The IRS penalty amounts for non-compliance of the ACA’s Employer Mandate are again increasing in 2022. Below is a rundown of the new penalty amounts and how the IRS will …
ACA Employer Mandate
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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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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 …
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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 …
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ACA Deadline
State ACA Reporting and Furnishing Deadlines for Employers
by Robert Sheenby Robert SheenEmployers ringing in the New Year should remember that several states’ have additional ACA filing and furnishing obligations that must be completed for the 2021tax year. To help you get …
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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 …
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Affordable Care Act
Remember, No Good Faith Transition Relief This Year
by Robert Sheenby Robert SheenWith the New Year just a few short weeks out, employers should remember that 2020 was the final year for Good Faith Transition Relief. That means filing late or inaccurate …
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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 …
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Affordable Care Act
Letter 226J Notices For The 2019 Tax Year Have Arrived
by Robert Sheenby Robert SheenThe 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 …
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ACA Deadline
IRS Proposes Automatic Extension for Furnishing 1095-C Forms
by Robert Sheenby Robert SheenIn 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 …
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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 …
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With the end of the year approaching quickly, ACA compliance and the subsequent ACA reporting are ramping up. Employers preparing for IRS and state filing requirements should consider the importance …
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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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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 …
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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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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 …
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The ACA is receiving some of the highest approval ratings since it was first signed into law in 2010. According to a June poll from the Kaiser Family Foundation (KFF), …
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ACA Compliance
3 Resources To Assist Employers With 2021 ACA Reporting
by Robert Sheenby Robert SheenThe 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? …
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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 …
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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 …
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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 …
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Affordable Care Act
ACA Reporting to Grow in Complexity Due to State Individual Mandates
by Robert Sheenby Robert SheenACA 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 …
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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 …
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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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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 …
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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 …
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ACA ComplianceCOBRA
IRS Releases Further Guidance on COBRA Continuation Coverage
by Robert Sheenby Robert SheenThe 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 …
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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 …
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ACA Compliance
CMS Proposed Rule to Provide Greater Access to ACA Coverage
by Chris Areyby Chris AreyThe Biden administration is yet again making strides to bolster the Affordable Care Act. This time, it’s through a proposed rule that aims to strengthen the ACA’s federal and state …
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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 …
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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, …
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Affordable Care Act
IRS Issues Draft ACA Reporting Instructions for 2021
by Robert Sheenby Robert SheenThe IRS recently released its draft 1094-C and 1095-C instructions for the 2021 tax year. We’ve identified the changes below. It appears that Form 1094-C will remain the same, but …
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ACA Compliance
ACA Survives Supreme Court, Focus Shifts to More Advancements
by Robert Sheenby Robert SheenEarlier 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 …
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ACA ReportingAffordable Care Act
Understanding ACA Forms 1094-C/1095-C
by Robert Sheenby Robert SheenEmployers 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 …
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4 min read It is a sign of good government that agencies tasked with enforcing complex statutes increase efficiency over time. When the Patient Protection and Affordable Care Act (ACA) …
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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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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 …
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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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Affordable Care Act
ACA Employer Penalties Are Real and The IRS Will Be Issuing More
by Robert Sheenby Robert Sheen3 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 …
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ACA ComplianceAffordable Care ActIRS
Your ACA State Filing Questions Answered
by Robert Sheenby Robert Sheen3 minute read: We recently hosted a webinar on the growing number of states requiring ACA reporting in addition to federal filing with the IRS. With the 2020 tax year …
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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 …
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ACA ComplianceAffordable Care ActIRS
American Rescue Plan Introduces New Changes to COBRA
by Robert Sheenby Robert Sheen3 minute read: Biden’s American Rescue Plan (ARP) has reshaped the way Americans receive and qualify for healthcare coverage, including COBRA. Before diving into the specifics of how the ARP …
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ACA ComplianceAffordable Care ActIRS
Biden Seeks to Make PTC Eligibility Expansion Permanent
by Robert Sheenby Robert Sheen3 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 …
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ACA ComplianceAffordable Care ActIRS
IRS Suspends Excess Repayment of APTCs for 2020 Tax Year
by Robert Sheenby Robert Sheen3 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 …
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Affordable Care Act
IRS Experiences Paper Mail Backlog, Employers Should E-file ACA Returns
by Robert Sheenby Robert Sheen3 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 …
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ACA ComplianceAffordable Care Act
IRS Enforcement of the ACA is Increasing
by Robert Sheenby Robert Sheen3 minute read: IRS enforcement of the ACA is going to increase throughout the remainder of the year and well into 2022, as President Biden’s FY 2022 discretionary request alludes …
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ACA ComplianceAffordable Care Act
What Happens if You Fail to Pay an ACA Penalty?
by Robert Sheenby Robert SheenHave you ever wondered what would happen if your organization didn’t pay an ACA penalty issued by the IRS? In this post, Trusaic explains what you need to know about …
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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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Affordable Care Act
Recapping on Biden’s ACA Reforms, What Employers Need to Know
by Robert Sheenby Robert Sheen3 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 …
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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 …