Robert Sheen Speaks to HR Executives on ACA Compliance

October 2, 2015 American employers must deal with new IRS reporting obligations and the possibility of hefty penalties because of the Affordable Care Act, Robert S. Sheen, Editor of the ACA Times and Read More
IRS To Help Avoid Duplicate ACA Reporting

IRS To Help Avoid Duplicate ACA Reporting

September 24, 2015 The IRS is preparing new regulations to help avoid duplicate reporting of an individual’s minimum essential coverage when there is reasonable certainty that the provider of the “primary” coverage will report. The Read More
House Can Sue Administration on ACA Funding

House Can Sue Administration on ACA Funding

September 21, 2015 The House of Representatives can pursue its lawsuit against the Obama Administration that claims funding of subsidies under the Affordable Care Act violate the Constitution. Judge Rosemary M. Collyer of Read More
IRS Releases Final Reporting Forms

IRS Releases Final Reporting Forms

September 21, 2015 As get ready to file 2015 reports required by the Act, the Internal Revenue has released the final for submitting these reports, along with instructions for them. For reports filed Read More
IRS Proposes Changes To Ease ACA Reporting

IRS Proposes Changes To Ease ACA Reporting

September 17, 2015 The Internal Revenue Service said it will propose a number of changes in the regulations on reports related to the Affordable Care Act. All of the proposed changes will have Read More

Penalties Double For ACA Filing Failures

September 10, 2015 Penalties for failure to satisfy the complex IRS filing requirements resulting from the Affordable Care Act (ACA) have just doubled. With filing deadlines approaching, employers should act quickly to ensure Read More
IRS Bans “Skinny” Health Plans

IRS Bans “Skinny” Health Plans

September 10, 2015 The Internal Revenue Service has issued proposed regulations that will require employer-sponsored health care plans to include “substantial coverage” for in-patient hospitalization and physician services. So-called “skinny” plans that lack Read More
ACA Reporting Requirements For Large Employers

ACA Reporting Requirements For Large Employers

September 2, 2015 Companies with 50 or more full-time employees should be gathering information now for Affordable Care Act reports they will have to provide to the IRS and to their employees early Read More
Misclassifying Workers Can Trigger Two Penalties

Misclassifying Workers Can Trigger Two Penalties

August 27, 2015 Employers are facing increased scrutiny by the Department of Labor, the and state regulators over possible misclassification employees as independent contractors or freelance workers. A DOL memo states that the Read More

‘Cadillac Tax’ Could Affect 1 in 4 Employers

August 26, 2015 New projections from the Kaiser Family Foundation estimate that in 2018 one in four (26%) offering benefits could be subject to the Act’s excise – , also known as the Read More

Balance Billing Undermines Insurance Coverage

August 24, 2015 A key goal the Affordable Care Act is to make sure that the medical is covered by insurance plus the agreed-upon deductibles and copays. But for many families an illness Read More
Why You Can’t Afford to Ignore The ACA

Why You Can’t Afford to Ignore The ACA

August 20, 2015 Like all owners of small businesses, the men and women who run construction Companies had more than enough to do before the Affordable Care Act added one more task — Read More
Are You Subject to the Individual Mandate?

Are You Subject to the Individual Mandate?

August 17, 2015 The IRS has issued an explanation of which U.S. citizens and foreign nationals are subject to the individual shared responsibility provision of the Affordable Care Act, or the “individual mandate.” Read More
IRS Asks For Comments on New “Cadillac Tax” Rules

IRS Asks For Comments on New “Cadillac Tax” Rules

August 12, 2015 The Internal Revenue Service has identified additional issues under Code Section 4980I, commonly known as the “Cadillac Plan” excise tax, and is proposing new regulations to deal with them. The Read More
Court Says Indian Tribes Are Covered By ACA

Court Says Indian Tribes Are Covered By ACA

August 7, 2015 A Wyoming Indian tribe lost a legal bid to be exempted from the employer mandate of the Affordable Care Act, and must provide health insurance to all of its employees. Read More

IRS: File Early for Premium Tax Credit

August 4, 2015 The IRS issued a reminder that individuals who received advance payments of the Premium Tax Credit (PTC) in 2014, for insurance they purchased through a marketplace or exchange, should file Read More

IRS on Employer Shared Responsibility Provisions

August 3, 2015 The Internal Revenue Service has issued a reminder to employers about specific “shared responsibility” provisions of the Affordable Care Act that may affect them. The size and structure of a Read More

Companies Struggle With ACA Reporting

July 30, 2015 New reporting requirements mandated by the Affordable Care Act are posing challenges to large and small companies, and most employers have made little progress on deciding on or implementing a Read More

California Health Insurance Rates To Rise By 4%

July 29, 2015 California’s Affordable Care Act exchange, known as Covered California, has negotiated an average 4% increase in premiums for the 1.3 million residents of the state who buy individual insurance through Read More
IRS Alerts Employers on Required Reports

IRS Alerts Employers on Required Reports

July 27, 2015 The Internal Revenue Service (IRS) issued a reminder that all employers that provide self-insured health coverage, must file an annual return reporting certain information for each employee they cover. If Read More
ACA Offers Help For Informal Caregivers

ACA Offers Help For Informal Caregivers

July 21, 2015 Millions of Americans who provide unpaid care for ill, disabled or aged family members or friends can now get help through the Affordable Care Act for their own physical and Read More

IRS Audits Its Own Service to Taxpayers

July 16, 2015 Despite a few glitches, the Internal Revenue Service says, the agency’s staff did a “commendable” job implementing provisions of the Affordable Care Act. The most significant new challenge the IRS Read More

New Rules on Religious Objections to Birth Control

July 14, 2015 The Obama administration has unveiled new rules aiming to address religious objections by to providing birth control to female employees as required by the Act. For any questions or a Read More

Impact of ‘King’ on Applicable Large Employers

July 13, 2015 Impact of ‘King’ on Applicable Large Employers The Supreme Court’s decision in ‘King v. Burwell’ had ramifications for “applicable large employers” that went beyond approving payment of insurance subsidies in Read More

Time’s Up on Premium Reimbursement

July 9, 2015 Time’s Up on Premium Reimbursement The IRS has taken a hard position on employer payment plans under the ACA, and now the time is up for small employers to comply. Read More

College’s Objection to Contraception Coverage Is Denied

July 3, 2015 The US Court of Appeals has denied a religious college’s request to bar the government from enforcing the Affordable Care Act’s requirement that insurance plans cover the cost of all Read More

Data Posted on $6.5 Billion In Payments To Doctors

July 2, 2015 Information is now available online for 11.4 million financial transactions paid by drug and medical device suppliers to 600,000 physicians and 1,100 teaching hospitals. The payments total $6.49 billion. The Read More

After ‘King’ Ruling, States Look at Medicaid Expansion

June 29, 2015 Now that the Supreme Court has ruled in favor of the administration’s position in the ‘King v. Burwell’ case, supporting the legality of Affordable Care Act subsidies in all states, Read More

Rules on Cost Sharing Under ACA Clarified

June 18, 2015 The federal agencies that regulate the Act issued a set Frequently Asked Questions (FAQs) to clarify the limits on cost-sharing under the ACA. For plan years beginning in 2016, the Read More
IRS Issues ‘Summary Benefits and Coverage’ Regulations

IRS Issues ‘Summary Benefits and Coverage’ Regulations

June 17, 2015 The Internal Revenue Service issued revised regulations regarding the Summary of Benefits and Coverage (SBC) that must be provided to those covered by health insurance plans. The SBC is intended Read More

Americans Say Prescription Drug Costs Unreasonable

June 15, 2015 Nearly three-quarters of the public (73%) think prescription drugs costs are unreasonable, and place the blame on pharmaceutical companies rather than health insurance companies, aKaiser Foundation poll found. Asked for Read More

Article: Offers of Coverage “On Behalf of Another Entity”

May 10, 2015 Offers of “ Behalf Another Entity” Because the Act for failing to to employees, most with over 50 – workers feel obliged to the . An ” ” may be Read More
Article:  Reporting 2015 Coverage of “MV-lite” Plans

Article: Reporting 2015 Coverage of “MV-lite” Plans

May 9, 2015 Some employers have used “MV-lite” plans that offer very limited hospital and doctor benefits, yet technically satisfy the “minimum value” calculations of the government’s online calculator. These plans have been Read More

Regulator Calls Rate Hikes ‘Unjustified’

April 28, 2015 California Insurance Commissioner Dave Jones said Anthem Blue Cross failed to justify premium increases averaging 8.7% on individual health insurance policies grandfathered under Affordable Care Act rules. According to the Read More

New Privacy Rules For Employer Wellness Programs

April 16, 2015 who include wellness programs as their will get guidance the privacy rights participating employees in new rules proposed by the US Equal Employment Opportunities Commission (EEOC). The proposed rules, published Read More

Help For Taxpayers With Incorrect 1095-A Forms

April 1, 2015 The Treasury Department has expanded for taxpayers who received incorrect 1095-A from the government after purchasing Affordable Care Act health insurance through a state online marketplace. The agency gave these Read More

IRS Warns of ACA Tax Scam

March 16, 2015 Some unscrupulous preparers are telling clients who owe payments to give the money to them rather than sending the payment with their , the said in a consumer advisory. Many Read More

IRS Guide for Health Insurance Company Filings

March 6, 2015 The Internal Revenue has issued a one-page guide for companies that must submit “ provider fee” reports during 2015. For any questions or a consultation on the ACA or IRS Read More

Help for Farmers and Fishermen on Credit Errors

March 2, 2015 The IRS is giving extra to farmers and fishermen who missed this year’s March 2 deadline because they were sent incorrect premium tax credit 1095-A from the federal health insurance Read More

Early Filers Can Keep Subsidy Overpayments

February 27, 2015 The approximately 50,000 Americans who have filed tax returns using incorrect government-supplied data for their Affordable Care Act premium tax credit do not have to file amended returns, the Treasury Read More