How Serious are Penalties under the ACA? Very.

How Serious are Penalties under the ACA? Very.

June 8, 2020 2 minute read: The Affordable Care Act (ACA) is the single most important piece of health care legislation in generations. One major reason for the ACA’s significant impact on the Read More
Why CMS’s 2021 Payment Notice May Lead to More PTC Allocations

Why CMS’s 2021 Payment Notice May Lead to More PTC Allocations

May 27, 2020 2 minute read: Earlier this month the Centers for Medicare and Medicaid Services (CMS) issued the Notice of Benefit and Payment Parameters for 2021 (2021 Payment Notice). The rule includes Read More
Supreme Court Rules in Favor of ACA Risk Corridors

Supreme Court Rules in Favor of ACA Risk Corridors

April 30, 2020 2 minute read: The Affordable Care Act chalked up a win in late April when the Supreme Court ordered the federal government to pay insurance companies funding it’s been entitled Read More
Understanding ACA Forms 1094-C and 1095-C

Understanding ACA Forms 1094-C and 1095-C

April 13, 2020 2 minute read: 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 Read More
ACA Penalties on The Rise in 2020

ACA Penalties on The Rise in 2020

April 8, 2020 2 minute read: The IRS has been busy issuing penalties to employers that failed to comply with the ACA’s Employer Mandate for the last several tax years. Employers should note Read More
Today is the Deadline for Electronically Filing your ACA Returns

Today is the Deadline for Electronically Filing your ACA Returns

March 31, 2020 2 minute read: Today, March 31 is the IRS deadline for employers to provide electronic filings of forms 1094-C and 1095-C to the IRS for the 2019 tax year as Read More
Supreme Court to Rule on ACA Constitutionality

Supreme Court to Rule on ACA Constitutionality

March 16, 2020 2 minute read: The Supreme Court has agreed to rule on the constitutionality of the Affordable Care Act, for a second time. This unusual turn of events comes after the Read More
Employers Should Be Aware of IRS Advisory on High-Deductible Plans

Employers Should Be Aware of IRS Advisory on High-Deductible Plans

March 12, 2020 2 minute read: On March 11, 2020, the Internal Revenue Service (IRS) made an important announcement concerning high deductible health plans (HDHPs) and the Coronavirus known as COVID-19. The IRS Read More
ACA Changes Continue to Stabilize the Marketplace

ACA Changes Continue to Stabilize the Marketplace

March 11, 2020 3 minute read:  According to research by the Kaiser Family Foundation (KFF), there will be an average of 4.5 insurers per state this year, up from 4.0 in 2019 and Read More
AIRs Portal Downtime Could Prove Problematic for Employers

AIRs Portal Downtime Could Prove Problematic for Employers

February 28, 2020 3 minute read: When submitting ACA filings to the IRSeach year, many employers elect to file electronically, due to the many benefits. What employers may be unaware of however, is Read More
The IRS’s 1095 Forms For ACA Explained (Update)

The IRS’s 1095 Forms For ACA Explained (Update)

February 26, 2020 3 minute read: A number of changes were introduced to the health insurance marketplace with the passage of the Affordable Care Act in 2010. From different reporting forms and health Read More
The Codes on Form 1095-C Explained

The Codes on Form 1095-C Explained

February 24, 2020 3 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
Proposed CMS Rule Could Reduce Number of Premium Tax Credits

Proposed CMS Rule Could Reduce Number of Premium Tax Credits

February 19, 2020 2 minute read: The Centers for Medicare and Medicaid (CMS) has proposed a rule that would ensure that the agency doesn’t wrongfully provide health insurance subsidies, or Premium Tax Credits Read More
ACA Marketplace Continues to Stabilize in 2020

ACA Marketplace Continues to Stabilize in 2020

February 11, 2020 2 minute read: The 2020 open enrollment results for individuals enrolling through the Healthcare.gov platform are in, and the results indicate a strong and stabilizing health care system. A report Read More
California’s Individual Mandate is Here

California’s Individual Mandate is Here

January 27, 2020 2 minute read: Now that it is 2020, several state-wide Individual Mandates have gone into effect, including California’s. As of January 1, California residents, including domestic partners and their dependents, Read More
How to Claim Good-Faith Transition Relief From IRS Penalty Assessments

How to Claim Good-Faith Transition Relief From IRS Penalty Assessments

January 22, 2020 2 minute read: Good-faith transition relief. It’s a term used by the IRS for waiving ACA penalty assessments on employers that can provide legitimate reasons for missing a reporting requirement Read More
Why IRS Enforcement of the ACA Will Become More Severe in 2020

Why IRS Enforcement of the ACA Will Become More Severe in 2020

January 20, 2020 3 minute read: The beginning of a new decade is not the only thing certain in 2020 – employers can also count on the IRS continuing to step up their Read More
Tis’ The Season to Check the Health of Your Data for ACA Reporting

Tis’ The Season to Check the Health of Your Data for ACA Reporting

December 24, 2019 5 minute read: The end of 2019 is here and that means that if you haven’t done so already, it’s time to get your Affordable Care Act (ACA) filings in Read More
ACA to Remain Following Fifth Circuit Court Decision

ACA to Remain Following Fifth Circuit Court Decision

December 20, 2019 2 minute read: On Wednesday of this week, the Fifth Circuit handed down a ruling regarding the constitutionality of the Affordable Care Act. The majority of the ACA will continue Read More
New Jersey Issues Updated State-Level ACA Reporting Guidance

New Jersey Issues Updated State-Level ACA Reporting Guidance

December 19, 2019 2 minute read: The state of New Jersey has issued updated guidance regarding state-level ACA health insurance reporting. Employers, regardless of size, who offer Minimum Essential Coverage to employees will Read More
Proposed Health Care Data Transparency Rule Complements ACA

Proposed Health Care Data Transparency Rule Complements ACA

December 17, 2019 2 minute read: As the Affordable Care Act’s Employer Mandate moves into its sixth year of operation, federal agencies have proposed a rule to promote better health care cost transparency. Read More
Changing the Poverty Level Could Impact the ACA

Changing the Poverty Level Could Impact the ACA

December 11, 2019 3 minute read: The Trump Administration has proposed changing the methodology for calculating the federal poverty level (FPL). As expected, it could have serious implications for the Affordable Care Act. Read More
Employers Need to Meet IRS Deadlines to Avoid ACA Penalties

Employers Need to Meet IRS Deadlines to Avoid ACA Penalties

December 9, 2019 3 minute read: The IRS recently issued an extension for furnishing forms 1094-C and 1095-C to employees for the 2019 tax year, which extends the schedule employers need to keep Read More
IRS Using Levy Power to Collect ACA Penalties

IRS Using Levy Power to Collect ACA Penalties

November 6, 2019 2 minute read: It’s bad enough that employers could face financial penalties for not complying with the Affordable Care Act. Now, the IRS has started using its levy power to Read More
The Triangle of Trust Is Critical for ACA Compliance [UPDATE]

The Triangle of Trust Is Critical for ACA Compliance [UPDATE]

October 28, 2019 3 minute read: Creating the optimal alignment of data, regulatory expertise and software is critical in achieving ACA compliance. We call this principle the Triangle of TrustSM. This principle has Read More
These Common Mistakes Can Result in ACA Penalties

These Common Mistakes Can Result in ACA Penalties

September 23, 2019 3 minute read: Affordable Care Act compliance can be time-consuming and complex. There are a myriad of issues that can arise during the course of the year that can make Read More
IRS Penalties Create A Hurricane for Businesses Failing to Comply with the ACA

IRS Penalties Create A Hurricane for Businesses Failing to Comply with the ACA

September 10, 2019 5 minute read: It’s a hurricane of IRS penalty notices. And it’s no laughing matter for businesses that have failed to comply with the Affordable Care Act. The IRS is Read More
ACA Approval Ratings on The Rise

ACA Approval Ratings on The Rise

September 4, 2019 3 minute read:  As the discussion over the 2020 election begins to take shape, we can expect the Affordable Care Act to be a topic of debate. However, based on Read More
Three More States Decide to Expand Medicaid Under the ACA

Three More States Decide to Expand Medicaid Under the ACA

September 3, 2019 3 minute read: Utah, Nebraska, and Idaho will join 33 states and the District of Columbia in expanding Medicaid under the Affordable Care Act. The expansion will take place under Read More
IRS Enforcement of the ACA Not Wavering

IRS Enforcement of the ACA Not Wavering

August 21, 2019 2 minute read: Give the IRS credit. It is consistent. In 2017, the federal tax agency responded to an inquiry about waivers to business owners from U.S. House Representative Bill Read More
IRS Issues Letter 972CG to Employers for Late ACA Filings

IRS Issues Letter 972CG to Employers for Late ACA Filings

August 19, 2019 4 minute read: The IRS has started to issue ACA penalties to employers who have filed their annual ACA information past IRS deadlines, another sign that the IRS is further Read More
The IRS Is Intensifying ACA Enforcement Efforts

The IRS Is Intensifying ACA Enforcement Efforts

August 12, 2019 3 minute read: Originally published on August 7, 2019, in Accounting Today. Accountants may see some of their business clients getting caught up this summer in IRS activities to enforce Read More
Trump Tries to Change the ACA, But Not The Employer Mandate [UPDATE]

Trump Tries to Change the ACA, But Not The Employer Mandate [UPDATE]

July 24, 2019 3 minute read:  President Trump announced his intent to make administrative changes to the Affordable Care Act in 2017 as part of this executive order, “Promoting Healthcare Choice and Competition Read More
ACA Compliance is Hot This Summer

ACA Compliance is Hot This Summer

July 22, 2019 4 minute read: The words “Summer” and “vacation” are often paired together. Applicable Large Employers should note that even though their ACA filing responsibilities have likely been satisfied due to Read More
IRS Stepping Up Enforcement of ACA

IRS Stepping Up Enforcement of ACA

July 17, 2019 3 minute read: I frequently meet with insurance brokers, CPAs and business owners who are interested in the latest on the IRS’s efforts to enforce the Affordable Care Act. In Read More
Expiring ITINs May Affect ACA Compliance

Expiring ITINs May Affect ACA Compliance

July 10, 2019 3 minute read: The IRS has announced that nearly two million ITINs are set to expire in 2019. What does this mean for your business and ACA compliance? We have Read More
California Passes New State-Wide Healthcare Individual Mandate

California Passes New State-Wide Healthcare Individual Mandate

July 3, 2019 5 minute read: In early January, I wrote a blog post titled, “Will 2019 Be the Year for Statewide Individual Health Insurance Mandates?” More and more, it is appearing that Read More
Expect Greater Scrutiny and Audits from IRS Staff on ACA Compliance

Expect Greater Scrutiny and Audits from IRS Staff on ACA Compliance

June 24, 2019 4 minute read: The IRS staff is preparing a new round of IRC 4980H penalty assessments to be issued to employers for failing to comply with the requirements of the Read More
IRS Limiting Length of Extensions for Responding to ACA Penalty Notices

IRS Limiting Length of Extensions for Responding to ACA Penalty Notices

June 21, 2019 3 minute read: Employers that receive IRS Letter 226J penalty notice for failing to comply with the Affordable Care Act will be limited to one 30-day extension for each IRS Read More
Get Ready! More IRS Letter 226J ACA Penalty Notices Are on the Way [UPDATE]

Get Ready! More IRS Letter 226J ACA Penalty Notices Are on the Way [UPDATE]

June 5, 2019 3 minute read: IRS staff is expected to start issuing Affordable Care Act penalty notices for the 2017 tax year this month. This comes on the heels of a final Read More
New Jersey Plans to Create Statewide Health Exchange

New Jersey Plans to Create Statewide Health Exchange

May 20, 2019 3 minute read:  New Jersey will administer its own statewide health exchange marketplace starting in 2021. As a result, the state will no longer operate under the federal health exchange. Read More
CMS Seeks Input from States on ACA Waivers

CMS Seeks Input from States on ACA Waivers

May 15, 2019 2 minute read: The Centers for Medicare and Medicaid (CMS) and the U.S. Department of Treasury have issued a request for information (RFI) to states seeking more ideas on potential Read More
An ACA Penalty Risk Assessment May Help School Districts Avoid IRS Penalties

An ACA Penalty Risk Assessment May Help School Districts Avoid IRS Penalties

April 25, 2019 4 minute read:  The Affordable Care Act is complex and complying with the law’s Employer Mandate can be challenging for school districts. We had that confirmed in recent conversations at Read More
Employers Must Correct IRS Errors to Avoid ACA Penalties

Employers Must Correct IRS Errors to Avoid ACA Penalties

April 24, 2019 3 minute read:  We are all human, including the people who work at the IRS. And like all of us, sometimes they make mistakes. The only difference is that errors Read More
CMS Report Shows a Stabilizing ACA

CMS Report Shows a Stabilizing ACA

April 22, 2019 2 minute read: The latest open enrollment period report for the 2019 plan year from the Centers for Medicare and Medicaid Services’ (CMS) shows that the Affordable Care Act marketplace Read More
ACA Compliance Still Confusing to Employers

ACA Compliance Still Confusing to Employers

April 10, 2019 5 minute read: Employers are still confused with how to comply with the Affordable Care Act, and continue to hide their heads in the sand about the real risk of Read More
Avoid These ACA Filing Errors to Prevent Getting IRS Letter 226J Year After Year

Avoid These ACA Filing Errors to Prevent Getting IRS Letter 226J Year After Year

April 3, 2019 5 minute read: They say insanity is doing the same thing over and over expecting different results. We’ve seen many employers repeatedly make the same mistakes in their annual ACA Read More
These Industries Are at Risk for ACA Penalties from the IRS

These Industries Are at Risk for ACA Penalties from the IRS

April 1, 2019 3 minute read: The home health care, staffing, restaurant and construction industries are under fire from the IRS for failing to comply with the Affordable Care Act. Companies within these Read More
The Signs Were There for IRS’s ACA Enforcement

The Signs Were There for IRS’s ACA Enforcement

March 18, 2019 5 minute read: One of the more complex sections of the Affordable Care Act is the Employer Shared Responsibility Provisions, also referred to as the ACA Employer Mandate. Under the Read More
Is Maryland the Next State to Approve an Individual Mandate?

Is Maryland the Next State to Approve an Individual Mandate?

March 13, 2019 3 minute read: Maryland is getting closer to a state-wide version of an individual mandate that will encourage state residents to purchase health insurance. A bill in the Maryland legislature, Read More