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
California’s Individual Mandate is Here

California’s Individual Mandate is Here

January 8, 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
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
Transgender Rights at Risk in ACA Case

Transgender Rights at Risk in ACA Case

October 24, 2019 3 minute read: A legal case focused on transgender rights may provide further validation of the protections offered by Section 1557 of the Affordable Care Act. The case involves Sergeant Read More
Proposed IRS Regs Provide Guidance on ACA and HRAs

Proposed IRS Regs Provide Guidance on ACA and HRAs

October 14, 2019 3 minute read: Recently proposed IRS regulations provide guidance to employers who want to start offering individual coverage HRAs in place of offers of health coverage under the Affordable Care Read More
Get to Know the ACA’s Statewide Individual Mandates

Get to Know the ACA’s Statewide Individual Mandates

October 10, 2019 3 minute read: In January 2019, the federal Individual Mandate was effectively eliminated. Many states responded by implementing their own and some of them have both employer and employee penalties Read More
Eliminating the ACA’s Cadillac Tax Will Not Impact the Employer Mandate

Eliminating the ACA’s Cadillac Tax Will Not Impact the Employer Mandate

October 8, 2019 3 minute read: All eyes on are the U.S. Senate to see if a vote will be taken to eliminate a tax associated with the Affordable Care Act. The tax 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
Maine Implements a Statewide Health Exchange

Maine Implements a Statewide Health Exchange

September 19, 2019 2 minute read: Maine will become the next state to administer its own statewide health exchange. The state will however, continue to operate on the federal healthcare.gov website platform. The 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
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
ACA Measurement Methods Are Critical for Avoiding IRS Penalties

ACA Measurement Methods Are Critical for Avoiding IRS Penalties

August 29, 2019 3 minute read: If you or someone you know has been hit with IRS Letter 226J, you know that it is no laughing matter. The IRS is issuing these ACA Read More
IRS Affordability Safe Harbors Help Avoid ACA Penalties

IRS Affordability Safe Harbors Help Avoid ACA Penalties

August 23, 2019 4 minute read: How exactly do employers prove to the IRS that the healthcare plans they are offering to their workforce are affordable under the Affordable Care Act? It’s an Read More
Penalties for the 2019 Tax Year Are Higher Than Ever

Penalties for the 2019 Tax Year Are Higher Than Ever

August 5, 2019 3 minute read: The IRS has not let up with issuing ACA penalties to employers identified as having failed to comply with the law’s Employer Mandate. As in past tax Read More
Keep An Eye Out for Letter 5699 [UPDATE]

Keep An Eye Out for Letter 5699 [UPDATE]

July 29, 2019 3 minute read: It’s summer, but we can expect a blizzard of ACA notices and penalty assessments being sent by the IRS as the tax agency steps up its ACA 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
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
Data Quality Management Is Key to ACA Compliance

Data Quality Management Is Key to ACA Compliance

May 29, 2019 5 minute read:  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 Read More
Suggestions on Responding to IRS 6721/6722 ACA Penalties

Suggestions on Responding to IRS 6721/6722 ACA Penalties

May 22, 2019 3 minute read: In late 2018, the IRS began issuing ACA penalties under IRC 6721/6722 to employers that failed to distribute 1095-C forms to employees and to file 1094-C and 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
Grandmothered ACA Plans Receive Transition-Relief Extension

Grandmothered ACA Plans Receive Transition-Relief Extension

May 1, 2019 2 minute read: The U.S. Department of Health and Human Services’ Center for Medicare and Medicaid Services (CMS) has extended the period of non-enforcement for certain non-compliant health policies under Read More
More Suggestions on Responding to IRS Letter 226J [UPDATE]

More Suggestions on Responding to IRS Letter 226J [UPDATE]

April 30, 2019 3 minute read: The IRS has issued more than $4.5 billion in penalties to employers that failed to comply with the Affordable Care Act’s Employer Mandate for the 2015 tax 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
Reduce IRS Penalty Risk With Monthly ACA Compliance

Reduce IRS Penalty Risk With Monthly ACA Compliance

April 17, 2019 3 minute read: At this point, if your organization has achieved success in complying with the Affordable Care Act, you understand that it’s no simple undertaking. Chances are, your organization Read More
Submit ACA Corrections Now to Avoid IRS Penalties

Submit ACA Corrections Now to Avoid IRS Penalties

April 15, 2019 4 minute read: The deadline to electronically file ACA forms 1094-C and 1095-C for the 2018 tax year was April 1. Did your organization make it? If it did, were all 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
Deadline to Furnish ACA Form 1095-C is Today

Deadline to Furnish ACA Form 1095-C is Today

March 4, 2019 2 minute read: Will you make it? The deadline for employers to distribute 1095-C forms to their full-time workforce is today, March 4. This deadline applies to employers with 50 Read More
The IRS’s 1095 Forms for ACA Explained

The IRS’s 1095 Forms for ACA Explained

February 25, 2019 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 instructions Read More
Get to Know the ACA’s Rule of Parity

Get to Know the ACA’s Rule of Parity

February 20, 2019 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
Contact IRS Staff About Your Letter 226J

Contact IRS Staff About Your Letter 226J

February 13, 2019 2 minute read:  IRS staff continue to work to get current on a backlog of activities that resulted from the recent federal government shutdown. As mentioned in a previous blog Read More
IRS Limited Non-Assessment Periods May Help Avoid ACA Penalties [UPDATE]

IRS Limited Non-Assessment Periods May Help Avoid ACA Penalties [UPDATE]

February 11, 2019 4 minute read: The Employer Shared Responsibility Provisions (ESRP) under the Affordable Care Act may seem straightforward, but, in reality, complying with them can be challenging and time consuming. An Read More