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
ACA Enhancement Bill Telling of the Times

ACA Enhancement Bill Telling of the Times

July 1, 2020 2 minute read: House of Representative Democrats have unveiled a bill that would enhance many of the ACA’s components while reversing much of the Trump administration’s onslaught to the healthcare Read More
ACA to Aid Millions in Obtaining Healthcare, KFF Report Finds

ACA to Aid Millions in Obtaining Healthcare, KFF Report Finds

June 15, 2020 2 minute read: The data is in, at least 27 million Americans have lost employer-sponsored health coverage as a result of COVID-19. The Kaiser Family Foundation issued a report in 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
Proposed IRS Regs Will Not Affect How Individuals Receive PTCs

Proposed IRS Regs Will Not Affect How Individuals Receive PTCs

June 3, 2020 2 minute read: The IRS recently issued proposed regulations on how the personal tax exemption reduction to “0” will affect qualifications for recipients of Premium Tax Credits (PTCs). Regulation 124810-19, Read More
ACA’s Expansion of Medicaid Key Player for Providing Health Coverage Amid COVID-19

ACA’s Expansion of Medicaid Key Player for Providing Health Coverage Amid COVID-19

May 29, 2020 2 minute read: By now it’s become abundantly clear how important it is for individuals to have health coverage. COVID-19 or not, healthcare is saving lives and the ACA has Read More
Emergency Paid Sick Leave and the ACA

Emergency Paid Sick Leave and the ACA

May 28, 2020 3 minute read: If you are a U.S. business, there is a good chance that one or more of your employees have taken emergency paid sick leave. Such leaves may 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
New IRS Notice May Provide Relief and ACA Exposure

New IRS Notice May Provide Relief and ACA Exposure

May 26, 2020 2 minute read: In the wake of the COVID-19 pandemic, the Internal Revenue Service (IRS) has instituted a number of important adjustments to employee benefits plan compliance rules. Recently, the Read More
Employers May See More ACA Penalties As a Result of COVID-19

Employers May See More ACA Penalties As a Result of COVID-19

May 25, 2020 2 minute read: A new data analysis report from the Kaiser Family Foundation (KFF) finds the vast majority of Americans who lost their job amid COVID-19will be eligible for government Read More
ACA Penalties to Continue with the IRS Returning to Work

ACA Penalties to Continue with the IRS Returning to Work

May 18, 2020 2 minute read: As states begin to lift their shelter-in-place orders and begin plans to re-open, employers should take note of recent IRSactivity, as the agency is expediting its efforts 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
Potential ACA Relief for Employers Facing COVID-19 Hardship

Potential ACA Relief for Employers Facing COVID-19 Hardship

April 24, 2020 2 minute read: As the COVID-19 global health pandemic continues to affect businesses large and small, employers must still comply with the requirements of the ACA’s Employer Mandate. Under the Read More
ACA COVID-19 Special Enrollment Periods Open in States Across the Country

ACA COVID-19 Special Enrollment Periods Open in States Across the Country

April 20, 2020 2 minute read: While Trump Administration shot down the idea of a special ACA enrollment period to help individuals who have lost their coverage due to the COVID-19 Pandemic, states 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
Federal Special Enrollment Period on the Horizon

Federal Special Enrollment Period on the Horizon

March 25, 2020 2 minute read: The Trump Administration is doing the unexpected and considering a special ACA enrollment period in light of the COVID-19 Pandemic. The special enrollment period will provide uninsured Read More
California Extends Special Enrollment Period

California Extends Special Enrollment Period

March 23, 2020 2 minutes read: Due to the enormous challenges the coronavirus crisis is imposing on our healthcare system, the state of California has extended its Special Enrollment period. Effective immediately, the 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
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
The Gig Economy Is Losing Ground in its Fight with AB5

The Gig Economy Is Losing Ground in its Fight with AB5

March 6, 2020 3 minute read: The passage and implementation of Assembly Bill 5 (“AB5”) in California has become a reckoning for employers who engage with large numbers of independent contractors and has Read More
California Health Exchange Welcomes New Enrollees Thanks to Individual Mandate

California Health Exchange Welcomes New Enrollees Thanks to Individual Mandate

March 4, 2020 2 minute read: As California finalizes its initial open enrollment results, the data shows the state’s Individual Mandate played a part in the higher turnout. According to Covered California, the Read More
ACA Paper Filing Submissions are Due to the IRS Today

ACA Paper Filing Submissions are Due to the IRS Today

March 2, 2020 2 minute read: Today is the IRS deadline for employers to provide paper filings of forms 1094-C and 1095-C to the IRS for the 2019 tax year as required by 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
Why Monthly ACA Compliance is Critical for Avoiding IRS Penalties

Why Monthly ACA Compliance is Critical for Avoiding IRS Penalties

February 21, 2020 2 minute read: With the IRS expected to continue to ramp up enforcement of the ACA’s Employer Mandate this year, employers should recognize the importance of a monthly ACA compliance 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
States Are Taking the ACA Into Their Own Hands

States Are Taking the ACA Into Their Own Hands

February 17, 2020 3 minute read: Several states and the District of Columbia are taking pains to make sure the Individual Mandate under the Patient and Protection and Affordable Care Act (“ACA”) is 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
When Choosing an ACA Vendor, Make Sure They’re SOC II Compliant

When Choosing an ACA Vendor, Make Sure They’re SOC II Compliant

February 7, 2020 2 minute read: Who do you trust with your data? The large-scale data breaches of the 2010s saw companies ask the question of whether their network security was sufficient to Read More
Distribute 1095-Cs by IRS Deadlines to Avoid ACA Penalties

Distribute 1095-Cs by IRS Deadlines to Avoid ACA Penalties

February 3, 2020 2 minute read: Every year, the IRS requires employers to furnish the 1095-C schedules to their full-time workforce, in addition to filing them with the tax agency. Failing to do Read More
Dave & Buster’s Demonstrates Importance of Complying With the ACA

Dave & Buster’s Demonstrates Importance of Complying With the ACA

January 29, 2020 2 minute read: After a multi-year odyssey, Marin v. Dave & Buster’s, Inc., the class action lawsuit filed in federal courts in New York’s Southern District against the entertainment and 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
Avoid IRS Penalties by Electronically Submitting your ACA Filings

Avoid IRS Penalties by Electronically Submitting your ACA Filings

January 24, 2020 4 minute read: If you are not yet filing Affordable Care Act information electronically with the IRS, you may want to reconsider. There are some considerable benefits to doing so, 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
New Jersey’s ABC Test Could Impact ACA Compliance and Reporting

New Jersey’s ABC Test Could Impact ACA Compliance and Reporting

January 13, 2020 3 minute read: The state of New Jersey has introduced SB 4204 which would change the way employers classify their workforce. SB 4204 will require employers to administer the ABC 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 Issues Deadline Extension for Furnishing Forms 1095-C

IRS Issues Deadline Extension for Furnishing Forms 1095-C

December 3, 2019 2 minute read: To kick off the holiday season, the IRS has issued Notice 2019-63, which extends the deadline for distributing Form 1095-C for the 2019 tax year to full-time Read More
What to Expect from California’s Individual Mandate

What to Expect from California’s Individual Mandate

November 27, 2019 2 minute read: The new year is almost upon us and a number of states including California will have their statewide Individual Mandate take effect. Come January 1, 2020 employers Read More
Letter 972CG Late Penalty Assessments are Becoming More Difficult to Repeal

Letter 972CG Late Penalty Assessments are Becoming More Difficult to Repeal

November 25, 2019 2 minute read: Earlier this year, the IRS started issuing in Letter 972CG ACA penalties to employers who filed their annual ACA information past IRS deadlines established in IRC Section Read More
ACA Affordability to Decrease for the 2020 Tax Year

ACA Affordability to Decrease for the 2020 Tax Year

November 19, 2019 3 minute read: In 2020, the affordability threshold will decrease. What that means is that employers will need to contribute more to their employee’s health coverage in order to fall Read More
Incorrect ITINs Will Cause Havoc With ACA Compliance

Incorrect ITINs Will Cause Havoc With ACA Compliance

October 30, 2019 3 minute read: Earlier this year the IRS announced that roughly 2 million ITINs are set to expire December 31. This could pose a significant risk to your organization’s Affordable 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