With open enrollment for the 2024 calendar year approaching quickly, organizations should turn their attention to ACA compliance efforts to ensure their processes and procedures for administering health plans are …
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Summer is upon us and with it come a number of opportunities, and risks, for employers. One critical area of risk is ACA compliance. The summer months mark a critical …
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ACA Compliance
Receive an ACA Penalty from the IRS?
Here’s What to Doby Robert Sheenby Robert SheenIt’s no secret that IRS enforcement is ramping up. With an additional $80 billion in funding and 87,000 new agents, employers should accept the fact that ACA penalties could be …
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ACA Subsidies
As ACA Subsidies Wane, Worries Emerge to Ensure ACA Compliance
by Robert Sheenby Robert Sheen“Be careful what you wish for…” That old saying has long been used as a caution against asking for something that, once you’ve achieved it, just might come back to …
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Employers, take note: 2023 brings heftier IRS penalties for failure to comply with the ACA’s Employer Mandate. Under the ACA’s Employer Mandate, ALEs, or employers with 50 or more full-time and …
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Just when you thought the ACA was finally out of the line of fire, another lawsuit questioning its constitutionality makes its way to the forefront. This time it’s an attack …
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The words “summer” and “vacation” often go together. Applicable Large Employers (ALEs) should note that even though their ACA filing responsibilities have likely been satisfied due to the deadlines in …
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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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Affordable Care Act
ACA Common Sense Reporting Act Likely to Increase Complexity
by Robert Sheenby Robert SheenA 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 …
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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 …
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Affordable Care ActHealth Care Coverage
ACA to Aid Millions in Obtaining Healthcare, KFF Report Finds
by Robert Sheenby Robert Sheen2 minute read: The data is in: at least 27 million Americans have lost employer-sponsored health coverage as a result of COVID-19. The Kaiser Family Foundation issued a report in …
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2 minute read: House of Representative Democrats have unveiled a bill that would enhance many of the ACA’s components while reversing much of the Trump administration’s onslaught to the healthcare …
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ACA ComplianceACA ReportingAffordable Care Act
Workforce Changes Now Will Affect ACA Reporting Later
by Robert Sheenby Robert Sheen3 minute read: Several weeks into quarantine and social distancing, many are wondering when the country will reopen. As of April 20, 42 states had placed shelter in place orders. …
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ACA ComplianceAffordable Care Act
Supreme Court Rules in Favor of ACA Risk Corridors
by Robert Sheenby Robert Sheen2 minute read: The Affordable Care Act chalked up a win in late April when the Supreme Court ordered the federal government to pay insurance companies funding it’s been entitled …
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Affordable Care Act
California Health Exchange Welcomes New Enrollees Thanks to Individual Mandate
by Robert Sheenby Robert Sheen2 minute read: As California finalizes its initial open enrollment results, the data shows the state’s Individual Mandate played a part in the higher turnout. According to Covered California, the …
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2 minute read: The 2020 open enrollment results for individuals enrolling through the Healthcare.gov platform are in, and the results indicate a strong and stabilizing health care system. A report …
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Affordable Care ActHealth Care Coverage
Temporary Shutdowns of Healthcare.gov Termed ACA Sabotage
by Robert Sheenby Robert SheenIt’s become a bit of a sport. Websites and media outlets are tracking ways that the Trump administration has been working to undermine the Affordable Care Act. Organizations such as …
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Affordable Care ActHealth Care Coverage
U.S. Senate Health Committee Works to Reach Consensus With Healthcare Hearings Over
by Robert Sheenby Robert SheenCan they reach a bipartisan consensus on fixing healthcare? That’s the question now that the U.S. Senate Committee on Health, Education, Labor and Pensions has completed its hearings on stabilizing …
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Affordable Care Act
State Insurance Commissioners Ask Senators to Continue Subsidy Payments to Insurers
by Robert Sheenby Robert SheenIt was a positive start to what the U.S. Senate Committee on Health, Education, Labor and Pensions hopes will be the start of a successful bipartisan effort to draft legislation …
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American Health Care Act (AHCA)Health Care Coverage
Paralyzed Veterans of America Reject the AHCA
by Robert Sheenby Robert SheenDonald Trump’s entire “Make America Great Again” campaign slogan was footnoted with a promise to help both the working class and United States Veterans. However, a specific group of veterans …
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Affordable Care Act
That Spike In Premium Rates Probably Won’t Affect Your Marketplace Plan
by Robert Sheenby Robert SheenFear of premium hikes comes with good reason. As those looking to renew their health plans from the Federal Healthcare Insurance Marketplace Exchange (Federal Exchange) under the Affordable Care Act …
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Health Care CoverageHealth Insurance Marketplace
Hey Cigna, Welcome To Chicago!
by Robert Sheenby Robert Sheen2016 has been a confusing one for many Americans who question the security of their health insurance providers. As major companies like UnitedHealthcare are swiftly withdrawing from certain exchanges nationwide …
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Health Care CoverageHealth Insurance Marketplace
Five Facts about Deductibles
by Robert Sheenby Robert SheenConsumers who shop for coverage at HealthCare. gov have a variety of plans from which to choose, allowing them to find a plan that meets their health needs and budget. …
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Affordable Care ActHealth Care Coverage
Health Program Launched for Low-Income New Yorkers
by Robert Sheenby Robert SheenNew York State has introduced a new affordable health insurance plan designed for low-income residents who make too much money to qualify for Medicaid, but not enough to afford private …
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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 …
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Affordable Care ActHealth Care CoverageMedicaid
Alaska’s Governor Acts to Expand Medicaid
by Robert Sheenby Robert SheenAlaska’s Gov. Bill Walker moved to expand Medicaid, saying he will ask the administration to offer Medicaid coverage to all qualifying residents of the state. Noting that Alaska’s legislature had …
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Regulations
California Requires Insurers To Have Sufficient Providers
by Robert Sheenby Robert SheenCalifornia’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 …