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

IRS Releases Temporary Proposed Rules for Insurers

February 23, 2015  The Internal Revenue released temporary and proposed regulations aimed at clarifying which entities are excluded from being “covered entities” under Section 10 the Act. Covered entities are subject to an Read More

IRS Publishes Final Forms for ACA Reporting

February 19, 2015 By Joanna Kim, Executive Editor The Internal Revenue Service has published final versions of the forms and instructions that employers and insurers must use to meet their Affordable Care Act Read More

IRS Offers Transition Relief for ACA Tax Penalties

February 18, 2015 The Internal Revenue Service issued a notice that small businesses may be eligible during a transition period for relief from potential tax penalties related to the Affordable Care Act. The Read More

New ACA Program Rewards Value of Care, not Volume

February 13, 2015 Doctors treating cancer patients will be paid based on the value of the care they deliver rather than the volume of services they provide, under a new Affordable Care Act Read More

4.5 Million Millennials Have Gained Health Coverage

February 2, 2015 About 4.5 million more young adults are covered by health insurance now than in 2009 because the Affordable Care Act, according to a White House report. In 2009 nearly a Read More

Consumer Protections Tightened on Healthcare.gov

January 26, 2015 Following disclosures that private consumer information on Healthcare.gov was being shared with more than 30 private companies, the Obama administration curtailed outside access to the Affordable Care Act data. Privacy Read More

HealthCare.gov Privacy Questioned

January 22, 2015 The HealthCare.gov health insurance website shares some personal data about consumers with companies that sell advertising and data analytics services, the Associated Press reported. Administration officials said the companies are Read More

HHS Week 9 Snapshot: 400,000 Enroll

January 21, 2015 Just over 400,000 consumers selected Affordable Care Act plans on the federal health insurance exchange during the eighth week of open enrollment, the Department of Health and Human Services (HHS) Read More

New Help For Taxpayers With ACA Questions

January 15, 2015 The IRS and the Department of Health and Human Services (HHS) are providing new resources to give answers to tax filers and tax preparers on questions they may have about Read More

California Requires Insurers To Have Sufficient Providers

January 6, 2015 California’s Insurance Commissioner Dave Jones issued an emergency regulation to establish stronger requirements for health insurers to maintain sufficient medical provider networks to provide timely access to medical care. CommissionerJones Read More

Changes Proposed to Summary of Benefits

December 29, 2014 Federal regulators have issued regulations that propose changes to the Summary of Benefits and Coverage (SBC) that would be effective for plans beginning on or after September 1, 2015. The Read More

IRS Eases Rules on Hardship Exemptions

November 22, 2014 The IRS announced yesterday (Nov. 21, 2014) that it has made it easier for those subject to the Act to qualify for an exemption from the rule requiring that an Read More

Administration Predicts Lower ACA Enrollment

November 11, 2014 Obama administration officials say the number of Americans who will gain health coverage during 2015 through Affordable Care Act marketplaces will be about 30% lower than earlier estimates. Health and Read More

Feds Close “Skinny” Health Plan Loophole

November 6, 2014 Employer’s won’t be able to use so-called “skinny” health plans to meet coverage requirements of the Affordable Care Act, according to a notice issued Nov. 4 by the Internal Revenue Read More