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),…
ACA Compliance
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ACA Compliance
Employers Must Now Do More To Contest ACA Penalties From the IRS
by Robert Sheenby Robert SheenIt’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…
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ACA Compliance
3 Resources To Assist Employers With 2021 ACA Reporting
by Robert Sheenby Robert SheenThe 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?…
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ACA ComplianceACA Reporting
Introducing The Employer’s Guide to Coding ACA Form 1095-C
by Chris Areyby Chris AreyThe 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…
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ACA Compliance
ACA Navigators to Receive Additional Funding For 2022
by Robert Sheenby Robert SheenThe 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.…
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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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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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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…
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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…
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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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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…
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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…
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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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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…
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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 tax year. The…
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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…
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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…
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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…
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ACA ComplianceAffordable Care ActIRS
Biden Seeks to Make PTC Eligibility Expansion Permanent
by Robert Sheenby Robert Sheen3 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…
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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…
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ACA ComplianceAffordable Care Act
IRS Enforcement of the ACA is Increasing
by Robert Sheenby Robert Sheen3 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…
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ACA ComplianceAffordable Care Act
What Happens if You Fail to Pay an ACA Penalty?
by Robert Sheenby Robert SheenHave 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…
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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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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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ACA ComplianceAffordable Care Act
Employee Misclassification Laws Add Headache to Employer ACA Compliance
3 minute read: In the past year three states have implemented laws that broaden the definition of “employee” and include penalties or additional liability exposure for employers who misclassify their…
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2 minute read: The Affordable Care Act (ACA) is the single most important piece of health care legislation in generations. One major reason for the ACA’s significant impact on the…
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ACA ComplianceAffordable Care Act
Uber and Lyft sued by California for Misclassifying Gig Workers. How Misclassification can Impact ACA Compliance
by Robert Sheenby Robert Sheen3 minute read: Gig Economy giants Uber and Lyft are being sued by the state of California for allegedly failing to meet the requirements of California Assembly Bill 5 (AB…
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ACA ComplianceACA ReportingAffordable Care Act
ACA Penalties to Continue with the IRS Returning to Work
by Robert Sheenby Robert Sheen2 minute read: As states begin to lift their shelter-in-place orders and begin plans to re-open, employers should take note of recent IRSactivity, as the agency is expediting its efforts…
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ACA ComplianceACA ReportingAffordable Care Act
Workforce Changes Now Will Affect ACA Reporting Later
by Robert Sheenby Robert Sheen3 minute read: Several weeks into quarantine and social distancing, many are wondering when the country will reopen. As of April 20, 42 states had placed shelter in place orders.…
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2 minute read: The Affordable Care Act chalked up a win in late April when the Supreme Court ordered the federal government to pay insurance companies funding it’s been entitled…
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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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3 minute read: As employers across the country continue to feel the impact of the COVID-19 Pandemic and work to comply with various state or local stay at home orders…
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5 minute read: As businesses across the country are shutting their doors to comply with various state or local Stay at Home orders to combat the spread of the COVID-19…
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ACA ComplianceACA ReportingAffordable Care Act
What You Need to Know: ACA Rule of Parity, COVID-19 Pandemic and Temporary Layoffs
4 minute read: The Coronavirus (Covid-19) is putting a strain on all aspects of life in the United States right now. For businesses, they are struggling with closures, decreased demand,…
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ACA ComplianceAffordable Care Act
The Trucking Industry Faces Challenges with AB5
by Robert Sheenby Robert Sheen3 minute read: California’s AB5 has changed the landscape on how independent contractors and employers work together. The trucking industry in particular faces unique challenges in adjusting to the new…
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ACA ComplianceAffordable Care Act
Why Monthly ACA Compliance is Critical for Avoiding IRS Penalties
by Robert Sheenby Robert Sheen2 minute read: With the IRS expected to continue to ramp up enforcement of the ACA’s Employer Mandate this year, employers should recognize the importance of a monthly ACA compliance…
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ACA ComplianceAffordable Care Act
When Choosing an ACA Vendor, Make Sure They’re SOC II Compliant
by Robert Sheenby Robert Sheen2 minute read: Who do you trust with your data? The large-scale data breaches of the 2010s saw companies ask the question of whether their network security was sufficient to…
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ACA ComplianceACA ReportingAffordable Care Act
New Jersey’s ABC Test Could Impact ACA Compliance and Reporting
by Robert Sheenby Robert Sheen3 minute read: The state of New Jersey has introduced SB 4204 which would change the way employers classify their workforce. SB 4204 will require employers to administer the ABC…
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ACA ComplianceAffordable Care Act
Five ACA Resources to Help with Compliance in 2020
by Robert Sheenby Robert Sheen1 minute read: As many of you start to focus on what 2020 has in store for your organization, we’re sure ACA compliance is on your list. As employers start…
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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: 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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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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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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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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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
3 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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4 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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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…
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2 minute read: The U.S. Department of Health and Human Services’ Center for Medicare and Medicaid Services (CMS) has extended the period of non-enforcement for certain non-compliant health policies under…