert Sheenby Robert Sheen3 minute read: Originally published on August 7, 2019, in Accounting Today. Accountants may see some of their business clients getting caught up this summer in IRS activities to enforce …
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Affordable Care Act
A Late Response to IRS Letter 226J Could Cost You
by Robert Sheenby Robert Sheen2 minute read: Responding to IRS Letter 226J penalty assessments quickly and accurately is very important for a number of reasons, including reducing or eliminating the proposed penalty assessment. But …
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3 minute read: We hosted an ACA webinar in July with HR.com, and were asked several questions relating to the ACA’s Employer Mandate. The answers are now available on our …
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Affordable Care Act
Penalties for the 2019 Tax Year Are Higher Than Ever
by Robert Sheenby Robert Sheen3 minute read: The IRS has not let up with issuing ACA penalties to employers identified as having failed to comply with the law’s Employer Mandate. As in past tax …
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3 minute read: Challenges and proposed changes to the Affordable Care Act continue to take place, except to provisions of the ACA’s Employer Mandate. President Trump’s administration continues to modify …
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3 minute read: We can expect a blizzard of ACA notices and penalty assessments being sent by the IRS as the tax agency steps up its ACA enforcement activities with …
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Affordable Care ActHealth Care Coverage
Trump Tries to Change the ACA, But Not The Employer Mandate [UPDATE]
by Robert Sheenby Robert Sheen3 minute read: President Trump announced his intent to make administrative changes to the Affordable Care Act in 2017 as part of this executive order, “Promoting Healthcare Choice and Competition …
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3 minute read: I frequently meet with insurance brokers, CPAs and business owners who are interested in the latest on the IRS’s efforts to enforce the Affordable Care Act. In …
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Affordable Care Act
ACA’s Annual PCORI Fees Are Due to the IRS by the End of July
by Robert Sheenby Robert Sheen2 minute read: The annual PCORI fees are due by the end of the month from health insurers and plan sponsors offering self-funded health insurance plans. On July 31, these …
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3 minute read: The IRS has announced that nearly two million ITINs are set to expire in 2019. What does this mean for your business and ACA compliance? We have …
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Affordable Care ActHealth Care Coverage
California Passes New State-Wide Healthcare Individual Mandate
by Robert Sheenby Robert Sheen5 minute read: In early January, I wrote a blog post titled, “Will 2019 Be the Year for Statewide Individual Health Insurance Mandates?” More and more, it is appearing that …
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ACA ComplianceAffordable Care Act
Expect Greater Scrutiny and Audits from IRS Staff on ACA Compliance
by Robert Sheenby Robert Sheen4 minute read: The IRS staff is preparing a new round of IRC 4980H penalty assessments to be issued to employers for failing to comply with the requirements of the …
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ACA ComplianceAffordable Care Act
IRS Limiting Length of Extensions for Responding to ACA Penalty Notices
by Robert Sheenby Robert Sheen3 minute read: Employers that receive IRS Letter 226J penalty notice for failing to comply with the Affordable Care Act will be limited to one 30-day extension for each IRS …
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Affordable Care ActIRS 226J/226-J
How to Respond to IRS Letter 226J for the 2017 Tax Year [INFOGRAPHIC]
by Robert Sheenby Robert Sheen1 minute read: IRS staff has confirmed that the IRS is issuing Letter 226J penalty notices for the 2017 tax year. If you receive a Letter 226J, you have 30 …
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ACA ComplianceAffordable Care Act
Monthly ACA Compliance Can Help Employers Avoid IRS Penalties
by Robert Sheenby Robert Sheen4 minute read: As the IRS begins rolling out a new round of ACA penalty notices this month, we can’t stress enough how important it is to assess your compliance …
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Affordable Care ActIRS 226J/226-J
Get Ready! More IRS Letter 226J ACA Penalty Notices Are on the Way [UPDATE]
by Robert Sheenby Robert Sheen3 minute read: IRS staff is expected to start issuing Affordable Care Act penalty notices for the 2017 tax year this month. This comes on the heels of a final …
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Affordable Care ActHealth Care CoverageIRS
IRS Sending New ACA Penalty Notices for 2017 Tax Year
by Robert Sheenby Robert Sheen3 minute read: The IRS has started issuing new penalty notices to employers that failed to file forms 1094-C and 1095-C with the federal tax agency or furnish 1095-C forms …
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ACA ReportingAffordable Care Act
Suggestions on Responding to IRS 6721/6722 ACA Penalties
by John Fordby John Ford3 minute read: In late 2018, the IRS began issuing ACA penalties under IRC 6721/6722 to employers that failed to distribute 1095-C forms to employees and to file 1094-C and …
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Affordable Care ActHealth Care Coverage
New Jersey Plans to Create Statewide Health Exchange
by Robert Sheenby Robert Sheen3 minute read: New Jersey will administer its own statewide health exchange marketplace starting in 2021. As a result, the state will no longer operate under the federal health exchange. …
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ACA ComplianceAffordable Care Act
CMS Seeks Input from States on ACA Waivers
by Robert Sheenby Robert Sheen2 minute read: The Centers for Medicare and Medicaid (CMS) and the U.S. Department of Treasury have issued a request for information (RFI) to states seeking more ideas on potential …