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 HR …
ACA Compliance
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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 …
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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), …
- 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 …
- 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? …
- 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 …
- 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 …
- ACA ComplianceCOBRA
IRS Releases Further Guidance on COBRA Continuation Coverage
by Robert Sheenby Robert SheenThe 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 …
- ACA ComplianceAffordable Care ActLegislation
Calculating FT and FTE Employees [UPDATED]
by Robert Sheenby Robert SheenAs 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 …
- 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 …
- 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 …
- ACA ComplianceACA DeadlineACA Reporting
ACA State Reporting Deadline for California is May 31
by Robert Sheenby Robert SheenMay 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 …
- ACA ComplianceAffordable Care ActIRS
Your ACA State Filing Questions Answered
by Robert Sheenby Robert Sheen3 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 …
- 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 …
- 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 …
- ACA ComplianceAffordable Care ActIRS
IRS Suspends Excess Repayment of APTCs for 2020 Tax Year
by Robert Sheenby Robert Sheen3 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 …
- 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 …
- 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 …
- 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 …
- 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 …
- 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 …
- 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 …