IRS Proposed Ruling Could Change ACA Affordability

IRS Proposed Ruling Could Change ACA Affordability

May 11, 2022 Last month the IRS published a proposed regulation that would amend the existing rule regarding employer-sponsored Minimum Essential Coverage (MEC) for family members of an employee.  The proposed rule would Read More
ACA Enrollment Reaches 35 Million Signups

ACA Enrollment Reaches 35 Million Signups

May 5, 2022 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, Read More
Submit ACA Corrections Now to Avoid IRS Penalties

Submit ACA Corrections Now to Avoid IRS Penalties

April 20, 2022 The deadline to electronically file ACA forms 1094-C and 1095-C for the 2021 tax year was March 31. Did you make the deadline? If you did, were all your submissions Read More
5 Common ACA Compliance Mistakes Restaurants Make

5 Common ACA Compliance Mistakes Restaurants Make

April 6, 2022 Over 10 years after the ACA was first signed into law, the reporting requirements under the ACA’s Employer Mandate have proven challenging and time-consuming for most. But quick-service restaurants have Read More
Safe Harbors Prove ACA Affordability and Prevent Penalties (UPDATE)

Safe Harbors Prove ACA Affordability and Prevent Penalties (UPDATE)

March 24, 2022 How do employers prove to the IRS that the healthcare plans they are offering to their workforce are affordable under the ACA? It’s an important question for Applicable Large Employers Read More
ACA Affordability for the 2022 Tax Year

ACA Affordability for the 2022 Tax Year

March 22, 2022 With the 2021 ACA reporting season coming to an end later this month, employers should turn their attention to ACA compliance for the 2022 tax year. A key component of Read More
IRS Increasing Staff to Clear Backlog and Support Current Tax Season

IRS Increasing Staff to Clear Backlog and Support Current Tax Season

March 16, 2022 On March 10, the Treasury issued a statement announcing that the IRS will be hiring more than 10,000 positions to assist with its current backlog and the 2021 filing season. Read More
IRS Limited Non-Assessment Periods Help Avoid ACA Penalties

IRS Limited Non-Assessment Periods Help Avoid ACA Penalties

March 9, 2022 The responsibilities under the ACA’s Employer Mandate may seem straightforward, but, in reality, complying with them can be challenging and time-consuming. An area that many Applicable Large Employers (ALEs) struggle Read More
ACA PCORI Fees Increasing in 2022

ACA PCORI Fees Increasing in 2022

January 18, 2022 Earlier this month the IRS issued a notice indicating that the fees associated with Patient-Centered Outcomes Research Institute (PCORI) are increasing this year. For plans that end on or after Read More
AIRs Portal Downtime Could Prove Problematic for Employers

AIRs Portal Downtime Could Prove Problematic for Employers

January 13, 2022 On December 5, the IRS closed production of the Affordable Care Act’s Information Returns (AIRs) portal to prepare for 2021 reporting year electronic filing submissions.  The agency says that the Read More
ACA Signups for Open Enrollment Hit Record Highs

ACA Signups for Open Enrollment Hit Record Highs

January 11, 2022 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 Read More
1095-C Codes for the 2021 Tax Year

1095-C Codes for the 2021 Tax Year

January 6, 2022 It’s 2022 and time to begin preparing the annual 1095-C filings with the IRS and select state governments. Are you ready? If you need a refresher on the different 1095-C Read More
IRS Issues Final 2021 ACA Reporting Instructions

IRS Issues Final 2021 ACA Reporting Instructions

December 20, 2021 On December 9, 2021, the IRS published the final ACA reporting instructions for the 2021 tax year, including the final 1094-C and 1095-C forms. As expected, the forms and instructions Read More
2022 Open Enrollment Sees Lower ACA Premiums

2022 Open Enrollment Sees Lower ACA Premiums

December 13, 2021 Open enrollment period for the 2022 coverage year is well underway, and ACA premiums are continuing to drop. The federal period for obtaining health coverage kicked off on November 1 Read More
How Build Back Back Better Would Reshape U.S. Healthcare

How Build Back Back Better Would Reshape U.S. Healthcare

November 18, 2021 With 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 Read More
Have a Handle on ACA Compliance? Let ACA Vitals Decide

Have a Handle on ACA Compliance? Let ACA Vitals Decide

November 11, 2021 ACA reporting is heading into its seventh year, yet, many organizations still face significant obstacles to meeting the requirements of the ACA’s Employer Mandate. Under the ACA’s Employer Mandate, employers Read More
IRS Proposed Rule Could Eliminate ACA Paper Filing

IRS Proposed Rule Could Eliminate ACA Paper Filing

November 9, 2021 Every year employers must file their ACA information via forms 1094-C and 1095-C to the IRS and any state government. For the last seven years, there have been two methods Read More
Get to Know the ACA’s 1095-C Form

Get to Know the ACA’s 1095-C Form

November 2, 2021 With the end of the year approaching quickly, ACA compliance and the subsequent ACA reporting are ramping up. Employers preparing for IRS and state filing requirements should consider the importance Read More
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-19pandemic 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 IRSis increasing its enforcement efforts of the ACA’s Employer Mandate, but the amended Letter 226J language indicates that the agency is taking it to the Read More
3 Resources To Assist Employers With 2021 ACA Reporting

3 Resources To Assist Employers With 2021 ACA Reporting

October 7, 2021 The end of the 2021 tax year and the subsequent tax season are approaching rapidly. What precautions is your organization taking to ensure a smooth ACA reporting experience this year? 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 here and the inevitable tax filing season is right around the corner. Employers should give special attention to their ACA reporting obligations this year as there 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
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
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
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
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
IRS 4980H ACA Penalties Are Forever

IRS 4980H ACA Penalties Are Forever

June 8, 2021 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 for any reporting 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
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
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
IRS Suspends Excess Repayment of APTCs for 2020 Tax Year

IRS Suspends Excess Repayment of APTCs for 2020 Tax Year

April 29, 2021 3 minute read: The latest ACA advancement to be introduced by the Biden administration comes via the American Rescue Plan and applies to the use of Advanced Payments of Premium Read More
IRS Enforcement of the ACA is Increasing

IRS Enforcement of the ACA is Increasing

April 19, 2021 3 minute read: IRS enforcement of the ACA is going to increase throughout the remainder of the year and well into 2022, as President Biden’s FY 2022 discretionary request alludes Read More
What Happens if You Fail to Pay an ACA Penalty?

What Happens if You Fail to Pay an ACA Penalty?

April 15, 2021 Have you ever wondered what would happen if your organization didn’t pay an ACA penalty issued by the IRS? In this post, Trusaic explains what you need to know about Read More
ACA Affordability for the 2021 Tax Year

ACA Affordability for the 2021 Tax Year

April 9, 2021 2 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 Read More