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Regulations
Balance Billing Undermines Insurance Coverage
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
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?
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
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
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 MoreIRS: File Early for Premium Tax Credit
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 MoreIRS on Employer Shared Responsibility Provisions
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 MoreCompanies Struggle With ACA Reporting
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 MoreCalifornia Health Insurance Rates To Rise By 4%
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
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
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 MoreIRS Audits Its Own Service to Taxpayers
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 MoreNew Rules on Religious Objections to Birth Control
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 MoreImpact of ‘King’ on Applicable Large Employers
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 MoreTime’s Up on Premium Reimbursement
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 MoreCollege’s Objection to Contraception Coverage Is Denied
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 MoreData Posted on $6.5 Billion In Payments To Doctors
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 MoreAfter ‘King’ Ruling, States Look at Medicaid Expansion
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 MoreRules on Cost Sharing Under ACA Clarified
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
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 MoreAmericans Say Prescription Drug Costs Unreasonable
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 MoreArticle: Offers of Coverage “On Behalf of Another Entity”
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
