The annual Patient-Centered Outcomes Research Institute (PCORI) fees are due July 31, 2022, this year. Employers and insurers offering self-funded health insurance plans should submit the fees ahead of the …
ACA 101 Toolkit
-
-
The ACA’s requirements are constantly evolving and with new deadlines, increasing penalty amounts, and changing affordability thresholds the stakes are high. That’s why we created the ACA 101 Toolkit. To …
-
Last month the IRS published a proposed regulation that would amend the existing rule regarding employer-sponsored Minimum Essential Coverage (MEC) for family members of an employee. The proposed rule would …
-
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 …
-
With the 2021 ACA reporting season coming to an end later this month, employers should turn their attention to ACA compliance for the 2022 tax year. A key component of …
-
Affordable Care Act
ACA Open Enrollment Reaches Record-Breaking 14.5 Million
by Robert Sheenby Robert SheenOver 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 …
-
Earlier this month the IRS issued a notice indicating that the fees associated with Patient-Centered Outcomes Research Institute (PCORI) are increasing this year. For plans that end on or after …
-
Open enrollment for the 2022 plan year ends later this week but ACA signups are already hitting record new highs. Kaiser Health News cites a record-breaking 13.6 million Americans already …
-
It’s 2022 and time to begin preparing the annual 1095-C filings with the IRS and select state governments. Are you ready? If you need a refresher on the different 1095-C …
-
On December 9, 2021, the IRS published the final ACA reporting instructions for the 2021 tax year, including the final 1094-C and 1095-C forms. As expected, the forms and instructions …
-
ACA ComplianceACA Reform
How Build Back Back Better Would Reshape U.S. Healthcare
by Robert Sheenby Robert SheenWith the Infrastructure Bill now officially signed into law, Congress will now shift its focus onto the $1.75 trillion Build Back Better proposal. In its current version, the plan could …
-
ACA ComplianceACA Reporting
Have a Handle on ACA Compliance? Let ACA Vitals Decide
by Chris Areyby Chris AreyACA reporting is heading into its seventh year, yet, many organizations still face significant obstacles to meeting the requirements of the ACA’s Employer Mandate. Under the ACA’s Employer Mandate, employers …
-
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 …
-
Three states have successfully transitioned away from the federal healthcare.gov ACA exchange to operate on their own-state run marketplace. On October 4, Maine, New Mexico, and Kentucky completed the transition …
-
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 …
-
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 …
-
ACA ComplianceACA Reporting
Introducing The Employer’s Guide to Coding ACA Form 1095-C
by Chris Areyby Chris AreyThe fourth quarter is here and the inevitable tax filing season is right around the corner. Employers should give special attention to their ACA reporting obligations this year as there …
-
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 …
-
Affordable Care Act
House Democrats Share More ACA Advancements in $3.5 Trillion Plan
by Robert Sheenby Robert SheenDemocrats 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 …
-
ACA Compliance
ACA Navigators to Receive Additional Funding For 2022
by Robert Sheenby Robert SheenThe Biden administration is making sure that the upcoming open enrollment period is a successful one. Most recently the administration announced that it will be increasing funding for ACA navigators. …
-
August 15 was the deadline for Biden’s federal special enrollment period. Preliminary data finds over 2.5 million Americans opted to receive healthcare coverage. Of the 2.5 million, 1.8 million enrolled …
-
Several health carriers are experiencing growth because of the recent Affordable Care Act advancements. Most notably is CVS Health Corp. and its affiliated health insurance business, Aetna. Last week the …
-
Affordable Care Act
Special Enrollment Period Doubles Enrollees, Final Month Approaches
by Robert Sheenby Robert SheenIn 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, …
-
ACA ComplianceAffordable Care Act
Five ACA Resources to Help with Compliance in 2020
by Robert Sheenby Robert Sheen1 minute read: As many of you start to focus on what 2020 has in store for your organization, we’re sure ACA compliance is on your list. As employers start …
-
3 minute read: In 2020, the affordability threshold will decrease. What that means is that employers will need to contribute more to their employee’s health coverage in order to fall …
-
Affordable Care Act
Penalties for the 2019 Tax Year Are Higher Than Ever
by Robert Sheenby Robert Sheen3 minute read: The IRS has not let up with issuing ACA penalties to employers identified as having failed to comply with the law’s Employer Mandate. As in past tax …
-
Affordable Care ActIRS 226J/226-J
It’s Crunch Time! IRS Deadlines for ACA Informational Filings Start Today
by Robert Sheenby Robert SheenIt can sneak up on employers quickly. Today is the IRS deadline for employers to provide paper filings of forms 1094-C and 1095-C as part of the required ACA information …
-
Affordable Care ActIRS 226J/226-J
Online ACA Resource Center Offers Free Information to Aid 2017 IRS Filings
by Robert Sheenby Robert SheenThrough The ACA Times, we regularly provide information that we hope has helped make it easier for organizations to deal with the complexities of the Affordable Care Act (ACA). We …