Affordable Care Act

ACA open enrollment for the 2023 plan year is just over a month away, and this time, individuals may have more options and a better experience than years prior. We…

With the IRS making progress on its historic backlog, and ACA enforcement ramping up, employers should keep their eyes peeled for the warning notice, Letter 5699.  It’s in every organization’s…

Employers should review their ACA compliance processes carefully in light of new data issued by the Kaiser Family Foundation (KFF). Below we’ve identified why. Key PTC findings Health exchange enrollees…

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,…

The IRS has made significant progress in the historic backlog it’s still facing, but it still has a long way to go. Chief IRS Commissioner Charles Rettig anticipates clearing the…

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…

Today, March 31, 2021, is the e-filing deadline for submitting ACA Forms 1094-C and 1095-C to the IRS for the 2022 tax year, as required by the ACA’s Employer Mandate.…

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…

The deadline for distributing the ACAS 1095-C forms to full-time employees is today, March 2. Did you make it? This deadline applies to Applicable Large Employers (ALEs), or employers with…

This coming Monday, February 28, is the deadline for paper filing ACA Forms 1094-C and 1095-C to the IRS for the 2021 tax year. As a reminder, Applicable Large Employers…

The IRS recently announced it is suspending certain mailings of automated collections and various other notices in an effort to get through its current backlog. As such, the agency will…

The IRS is experiencing a massive mail backlog of unprocessed documents first caused by COVID-19. Included in that backlog of notices are ACA penalty assessments. To help the situation, the…

Over 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…

The IRS penalty amounts for non-compliance of the ACA’s Employer Mandate are again increasing in 2022.  Below is a rundown of the new penalty amounts and how the IRS will…

With the New Year just a few short weeks out, employers should remember that 2020 was the final year for Good Faith Transition Relief. That means filing late or inaccurate…

The IRS is now issuing Letter 226J penalty notices to employers identified as having failed to comply with the ACA’s Employer Mandate for the 2019 tax year. Just in time…

The end of the year is officially here and with it, a whirlwind of ACA responsibilities to tend to for the upcoming filing season. To assist you with your ACA…

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…

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…

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…

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…

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…

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…

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…

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…

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…

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…

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,…

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…

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…

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…

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…

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…

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)…

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…

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…

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…

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…

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…

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…

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…

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…

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…

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…

3 minute read: The COVID-19 pandemic created hardships for everyone and everything, including the IRS. On numerous occasions, the agency announced a significant backlog in processing paper returns. As of…

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…

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…

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…

3 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…

3 minute read: In December 2020, the Departments of Labor, Health and Human Services, and Treasury (including the IRS) issued a final rule regarding ACA grandfathered health plans.  Grandfathered health…