ACA Employer Mandate Penalties Increasing in 2021

ACA Employer Mandate Penalties Increasing in 2021

November 19, 2020 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 Read More
ACA Likely to Remain Following Supreme Court Oral Arguments

ACA Likely to Remain Following Supreme Court Oral Arguments

November 16, 2020 3 minute read: The Affordable Care Act may have avoided the possibility of being removed once and for all, as the Supreme Court hearing last week suggests. The California v. Read More
Prop 22 has Significant Implications on ACA Healthcare Benefits

Prop 22 has Significant Implications on ACA Healthcare Benefits

November 11, 2020 2 minute read: With everyone’s attention focused on the results of the presidential election, folks may not realize that California Prop 22 will pass. As of November 6, the status Read More
IRS Announces COVID-19 Tax Relief Initiative to Help Taxpayers

IRS Announces COVID-19 Tax Relief Initiative to Help Taxpayers

November 9, 2020 2 minute read: On November 2, 2020, the IRS announced several changes to its collection procedures to assist struggling taxpayers impacted by COVID-19. These changes include: Taxpayers who qualify for Read More
Election Day Recap and Potential ACA Changes

Election Day Recap and Potential ACA Changes

November 4, 2020 3 minute read: Heading into Election Day, a record-breaking one million Americans cast their ballots early, creating a myriad of potential challenges for determining a clear victor in the 2020 Read More
Lower ACA Premiums Heading into Open Enrollment for 2021

Lower ACA Premiums Heading into Open Enrollment for 2021

November 2, 2020 3 minute read: The Healthcare.gov open enrollment period for the 2021 tax year will begin on November 1, 2020, and will run through December 15. Surprisingly, premiums are down and Read More
The New 1095-C Codes for 2020 Explained

The New 1095-C Codes for 2020 Explained

October 29, 2020 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 Read More
D.C. Upholds Health Carrier Tax, Supporting ACA Health Exchanges

D.C. Upholds Health Carrier Tax, Supporting ACA Health Exchanges

October 27, 2020 3 minute read: An argument regarding the District of Columbia’s ACA health exchange tax was decided late last month. The decision rules in favor of the tax, supporting state-run health Read More
IRS to Require Reporting of ICHRAs on Tax Forms for 2020

IRS to Require Reporting of ICHRAs on Tax Forms for 2020

October 21, 2020 2 minute read: An Individual Coverage Health Reimbursement Arrangement (ICHRA) can be beneficial for employers and employees alike. According to HealthCare.gov, employers can “control costs by providing defined non-taxed reimbursements Read More
Possible ACA Outcomes If Joe Biden Is Elected in November

Possible ACA Outcomes If Joe Biden Is Elected in November

October 19, 2020 2 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 Read More
Form 1095-C Deadline Approaching, Employers Avoid Penalties

Form 1095-C Deadline Approaching, Employers Avoid Penalties

October 14, 2020 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, Read More
SCOTUS Nominee & ACA Compliance Complications

SCOTUS Nominee & ACA Compliance Complications

October 12, 2020 2 minute read: With the potential of Trump’s nominee, Amy Coney Barrett, becoming the newest justice on the U.S. Supreme Court in time for the November 10, 2020 hearing on Read More
Employers Must Show Reasonable Cause for Failure to File IRS Forms

Employers Must Show Reasonable Cause for Failure to File IRS Forms

October 7, 2020 2 minute read: The IRS imposes penalties for late filing of Forms 1094-C and 1095-C or for late furnishing of Forms 1095-C under Internal Revenue Code (IRC) Sections 6721 and Read More
Big IRS News Concerning 2020 ACA Deadlines

Big IRS News Concerning 2020 ACA Deadlines

October 5, 2020 2 minute read: The IRS just released very important guidance concerning employers’ obligations under the Affordable Care Act. Notice 2020-76, released October 2, 2020, addresses a broad array of topics Read More
Proposition 22 Will Require Healthcare Subsidies and Reporting

Proposition 22 Will Require Healthcare Subsidies and Reporting

October 1, 2020 2 minute read: Proponents of Proposition 22 have flooded TV airwaves with ads warning against the loss of jobs if Prop 22 does not pass. Prop 22 is a ballot Read More
ACA Expectations Heading into the 2020 Election

ACA Expectations Heading into the 2020 Election

September 28, 2020 3 minute read: As the fourth quarter of 2020 draws near, so does the presidential election. A popular topic of debate to be addressed in the coming election is healthcare, Read More
IRS Releases New ACA Filing Information for the 2020 Tax Year

IRS Releases New ACA Filing Information for the 2020 Tax Year

September 24, 2020 2 minute read: The IRS has published various Affordable Care Act Information Returns (AIRs) documents for the 2020 tax year with which employers will need to familiarize themselves before filing Read More
What You Need to Know About Letter 5699

What You Need to Know About Letter 5699

September 22, 2020 2 minute read: What Is Letter 5699? Letter 5699, Missing Information Return Form 1094/1095-C, is used to make initial contact with an organization that the IRS believes may have been Read More
New IRS Notice Addresses COVID-19, Medicaid, and the ACA

New IRS Notice Addresses COVID-19, Medicaid, and the ACA

September 16, 2020 2 minute read: New IRS guidance addresses the intersection of COVID-19, Medicaid, and the Affordable Care Act (ACA). In a bid to increase COVID-19 testing in the U.S., one facet Read More
New Jersey Adopts ACA Provision to Lower Healthcare Costs

New Jersey Adopts ACA Provision to Lower Healthcare Costs

August 26, 2020 3 minute read: Earlier this month, New Jersey signed into law a state version of an Affordable Care Act provision, the Health Insurance Assessment (HIA) program. New Jersey is the Read More
Trump ACA Contraceptive Rule Upheld by Supreme Court

Trump ACA Contraceptive Rule Upheld by Supreme Court

July 22, 2020 2 minute read: On July 8, 2020 the Supreme Court handed down its decision in Little Sisters of the Poor v. Pennsylvania, upholding the new Trump Administration rule regarding contraceptive Read More
ACA’s Expansion of Medicaid Takes Hold in Oklahoma

ACA’s Expansion of Medicaid Takes Hold in Oklahoma

July 17, 2020 3 minute read: In late June, Oklahoma joined 37 other states and the District of Columbia in expanding Medicaid under the ACA. Better late than never and in good timing Read More
Californians Beware, The Individual ACA Penalty Has Increased

Californians Beware, The Individual ACA Penalty Has Increased

July 13, 2020 2 minute read: California residents that fail to obtain qualified health coverage this year will receive a penalty from the state for an amount larger than first projected. Per California’s Read More
IRS to Begin Issuing ACA Penalty Letters after July 15, 2020

IRS to Begin Issuing ACA Penalty Letters after July 15, 2020

July 10, 2020 2 minute read: Employers should start gearing up for IRS penalty letters issued under the Affordable Care Act. According to an announcement posted on the IRS website, the IRS has Read More
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: Back in March, 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