Data Quality Management Is Key to ACA Compliance

Data Quality Management Is Key to ACA Compliance

October 22, 2021   Many of the challenges posed by the Affordable Care Act’s Employer Mandate are inherently data problems. Data quality management is not just an issue for larger employers with multiple Read More
ACA Penalty Amounts for 2022 Tax Year Surface

ACA Penalty Amounts for 2022 Tax Year Surface

October 19, 2021 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 Read More
Employers Must Now Do More To Contest ACA Penalties From the IRS

Employers Must Now Do More To Contest ACA Penalties From the IRS

October 12, 2021 It’s no surprise that the IRS is increasing its enforcement efforts of the ACA’s Employer Mandate, but the amended Letter 226J language indicates that the agency is taking it to Read More
3 Resources To Assist Employers With 2021 ACA Reporting

3 Resources To Assist Employers With 2021 ACA Reporting

October 7, 2021 It’s officially the final quarter of the 2021 tax year and that means tax season is right around the corner. What precautions is your organization taking to ensure a smooth Read More
ACA Affordability For 2022 Tax Year to Decrease

ACA Affordability For 2022 Tax Year to Decrease

October 5, 2021 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 Read More
ACA Reporting to Grow in Complexity Due to State Individual Mandates

ACA Reporting to Grow in Complexity Due to State Individual Mandates

September 20, 2021 ACA reporting is complex and the process has only grown more challenging as states continue to enact additional state-level ACA reporting requirements as a function of their Individual Mandates. But Read More
ACA Common Sense Reporting Act Likely to Increase Complexity

ACA Common Sense Reporting Act Likely to Increase Complexity

September 14, 2021 A 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 Read More
HHS Lowers Cost-Sharing Reduction Limits for 2022

HHS Lowers Cost-Sharing Reduction Limits for 2022

September 7, 2021 The Department of Health and Human Services (HHS) recently made available an FAQ specifying the cost-sharing reduction limits (CSR) for the 2022 tax year. In the FAQ, the HHS makes Read More
ACA Measurement Methods Are Critical for Avoiding IRS Penalties

ACA Measurement Methods Are Critical for Avoiding IRS Penalties

August 20, 2021 If you or someone you know has been hit with IRS Letter 226J, you know that it is no laughing matter. The IRS is currently issuing these ACA penalty assessments Read More
IRS Releases Further Guidance on COBRA Continuation Coverage

IRS Releases Further Guidance on COBRA Continuation Coverage

August 17, 2021 The IRS recently issued a notice that further clarifies the usage of Consolidated Omnibus Budget Reconciliation Act (COBRA) coverage as amended via the American Rescue Plan (ARP). IRS Notice 2021-46 Read More
Health Carriers Are Benefiting From The ACA

Health Carriers Are Benefiting From The ACA

August 10, 2021 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 Read More
The New HRA Regulations Explained

The New HRA Regulations Explained

July 28, 2021 Earlier this year the IRS released final regulations regarding the relationship between Employer Shared Responsibility Provisions (ESRP) and individual coverage Health Reimbursement Arrangements (HRAs). And then they were withdrawn by Read More
The Look-Back Measurement Method Can Help Prevent ACA Penalties

The Look-Back Measurement Method Can Help Prevent ACA Penalties

July 23, 2021 Determining the accurate full-time employee count during a calendar year is important for Affordable Care Act compliance. Classifying employees incorrectly can lead to inaccurate information being submitted to the IRS Read More
The IRS’s Forms 1095 For the ACA Explained

The IRS’s Forms 1095 For the ACA Explained

July 9, 2021 A number of changes were introduced to the health insurance marketplace with the passage of the ACA in 2010. From different reporting forms and health insurance plan requirements to the Read More
ACA Survives Supreme Court, Focus Shifts to More Advancements

ACA Survives Supreme Court, Focus Shifts to More Advancements

June 29, 2021 Earlier this month the Supreme Court issued its decision to uphold the ACA, dismissing the challengers who asserted it was unconstitutional. So, what happens next? Now that the healthcare law Read More
Understanding ACA Forms 1094-C/1095-C

Understanding ACA Forms 1094-C/1095-C

June 25, 2021 Employers required to comply with the ACA’s Employer Mandate must report their full-time employee’s healthcare information to the IRS annually via forms 1094-C and 1095-C, but what exactly are these Read More
These Common Mistakes Can Result in ACA Penalties

These Common Mistakes Can Result in ACA Penalties

June 18, 2021 3 min read ACA compliance can be time-consuming and complex. There is a myriad of issues that can arise during the course of the year that can make employers’ annual Read More
IRS 4980H ACA Penalties Are Forever

IRS 4980H ACA Penalties Are Forever

June 8, 2021 3 min read The IRS announced that there is no statute of limitations for ACA penalties. What does that mean exactly? Simply put, it means that the ACA non-compliance penalties Read More
What you Need to Know About IRS Letter 5699

What you Need to Know About IRS Letter 5699

June 4, 2021 2 minute read With the IRS ramping up enforcement of the ACA, employers should keep their eyes peeled for the penalty warning notice, Letter 5699. Responding promptly and accurately to Read More
Get to Know the ACA’s Rule of Parity

Get to Know the ACA’s Rule of Parity

May 28, 2021 3 minute read Without the proper tools or subject matter expertise, tackling the responsibilities of the Affordable Care Act’s Employer Mandate on your own can be overwhelming.  This is especially Read More
IRS Limited Non-Assessment Periods Help Avoid ACA Penalties

IRS Limited Non-Assessment Periods Help Avoid ACA Penalties

May 21, 2021 4 minute read The Employer Shared Responsibility Provisions (ESRP) under the Affordable Care Act may seem straightforward, but, in reality, complying with them can be challenging and time-consuming. An area Read More
ACA Employer Penalties Are Real and The IRS Will Be Issuing More

ACA Employer Penalties Are Real and The IRS Will Be Issuing More

May 20, 2021 3 min read ACA reporting for the 2021 tax year may not be top of mind for employers right now, but that doesn’t mean you shouldn’t be aware of the Read More
ACA Rule From Trump Era is Struck Down

ACA Rule From Trump Era is Struck Down

May 13, 2021 3 minute read: A federal court recently invalidated significant parts of a Trump administration rule affecting the Affordable Care Act (ACA). What this decision means and how it could impact Read More
How to Handle ACA Filing Corrections With the IRS

How to Handle ACA Filing Corrections With the IRS

May 7, 2021 3 minute read: If you found yourself in a situation where you received receipt of your ACA information returns for 2020 with a status of “Accepted with Errors,” you’re not Read More
IRS Affordability Safe Harbors Help Avoid ACA Penalties

IRS Affordability Safe Harbors Help Avoid ACA Penalties

May 6, 2021 4 minute read: How exactly do employers prove to the IRS that the healthcare plans they are offering to their workforce are affordable under the Affordable Care Act? It’s an Read More
Biden Seeks to Make PTC Eligibility Expansion Permanent

Biden Seeks to Make PTC Eligibility Expansion Permanent

May 4, 2021 3 minute read: The Biden administration is once again finding ways to bolster the Affordable Care Act. This time the advancement comes in the form of ACA subsidies and the Read More
IRS Suspends Excess Repayment of APTCs for 2020 Tax Year

IRS Suspends Excess Repayment of APTCs for 2020 Tax Year

April 29, 2021 3 minute read: The latest ACA advancement to be introduced by the Biden administration comes via the American Rescue Plan and applies to the use of Advanced Payments of Premium Read More
IRS Experiences Paper Mail Backlog, Employers Should E-file ACA Returns

IRS Experiences Paper Mail Backlog, Employers Should E-file ACA Returns

April 27, 2021 3 minute read: The COVID-19 pandemic created hardships for everyone and everything, including the IRS. On numerous occasions, the agency announced a significant backlog in processing paper returns. As of Read More
ACA Affordability for the 2021 Tax Year

ACA Affordability for the 2021 Tax Year

April 9, 2021 2 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 Read More
Recapping on Biden’s ACA Reforms, What Employers Need to Know

Recapping on Biden’s ACA Reforms, What Employers Need to Know

April 8, 2021 3 minute read: Since Biden took office on January 20, 2021, several advancements to the Affordable Care Act followed, so we thought it best to recap on the ACA reforms Read More
Final Rule Allows for More Flexibility with Grandfathered Health Plans

Final Rule Allows for More Flexibility with Grandfathered Health Plans

April 6, 2021 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 Read More
March 31 is the Deadline for E-Filing ACA Returns With the IRS

March 31 is the Deadline for E-Filing ACA Returns With the IRS

March 31, 2021 2 minute read: March 31, 2021, is the deadline for e-filing ACA returns, Forms 1094-C and 1095-C, to the IRS for the 2020 tax year as required by the ACA’s Read More
FTB to Publish Employer California Reporting Non-Compliance Data

FTB to Publish Employer California Reporting Non-Compliance Data

March 30, 2021 3 minute read: Employers should be aware that data concerning non-compliance with California’s Individual Mandate will be publicly reported and published annually by the California Franchise Tax Board (FTB) on Read More
New Stimulus Plan Expands PTC Eligibility, Employer Penalties

New Stimulus Plan Expands PTC Eligibility, Employer Penalties

March 25, 2021 3 minute read: President Joe Biden recently signed into law the American Rescue Plan (ARP) and it includes provisions that make ACA healthcare coverage more accessible to Americans. The $1.9 Read More
What Biden’s New HHS Secretary Could Mean for the ACA

What Biden’s New HHS Secretary Could Mean for the ACA

March 22, 2021 3 minute read: President Joe Biden nominated California’s Attorney General Xavier Becerra, a known supporter of the ACA, as the new Health and Human Services (HHS) Secretary. On March 18, Read More
How The Raise the Wage Act Could Impact ACA Compliance

How The Raise the Wage Act Could Impact ACA Compliance

March 10, 2021 3 minute read: The Congressional Budget Office (CBO) issued a report last month that outlines the budgetary effects on American employment if the Raise the Wage Act of 2021 is Read More
The IRS is Issuing ACA Penalty Letter 226J for 2018

The IRS is Issuing ACA Penalty Letter 226J for 2018

March 4, 2021 3 minute read: The IRS has begun to issue Letter 226J penalty assessments to employers that failed to comply with the ACA’s Employer Mandate for the 2018 tax year. If Read More
What Employers Need to Know About the 2020 ACA 1095-C Codes

What Employers Need to Know About the 2020 ACA 1095-C Codes

February 25, 2021 3 minute read: ACA reporting for the 2020 tax year will be different from years past because of the new Individual Coverage Health Reimbursement Arrangement (HRA) codes. These new codes, Read More
Employers May Face Additional Challenges with 2020 ACA Reporting

Employers May Face Additional Challenges with 2020 ACA Reporting

February 23, 2021 3 minute read: With the 2020 ACA filing deadlines fast approaching, employers will be met with additional reporting challenges due in large part to the COVID-19 pandemic. From determining full-time Read More
Biden’s Affordable Care Act Advancements are Underway

Biden’s Affordable Care Act Advancements are Underway

February 17, 2021 3 minute read: Since the Biden Administration took office a few weeks ago, changes to help bolster the Affordable Care Act are already underway. President Joe Biden has already signed Read More
California Individual Mandate Penalties Will be Issued in 2021

California Individual Mandate Penalties Will be Issued in 2021

February 15, 2021 3 minute read: State residents of California who failed to obtain health coverage during the 2020 tax year could see a penalty notice from the state as a part of Read More
Most Frequently Asked ACA Questions for Employers and Individuals

Most Frequently Asked ACA Questions for Employers and Individuals

February 11, 2021 3 minute read: The Patient Protection and Affordable Care Act (ACA) is a comprehensive healthcare reform law enacted under President Barack Obama in 2010. The implementation of the ACA represented Read More
5 Resources Essential for ACA Compliance in 2021

5 Resources Essential for ACA Compliance in 2021

February 9, 2021 The 2021 tax year is already halfway over. With the Biden administration ramping up legislation around the ACA and the IRS increasing its enforcement efforts, employers need to be sure Read More
Taxpayers (Including Employers) Have the Right to Challenge the IRS

Taxpayers (Including Employers) Have the Right to Challenge the IRS

February 4, 2021 The IRS has a Taxpayer Bill of Rights, which includes a section stating every taxpayer’s “right to challenge the IRS’s position and be heard.” These fundamental rights apply to all Read More
Wage Fixing Indictment Has Implications for Employers

Wage Fixing Indictment Has Implications for Employers

February 2, 2021 3 minute read: A recent federal wage-fixing indictment against the former owner of a health care staffing company indicates that the Department of Justice’s Antitrust Division is taking a closer Read More
California Individual Mandate Final Regulations Have Been Updated

California Individual Mandate Final Regulations Have Been Updated

January 28, 2021 3 minute read: The California Franchise Tax Board (FTB) has released detailed information pertaining to the state’s Individual Mandate as the furnishing deadline for self-insured employers draws near. The details Read More
The IRS is Issuing ACA Penalty Letter 5005-A For The 2017 Tax Year

The IRS is Issuing ACA Penalty Letter 5005-A For The 2017 Tax Year

January 26, 2021 3 minute read: The IRS has begun issuing Letter 5005-A, Information Return Penalty Notice (Form 1094-C or 1095-C) (“Letter 5005-A”), for the 2017 tax year, demonstrating their efficiency at identifying Read More
Don’t Forget The New 1095-C Codes Specific to The 2020 Tax Year

Don’t Forget The New 1095-C Codes Specific to The 2020 Tax Year

January 22, 2021 2 minute read: Every year Applicable Large Employers (“ALEs”) must file Forms 1094-C and 1095-C with the IRS and furnish Forms 1095-C to employees considered full-time under the Affordable Care Read More
ACA Improvements to Expect from the Biden Administration

ACA Improvements to Expect from the Biden Administration

January 19, 2021 3 minute read: The inauguration welcoming president-elect Joe Biden to the White House is imminent and with the recent shift in majority control of the Senate, we can expect a Read More
PPP Loans Are Now Available, Both First Draw and Second Draw PPP Loans

PPP Loans Are Now Available, Both First Draw and Second Draw PPP Loans

January 14, 2021 2 minute read: Last Friday, the Small Business Administration (SBA) announced that the Paycheck Protection Program (PPP) will reopen this week with First Draw PPP loans to be available starting Read More