Three States Launch Their Own ACA Health Exchange

Three States Launch Their Own ACA Health Exchange

October 26, 2021 Three states have successfully transitioned away from the federal healthcare.gov ACA exchange to operate on their own-state run marketplace. On October 4, Maine, New Mexico, and Kentucky completed the transition Read More
Data Quality Management Is Key to ACA Compliance

Data Quality Management Is Key to ACA Compliance

October 22, 2021   Many of the challenges posed by the Affordable Care Act’s Employer Mandate are inherently data problems. Data quality management is not just an issue for larger employers with multiple Read More
Missouri Medicaid Expansion Sees Immediate Success

Missouri Medicaid Expansion Sees Immediate Success

October 21, 2021 Missouri’s ACA Medicaid expansion is already seeing substantial growth in terms of health coverage enrollment and participation. The state originally expanded Medicaid and Medicare at the height of the COVID-19 Read More
ACA Penalty Amounts for 2022 Tax Year Surface

ACA Penalty Amounts for 2022 Tax Year Surface

October 19, 2021 The IRS recently announced the ACA affordability percentage for the 2022 tax year and with that information comes speculation around the Employer Mandate’s IRC Section 4980H(a) and (b) penalty amounts Read More
ACA Looks Strong Heading into 2022 Open Enrollment

ACA Looks Strong Heading into 2022 Open Enrollment

October 14, 2021 The ACA is receiving some of the highest approval ratings since it was first signed into law in 2010. According to a June poll from the Kaiser Family Foundation (KFF), Read More
Employers Must Now Do More To Contest ACA Penalties From the IRS

Employers Must Now Do More To Contest ACA Penalties From the IRS

October 12, 2021 It’s no surprise that the IRS is increasing its enforcement efforts of the ACA’s Employer Mandate, but the amended Letter 226J language indicates that the agency is taking it to Read More
3 Resources To Assist Employers With 2021 ACA Reporting

3 Resources To Assist Employers With 2021 ACA Reporting

October 7, 2021 It’s officially the final quarter of the 2021 tax year and that means tax season is right around the corner. What precautions is your organization taking to ensure a smooth Read More
ACA Affordability For 2022 Tax Year to Decrease

ACA Affordability For 2022 Tax Year to Decrease

October 5, 2021 For the 2022 tax year, the ACA affordability threshold will decrease to 9.61%. According to IRS Revenue Procedure 2021-36 all health plans offered by employers beginning January 1, 2022, will Read More
Classify Workers Correctly to Determine ALE Status and Avoid ACA Penalties

Classify Workers Correctly to Determine ALE Status and Avoid ACA Penalties

September 30, 2021 Classifying workers is an important step for employers determining if the requirements of the ACA’s Employer Mandate apply to them. That’s because worker classifications directly impact an employer’s applicable large Read More
Introducing The Employer’s Guide to Coding ACA Form 1095-C

Introducing The Employer’s Guide to Coding ACA Form 1095-C

September 28, 2021 The fourth quarter is right around the corner and with it comes the inevitable tax filing season. Employers should give special attention to their ACA reporting obligations this year as Read More
Court Case Challenges ACA’s Free Preventative Care

Court Case Challenges ACA’s Free Preventative Care

September 22, 2021 In the series of legal challenges against the ACA, the latest is an attack on free preventative care and it just may undermine significant advancements made to the U.S. healthcare Read More
ACA Reporting to Grow in Complexity Due to State Individual Mandates

ACA Reporting to Grow in Complexity Due to State Individual Mandates

September 20, 2021 ACA reporting is complex and the process has only grown more challenging as states continue to enact additional state-level ACA reporting requirements as a function of their Individual Mandates. But Read More
House Democrats Share More ACA Advancements in $3.5 Trillion Plan

House Democrats Share More ACA Advancements in $3.5 Trillion Plan

September 16, 2021 Democrats in the House of Representatives have shared their plans for ACA healthcare expansion as part of a proposed $3.5 trillion package. Included in the proposal are several provisions that Read More
ACA Common Sense Reporting Act Likely to Increase Complexity

ACA Common Sense Reporting Act Likely to Increase Complexity

September 14, 2021 A bill known as the Common Sense Reporting Act could fundamentally change the way employers report their ACA information to the IRS annually if it is signed into law.  First Read More
ACA Navigators to Receive Additional Funding For 2022

ACA Navigators to Receive Additional Funding For 2022

September 9, 2021 The Biden administration is making sure that the upcoming open enrollment period is a successful one. Most recently the administration announced that it will be increasing funding for ACA navigators. Read More
HHS Lowers Cost-Sharing Reduction Limits for 2022

HHS Lowers Cost-Sharing Reduction Limits for 2022

September 7, 2021 The Department of Health and Human Services (HHS) recently made available an FAQ specifying the cost-sharing reduction limits (CSR) for the 2022 tax year. In the FAQ, the HHS makes Read More
Avoid These Compliance Triggers to Minimize ACA Penalty Risk

Avoid These Compliance Triggers to Minimize ACA Penalty Risk

September 1, 2021 It’s become abundantly clear that the IRS is ramping its enforcement of tax compliance. With Biden requesting additional funding for the agency, employers should note that as part of increased Read More
Recapping The ACA’s Special Enrollment Period

Recapping The ACA’s Special Enrollment Period

August 24, 2021 August 15 was the deadline for Biden’s federal special enrollment period. Preliminary data finds over 2.5 million Americans opted to receive healthcare coverage. Of the 2.5 million, 1.8 million enrolled Read More
ACA Measurement Methods Are Critical for Avoiding IRS Penalties

ACA Measurement Methods Are Critical for Avoiding IRS Penalties

August 20, 2021 If you or someone you know has been hit with IRS Letter 226J, you know that it is no laughing matter. The IRS is currently issuing these ACA penalty assessments Read More
IRS Releases Further Guidance on COBRA Continuation Coverage

IRS Releases Further Guidance on COBRA Continuation Coverage

August 17, 2021 The IRS recently issued a notice that further clarifies the usage of Consolidated Omnibus Budget Reconciliation Act (COBRA) coverage as amended via the American Rescue Plan (ARP). IRS Notice 2021-46 Read More
Calculating FT and FTE Employees [UPDATED]

Calculating FT and FTE Employees [UPDATED]

August 13, 2021 As part of their annual filing of healthcare coverage information with the IRS, organizations must determine if they are Applicable Large Employers (ALEs) for purposes of the Affordable Care Act Read More
Health Carriers Are Benefiting From The ACA

Health Carriers Are Benefiting From The ACA

August 10, 2021 Several health carriers are experiencing growth because of the recent Affordable Care Act advancements. Most notably is CVS Health Corp. and its affiliated health insurance business, Aetna. Last week the Read More
CMS Proposed Rule to Provide Greater Access to ACA Coverage

CMS Proposed Rule to Provide Greater Access to ACA Coverage

August 2, 2021 The Biden administration is yet again making strides to bolster the Affordable Care Act. This time, it’s through a proposed rule that aims to strengthen the ACA’s federal and state Read More
The New HRA Regulations Explained

The New HRA Regulations Explained

July 28, 2021 Earlier this year the IRS released final regulations regarding the relationship between Employer Shared Responsibility Provisions (ESRP) and individual coverage Health Reimbursement Arrangements (HRAs). And then they were withdrawn by Read More
Special Enrollment Period Doubles Enrollees, Final Month Approaches

Special Enrollment Period Doubles Enrollees, Final Month Approaches

July 26, 2021 In June, the ACA’s special enrollment period garnered 1 million sign-ups through the federal health exchange, HealthCare.gov. A month later and the number of enrollees has doubled. On July 14, Read More
The Look-Back Measurement Method Can Help Prevent ACA Penalties

The Look-Back Measurement Method Can Help Prevent ACA Penalties

July 23, 2021 Determining the accurate full-time employee count during a calendar year is important for Affordable Care Act compliance. Classifying employees incorrectly can lead to inaccurate information being submitted to the IRS Read More
IRS Issues Draft ACA Reporting Instructions for 2021

IRS Issues Draft ACA Reporting Instructions for 2021

July 19, 2021 The IRS recently released its draft 1094-C and 1095-C instructions for the 2021 tax year. We’ve identified the changes below.  It appears that Form 1094-C will remain the same, but Read More
IRS Begins Issuing Letter 5699 For 2019 Tax Year

IRS Begins Issuing Letter 5699 For 2019 Tax Year

July 14, 2021 We’ve heard from our partners and brokers that the IRS has begun issuing Letter 5699 to employers for the 2019 tax year. Officially called “Missing Information Return Form 1094/1095-C,” Letter Read More
The IRS’s Forms 1095 For the ACA Explained

The IRS’s Forms 1095 For the ACA Explained

July 9, 2021 A number of changes were introduced to the health insurance marketplace with the passage of the ACA in 2010. From different reporting forms and health insurance plan requirements to the Read More
The Annual ACA PCORI Fees Are Due in August

The Annual ACA PCORI Fees Are Due in August

July 6, 2021 The annual PCORI fees deadline is always July 31. Since that falls on a Saturday this year, however, employers and health insurers offering self-funded health insurance plans will need to Read More
ACA Survives Supreme Court, Focus Shifts to More Advancements

ACA Survives Supreme Court, Focus Shifts to More Advancements

June 29, 2021 Earlier this month the Supreme Court issued its decision to uphold the ACA, dismissing the challengers who asserted it was unconstitutional. So, what happens next? Now that the healthcare law Read More
Understanding ACA Forms 1094-C/1095-C

Understanding ACA Forms 1094-C/1095-C

June 25, 2021 Employers required to comply with the ACA’s Employer Mandate must report their full-time employee’s healthcare information to the IRS annually via forms 1094-C and 1095-C, but what exactly are these Read More
ACA Upheld By SCOTUS, Remains Law of The Land

ACA Upheld By SCOTUS, Remains Law of The Land

June 21, 2021 On Thursday, June 17, the Supreme Court of the United States struck down the case that asserts the ACA is unconstitutional, without even ruling on the underlying argument. In a Read More
These Common Mistakes Can Result in ACA Penalties

These Common Mistakes Can Result in ACA Penalties

June 18, 2021 3 min read ACA compliance can be time-consuming and complex. There is a myriad of issues that can arise during the course of the year that can make employers’ annual Read More
3 Signs The IRS is Increasing Efficiency in ACA Enforcement

3 Signs The IRS is Increasing Efficiency in ACA Enforcement

June 17, 2021 4 min read It is a sign of good government that agencies tasked with enforcing complex statutes increase efficiency over time. When the Patient Protection and Affordable Care Act (ACA) Read More
ACA Sees Record-Breaking 31 Million Enrollees

ACA Sees Record-Breaking 31 Million Enrollees

June 15, 2021 A record-breaking 31 million Americans have obtained ACA healthcare coverage, according to new data issued by the Department of Health and Human Services (HHS). The data, based on enrollment information Read More
The ACA’s Future Hangs in the Balance

The ACA’s Future Hangs in the Balance

June 10, 2021 3 min read The Supreme Court case in which the Justices consider whether the Affordable Care Act is unconstitutional without the Individual Mandate will see a judicial decision any day Read More
IRS 4980H ACA Penalties Are Forever

IRS 4980H ACA Penalties Are Forever

June 8, 2021 3 min read The IRS announced that there is no statute of limitations for ACA penalties. What does that mean exactly? Simply put, it means that the ACA non-compliance penalties Read More
What you Need to Know About IRS Letter 5699

What you Need to Know About IRS Letter 5699

June 4, 2021 2 minute read With the IRS ramping up enforcement of the ACA, employers should keep their eyes peeled for the penalty warning notice, Letter 5699. Responding promptly and accurately to Read More
ACA Special Enrollment Period Garners 1 Million Enrollees

ACA Special Enrollment Period Garners 1 Million Enrollees

June 2, 2021 3 min read President Biden’s special enrollment period has already generated 1 million additional sign-ups on the federal ACA health exchange. New Health and Human Services (HHS) Secretary Xavier Becerra Read More
Get to Know the ACA’s Rule of Parity

Get to Know the ACA’s Rule of Parity

May 28, 2021 3 minute read Without the proper tools or subject matter expertise, tackling the responsibilities of the Affordable Care Act’s Employer Mandate on your own can be overwhelming.  This is especially Read More
ACA State Reporting Deadline for California is May 31

ACA State Reporting Deadline for California is May 31

May 25, 2021 3 min read May 31 is the deadline for self-insured employers and health insurance carriers to submit applicable ACA information to the California Franchise Tax Board (FTB) for the 2020 Read More
IRS Limited Non-Assessment Periods Help Avoid ACA Penalties

IRS Limited Non-Assessment Periods Help Avoid ACA Penalties

May 21, 2021 4 minute read The Employer Shared Responsibility Provisions (ESRP) under the Affordable Care Act may seem straightforward, but, in reality, complying with them can be challenging and time-consuming. An area Read More
ACA Employer Penalties Are Real and The IRS Will Be Issuing More

ACA Employer Penalties Are Real and The IRS Will Be Issuing More

May 20, 2021 3 min read ACA reporting for the 2021 tax year may not be top of mind for employers right now, but that doesn’t mean you shouldn’t be aware of the Read More
Your ACA State Filing Questions Answered

Your ACA State Filing Questions Answered

May 18, 2021 3 minute read: We recently hosted a webinar on the growing number of states requiring ACA reporting in addition to federal filing with the IRS. With the 2020 tax year Read More
ACA Rule From Trump Era is Struck Down

ACA Rule From Trump Era is Struck Down

May 13, 2021 3 minute read: A federal court recently invalidated significant parts of a Trump administration rule affecting the Affordable Care Act (ACA). What this decision means and how it could impact Read More
American Rescue Plan Introduces New Changes to COBRA

American Rescue Plan Introduces New Changes to COBRA

May 11, 2021 3 minute read: Biden’s American Rescue Plan (ARP) has reshaped the way Americans receive and qualify for healthcare coverage, including COBRA. Before diving into the specifics of how the ARP Read More
How to Handle ACA Filing Corrections With the IRS

How to Handle ACA Filing Corrections With the IRS

May 7, 2021 3 minute read: If you found yourself in a situation where you received receipt of your ACA information returns for 2020 with a status of “Accepted with Errors,” you’re not Read More
IRS Affordability Safe Harbors Help Avoid ACA Penalties

IRS Affordability Safe Harbors Help Avoid ACA Penalties

May 6, 2021 4 minute read: How exactly do employers prove to the IRS that the healthcare plans they are offering to their workforce are affordable under the Affordable Care Act? It’s an Read More
Biden Seeks to Make PTC Eligibility Expansion Permanent

Biden Seeks to Make PTC Eligibility Expansion Permanent

May 4, 2021 3 minute read: The Biden administration is once again finding ways to bolster the Affordable Care Act. This time the advancement comes in the form of ACA subsidies and the Read More