With the New Year well underway, organizations with operations in California should give special attention to the state’s Individual Mandate and its additional ACA reporting requirements. Employers offering self-funded healthcare …
ACA Complete
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ACA Compliance
What Employers Need to Know About the California Individual Mandate
by Robert Sheenby Robert SheenEmployers with operations in California should be familiar with the state’s Individual Mandate and the additional ACA reporting requirements, as they have been in effect since 2020. Still, organizations are …
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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 …
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The IRS is experiencing a massive mail backlog of unprocessed documents first caused by COVID-19. Included in that backlog of notices are ACA penalty assessments. To help the situation, the …
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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 …
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ACA Compliance
AIRs Portal Downtime Could Prove Problematic for Employers
by Robert Sheenby Robert SheenOn December 5, the IRS closed production of the Affordable Care Act’s Information Returns (AIRs) portal to prepare for 2021 reporting year electronic filing submissions. The agency says that the …
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Employers preparing for a smooth 2021 filing season should keep in mind the important ACA deadlines to avoid IRS penalties. Every year, Applicable Large Employers (ALES) must file and furnish …
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On October 2, 2020, the IRS issued Notice 2020-76, extending the deadline for employers to furnish ACA Forms 1095-C to applicable full-time employees from January 31, 2021, to March 2, …
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ACA Compliance
Employers Must Now Do More To Contest ACA Penalties From the IRS
by Robert Sheenby Robert SheenIt’s no surprise that the IRSis increasing its enforcement efforts of the ACA’s Employer Mandate, but the amended Letter 226J language indicates that the agency is taking it to the …
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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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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. …
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ACA ComplianceACA DeadlineACA Reporting
ACA State Reporting Deadline for California is May 31
by Robert Sheenby Robert SheenMay 31 is the deadline for self-insured employers and health insurance carriers to submit applicable ACA information to the California Franchise Tax Board (FTB) for the 2020 tax year. The …
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ACA ComplianceAffordable Care Act
ACA Affordability for the 2021 Tax Year
by Robert Sheenby Robert Sheen2 minute read: For the 2021 tax year, the ACA affordability threshold will increase to 9.83%. That means employees will likely have to contribute more towards their employer-sponsored healthcare. IRS …
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3 minute read: In December 2020, the Departments of Labor, Health and Human Services, and Treasury (including the IRS) issued a final rule regarding ACA grandfathered health plans. Grandfathered health …
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Affordable Care Act
March 31 is the Deadline for E-Filing ACA Returns With the IRS
by Robert Sheenby Robert SheenToday, March 31, 2022, is the e-filing deadline for submitting ACA Forms 1094-C and 1095-C to the IRS for the 2022 tax year, as required by the ACA’s Employer Mandate. …
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Affordable Care Act
Democrats Gain Senate, Paving the Way for Biden’s ACA Agenda
by Robert Sheenby Robert Sheen3 minute read: The results from last week’s Senate runoff race in Georgia have given Democrats control of the Senate, paving the way for Joe Biden’s presidency and his agenda …
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Affordable Care Act
Minimize Penalties with ACA Best Practices for the Holiday Season
by Robert Sheenby Robert Sheen3 minute read: With the New Year around the corner, employers should begin preparing their ACA Forms 1094-C and 1095-C if they haven’t already begun to do so. Each year, …
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Affordable Care Act
The Annual ACA PCORI Fees are Increasing in 2021
by Robert Sheenby Robert Sheen2 minute read: The IRS has released the PCORI fee for plans that end on or after October 1, 2020 and before October 1, 2021. For plans that end on …
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3 minute read: On December 1, 2020, the IRS announced updates to the services it will be processing as a part of its mission-critical functions. Among the processes are ACA …
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Affordable Care Act
The Most Commonly Asked ACA Reporting Questions, Answered
by Robert Sheenby Robert Sheen3 minute read: With less than three weeks left to file for 2020, if not already completed, employers should be preparing their ACA filings with the IRS. With ACA reporting …
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2 minute read: The IRS has released the final versions of the ACA reporting Forms 1094-C and 1095-C, in addition to the reporting instructions for the 2020 tax year, to …
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Affordable Care Act
Biden’s ACA Enhancements Could Create Challenges For Employers
by Chris Areyby Chris Arey2 minute read: President-elect Joe Biden’s term will begin in a few short months and as he promised during his campaign, there will be a number of advancements made to …
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3 minute read: Earlier this year, the IRS issued the 2021 employer mandate penalties under IRC 4980H(a) and 4980H(b). It should come as no surprise that the penalty amounts have …
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2 minute read: We recently covered the ins and outs of the ACA’s Form 1095-C. Now, we will be covering the new codes that are anticipated for the 2020 tax …
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Affordable Care Act
Possible ACA Outcomes If Joe Biden Is Elected in November
by Chris Areyby Chris Arey2 minute read: With the 2020 presidential election a few short weeks out, it’s incredibly important that voters understand what Joe Biden versus Donald Trump will do to the ACA …
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2 minute read: “What exactly is Form 1095-C?” It’s a question that employers often ask when they’re first introduced to the responsibilities of the ACA’s Employer Mandate. In this post, …
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Affordable Care Act
What California Residents Need to Know About the Individual Mandate
by Robert Sheenby Robert Sheen2 minute read: This year will mark the first year that California residents will face a new reality of the Individual Mandate. While 2019 was a year of reprieve from …
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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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3 minute read: In yet another triumphant win for the Affordable Care Act, the state of Missouri approved and passed the expansion of Medicaid. The expansion comes after nearly 53% …
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Affordable Care Act
Gig-Economy Worker Benefits Will Affect ACA Compliance
by Robert Sheenby Robert Sheen3 minute read: It’s no mystery that both companies and consumers benefit from the gig-economy, but what about the workers? Sure, it provides a means to an end, but workers …
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Affordable Care Act
Proposed IRS Regs Will Not Affect How Individuals Receive PTCs
by Robert Sheenby Robert Sheen2 minute read: The IRS recently issued proposed regulations on how the personal tax exemption reduction to “0” will affect qualifications for recipients of Premium Tax Credits (PTCs). Regulation 124810-19, …
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Affordable Care ActHealth Care Coverage
ACA’s Expansion of Medicaid Key Player for Providing Health Coverage Amid COVID-19
by Robert Sheenby Robert Sheen2 minute read: By now it’s become abundantly clear how important it is for individuals to have health coverage. COVID-19 or not, healthcare is saving lives and the ACA has …
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Affordable Care Act
Employers May See More ACA Penalties As a Result of COVID-19
by Robert Sheenby Robert Sheen2 minute read: A new data analysis report from the Kaiser Family Foundation (KFF) finds the vast majority of Americans who lost their job amid COVID-19will be eligible for government …
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Affordable Care Act
Potential ACA Relief for Employers Facing COVID-19 Hardship
by Robert Sheenby Robert Sheen2 minute read: As the COVID-19 global health pandemic continues to affect businesses large and small, employers must still comply with the requirements of the ACA’s Employer Mandate. As a …
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2 minute read: While Trump Administration shot down the idea of a special ACA enrollment period to help individuals who have lost their coverage due to the COVID-19 Pandemic, states …
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Affordable Care ActHealth Care Coverage
Federal Special Enrollment Period on the Horizon
by Robert Sheenby Robert Sheen2 minute read: The Trump Administration is doing the unexpected and considering a special ACA enrollment period in light of the COVID-19 Pandemic. The special enrollment period will provide uninsured …
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2 minutes read: Due to the enormous challenges the coronavirus crisis is imposing on our healthcare system, the state of California has extended its Special Enrollment period. Effective immediately, the …
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ACA ComplianceAffordable Care Act
The Trucking Industry Faces Challenges with AB5
by Robert Sheenby Robert Sheen3 minute read: California’s AB5 has changed the landscape on how independent contractors and employers work together. The trucking industry in particular faces unique challenges in adjusting to the new …
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2 minute read: As part of the Further Consolidated Appropriations Act of 2020 signed by the Trump Administration, PCORI fees were extended through September 30, 2029. Employers should keep a …
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ACA ComplianceAffordable Care Act
Why Monthly ACA Compliance is Critical for Avoiding IRS Penalties
by Robert Sheenby Robert Sheen2 minute read: With the IRS expected to continue to ramp up enforcement of the ACA’s Employer Mandate this year, employers should recognize the importance of a monthly ACA compliance …
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ACA ComplianceAffordable Care Act
When Choosing an ACA Vendor, Make Sure They’re SOC II Compliant
by Robert Sheenby Robert Sheen2 minute read: Who do you trust with your data? The large-scale data breaches of the 2010s saw companies ask the question of whether their network security was sufficient to …