The Centers for Medicare and Medicaid Services (CMS) are opening a special ACA enrollment period for beneficiaries losing Medicaid or Children’s Health Insurance Program (CHIP) coverage. The special enrollment period …
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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 …
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Affordable Care Act
Special Enrollment Period Doubles Enrollees, Final Month Approaches
by Robert Sheenby Robert SheenIn 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, …
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Affordable Care ActHealth Insurance Exchanges
ACA Special Enrollment Period Garners 1 Million Enrollees
by Chris Areyby Chris Arey3 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 …
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Affordable Care Act
Covered California Introduces New Special Enrollment Period
by Robert Sheenby Robert Sheen1 minute read: Covered California, the state health insurance marketplace established by the Affordable Care Act, has introduced a new special enrollment period to benefit victims of the 500+ wildfires …
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2 minute read: While Trump Administration shot down the idea of a special ACA enrollment period to help individuals who have lost their coverage due to the COVID-19 Pandemic, states …
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Affordable Care ActHealth Care Coverage
Federal Special Enrollment Period on the Horizon
by Robert Sheenby Robert Sheen2 minute read: The Trump Administration is doing the unexpected and considering a special ACA enrollment period in light of the COVID-19 Pandemic. The special enrollment period will provide uninsured …
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2 minutes read: Due to the enormous challenges the coronavirus crisis is imposing on our healthcare system, the state of California has extended its Special Enrollment period. Effective immediately, the …
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The Biden Administration has revealed its final rule to streamline and simplify Medicaid enrollment processes. Learn what it means for employer ACA compliance.
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ACA Compliance
There’s Been an Uptick in ACA Enrollment – Here’s Why
by Robert Sheenby Robert SheenRecord numbers of Americans are enrolling in affordable healthcare through state and federal marketplaces. Nearly 16 million Americans have signed up for individual market health insurance coverage since November 1, …
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Following the 2021 tax year, the ACA has garnered the highest number of enrollments it has ever seen. Over 35 million Americans have obtained health coverage because of the ACA, …
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Affordable Care Act
ACA Open Enrollment Reaches Record-Breaking 14.5 Million
by Robert Sheenby Robert SheenOver 14.5 million Americans elected to receive health coverage through one of the ACA’s insurance marketplaces during the 2022 open enrollment period. The record-breaking participation is 21% higher than the …
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Open enrollment for the 2022 plan year ends later this week but ACA signups are already hitting record new highs. Kaiser Health News cites a record-breaking 13.6 million Americans already …
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The 2022 federal open enrollment period began earlier this week and will run through January 15, 2022. Consumers will have a wide variety of options to choose from, as well …
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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), …
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Affordable Care ActHealthcare
Open Enrollment Missing ACA Individual Mandate
by Robert Sheenby Robert Sheen3 minute read: The open enrollment period on HR.gov will run from November 1, 2018, to December 15, 2018, only 45 days, the same as the previous year’s open enrollment …
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The Centers for Medicare & Medicaid Services (CMS) has announced it is extending the deadline to enroll in health coverage through the Federal Health Insurance Exchange until March 31, 2018, …
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Affordable Care ActHealth Care Coverage
Efforts to Undermine the Start of Open Enrollment for 2018 Healthcare Coverage on November 1
by Robert Sheenby Robert SheenOpen enrollment for individuals to purchase healthcare coverage through government exchanges begins tomorrow and runs through December 15. Both advocates and opponents of the Affordable Care Act (ACA) are anxious …
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Affordable Care ActHealth Care CoveragePolls/Surveys
Assisters Prove Helpful In ACA Open Enrollment
by Robert Sheenby Robert SheenIn a recent Kaiser Family Foundation survey, the results proved the Affordable Care Act’s 2016 open enrollment had a much-needed push from assisters and brokers. The open enrollment period lasted …
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Affordable Care ActHealth Care Coverage
Key Dates for ACA Open Enrollment
by Robert Sheenby Robert SheenNovember 1, 2015 – Open Enrollment begins. Individuals can apply for, drop, keep or change their Insurance plans. December 15, 2015 – Individuals must enroll by this date if they …
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Affordable Care ActHealth Care Coverage
Enrollments Alone Don’t Lead to Better Health
by Robert Sheenby Robert SheenDespite the Affordable Care Act’s success in getting 16 million more Americans enrolled in health insurance programs, major hurdles still keep consumers from understanding their coverage, finding a doctor and …
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Many consumers who have not signed up for health insurance the Affordable Care Act will have another chance to do so, thanks to a special March 15-April 30 enrollment period …
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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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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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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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ACA ComplianceACA Reform
How Build Back Back Better Would Reshape U.S. Healthcare
by Robert Sheenby Robert SheenWith the Infrastructure Bill now officially signed into law, Congress will now shift its focus onto the $1.75 trillion Build Back Better proposal. In its current version, the plan could …
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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 …
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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 …
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ACA Compliance
CMS Proposed Rule to Provide Greater Access to ACA Coverage
by Chris Areyby Chris AreyThe 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 …
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ACA Compliance
ACA Survives Supreme Court, Focus Shifts to More Advancements
by Robert Sheenby Robert SheenEarlier 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 …
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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 …
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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 …
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ACA ComplianceAffordable Care ActIRS
American Rescue Plan Introduces New Changes to COBRA
by Robert Sheenby Robert Sheen3 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 …
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ACA ComplianceAffordable Care Act
ACA Affordability for the 2021 Tax Year
by Robert Sheenby Robert Sheen2 minute read: For the 2021 tax year, the ACA affordability threshold will increase to 9.83%. That means employees will likely have to contribute more towards their employer-sponsored healthcare. IRS …
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Affordable Care Act
Recapping on Biden’s ACA Reforms, What Employers Need to Know
by Robert Sheenby Robert Sheen3 minute read: Since Biden took office on January 20, 2021, several advancements to the Affordable Care Act followed, so we thought it best to recap on the ACA reforms …
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3 minute read: Since the Biden Administration took office a few weeks ago, changes to help bolster the Affordable Care Act are already underway. President Joe Biden has already signed …
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3 minute read: Earlier this year, the IRS issued the 2021 employer mandate penalties under IRC 4980H(a) and 4980H(b). It should come as no surprise that the penalty amounts have …
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Affordable Care Act
D.C. Upholds Health Carrier Tax, Supporting ACA Health Exchanges
by Chris Areyby Chris Arey3 minute read: An argument regarding the District of Columbia’s ACA health exchange tax was decided late last month. The decision rules in favor of the tax, supporting state-run health …
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3 minute read: As the fourth quarter of 2020 draws near, so does the presidential election. A popular topic of debate to be addressed in the coming election is healthcare, …
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ACA ComplianceAffordable Care Act
New Jersey Adopts ACA Provision to Lower Healthcare Costs
by Robert Sheenby Robert Sheen3 minute read: Earlier this month, New Jersey signed into law a state version of an Affordable Care Act provision, the Health Insurance Assessment (HIA) program. New Jersey is the …
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Affordable Care Act
Californians Beware, The Individual ACA Penalty Has Increased
by Robert Sheenby Robert Sheen2 minute read: California residents that fail to obtain qualified health coverage this year will receive a penalty from the state for an amount larger than first projected. Per California’s …
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Affordable Care Act
Why CMS’s 2021 Payment Notice May Lead to More PTC Allocations
by Robert Sheenby Robert Sheen2 minute read: Back in March, the Centers for Medicare and Medicaid Services (CMS) issued the Notice of Benefit and Payment Parameters for 2021 (2021 Payment Notice). The rule includes …
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Affordable Care Act
Employers May See More ACA Penalties As a Result of COVID-19
by Robert Sheenby Robert Sheen2 minute read: A new data analysis report from the Kaiser Family Foundation (KFF) finds the vast majority of Americans who lost their job amid COVID-19will be eligible for government …
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13 minute read: Compliance with the various employer provisions of the Affordable Care Act (ACA) can be complicated under normal employment conditions. As employers face the incredibly difficult business climate …
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Affordable Care Act
What Employers Need to Know About the ACA (UPDATE)
by Robert Sheenby Robert Sheen7 minute read: It’s always interesting to look back and see how regulation develops. The Affordable Care Act (ACA) is no exception. I wrote a five-part series about the ACA …
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ACA ComplianceAffordable Care Act
New CMS Rule Keeps ACA Employer Mandate Intact
by Robert Sheenby Robert Sheen3 minute read: The Center for Medicare and Medicaid (CMS) has issued a final rule to expand short-term insurance options for Americans as part of the federal government’s continuing campaign …
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Affordable Care ActHealth Care Reform
2018 Brings New Changes To ACA Exchange
by Robert Sheenby Robert SheenWhile the country still awaits the final cues for the U.S. Senate’s take on healthcare reform, more updates arrive for the coming year. The Centers for Medicare & Medicaid Services (CMS) …
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ACA ReformHealth Care Coverage
President Trump Proposes New Rule To Stabilize ACA Marketplace
by Robert Sheenby Robert SheenDetails on President Trump’s plans for an ACA repeal and replacement are finally coming to light. In a new proposed rule, the stabilization of the exchange is placed at the …
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Receiving an ACA penalty from the IRS is never a good thing. But with the right process and approach, your business can reduce or eliminate it.
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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. …