New PTC Data is Cause For Concern For Employers

New PTC Data is Cause For Concern For Employers

May 18, 2022 Employers should review their ACA compliance processes carefully in light of new data issued by the Kaiser Family Foundation (KFF). Below we’ve identified why. Key PTC findings Health exchange enrollees Read More
IRS Proposed Ruling Could Change ACA Affordability

IRS Proposed Ruling Could Change ACA Affordability

May 11, 2022 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 Read More
ACA Enrollment Reaches 35 Million Signups

ACA Enrollment Reaches 35 Million Signups

May 5, 2022 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, Read More
ACA Penalty Letter 226J on The Rise

ACA Penalty Letter 226J on The Rise

April 27, 2022 The last several years have been difficult for the IRS, but now that the historic backlog has an end date, the agency is making significant progress on a long list Read More
Submit ACA Corrections Now to Avoid IRS Penalties

Submit ACA Corrections Now to Avoid IRS Penalties

April 20, 2022 The deadline to electronically file ACA forms 1094-C and 1095-C for the 2021 tax year was March 31. Did you make the deadline? If you did, were all your submissions Read More
5 Common ACA Compliance Mistakes Restaurants Make

5 Common ACA Compliance Mistakes Restaurants Make

April 6, 2022 Over 10 years after the ACA was first signed into law, the reporting requirements under the ACA’s Employer Mandate have proven challenging and time-consuming for most. But quick-service restaurants have 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, 2022 Today, March 31, 2021, 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. Read More
Safe Harbors Prove ACA Affordability and Prevent Penalties (UPDATE)

Safe Harbors Prove ACA Affordability and Prevent Penalties (UPDATE)

March 24, 2022 How do employers prove to the IRS that the healthcare plans they are offering to their workforce are affordable under the ACA? It’s an important question for Applicable Large Employers Read More
IRS Limited Non-Assessment Periods Help Avoid ACA Penalties

IRS Limited Non-Assessment Periods Help Avoid ACA Penalties

March 9, 2022 The responsibilities under the ACA’s Employer Mandate may seem straightforward, but, in reality, complying with them can be challenging and time-consuming. An area that many Applicable Large Employers (ALEs) struggle Read More
Deadline to Furnish ACA Form 1095-C is Today

Deadline to Furnish ACA Form 1095-C is Today

March 2, 2022 The deadline for distributing the ACAS 1095-C forms to full-time employees is today, March 2. Did you make it? This deadline applies to Applicable Large Employers (ALEs), or employers with Read More
IRS Suspends Mailing of Automatic Notices

IRS Suspends Mailing of Automatic Notices

February 16, 2022 The IRS recently announced it is suspending certain mailings of automated collections and various other notices in an effort to get through its current backlog. As such, the agency will Read More
California Individual Mandate ACA Furnishing Deadline is January 31

California Individual Mandate ACA Furnishing Deadline is January 31

January 26, 2022 With the New Year well underway, organizations with operations in California should give special attention to the state’s Individual Mandate and the additional ACA reporting requirements. Employers that offer self-funded Read More
AIRs Portal Downtime Could Prove Problematic for Employers

AIRs Portal Downtime Could Prove Problematic for Employers

January 13, 2022 On 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 Read More
ACA Signups for Open Enrollment Hit Record Highs

ACA Signups for Open Enrollment Hit Record Highs

January 11, 2022 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 Read More
2022 Open Enrollment Sees Lower ACA Premiums

2022 Open Enrollment Sees Lower ACA Premiums

December 13, 2021 Open enrollment period for the 2022 coverage year is well underway, and ACA premiums are continuing to drop. The federal period for obtaining health coverage kicked off on November 1 Read More
2022 ACA Deadlines To Avoid IRS Penalties

2022 ACA Deadlines To Avoid IRS Penalties

December 9, 2021 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 Read More
Letter 226J Notices For The 2019 Tax Year Have Arrived

Letter 226J Notices For The 2019 Tax Year Have Arrived

December 7, 2021 The IRS is now issuing Letter 226J penalty notices to employers identified as having failed to comply with the ACA’s Employer Mandate for the 2019 tax year. Just in time Read More
ACA Filing Takeaways for The New Year

ACA Filing Takeaways for The New Year

December 2, 2021 The end of the year is officially here and with it, a whirlwind of ACA responsibilities to tend to for the upcoming filing season. To assist you with your ACA Read More
IRS Proposes Automatic Extension for Furnishing 1095-C Forms

IRS Proposes Automatic Extension for Furnishing 1095-C Forms

November 30, 2021 In a rather surprising turn of events, the IRS released proposed regulations that add an automatic extension to the furnishing deadline of the ACA’s 1095-C and 1095-B forms. Under the Read More
How Build Back Back Better Would Reshape U.S. Healthcare

How Build Back Back Better Would Reshape U.S. Healthcare

November 18, 2021 With 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 Read More
Have a Handle on ACA Compliance? Let ACA Vitals Decide

Have a Handle on ACA Compliance? Let ACA Vitals Decide

November 11, 2021 ACA 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 Read More
IRS Proposed Rule Could Eliminate ACA Paper Filing

IRS Proposed Rule Could Eliminate ACA Paper Filing

November 9, 2021 Every year employers must file their ACA information via forms 1094-C and 1095-C to the IRS and any state government. For the last seven years, there have been two methods Read More
2021 ACA Reporting Unlikely to See Deadline Extensions

2021 ACA Reporting Unlikely to See Deadline Extensions

October 28, 2021 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, Read More
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 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 Read More
3 Resources To Assist Employers With 2021 ACA Reporting

3 Resources To Assist Employers With 2021 ACA Reporting

October 7, 2021 The end of the 2021 tax year and the subsequent tax season are approaching rapidly. What precautions is your organization taking to ensure a smooth ACA reporting experience this year? 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 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 for any reporting Read More
What you Need to Know About IRS Letter 5699

What you Need to Know About IRS Letter 5699

June 4, 2021 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 the notice could 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
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
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