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
Triangle of Trust Critical for ACA Compliance

Triangle of Trust Critical for ACA Compliance

May 6, 2019 3 minute read: It’s called the Triangle of Trustsm, the intersection of data, analytics and regulatory expertise necessary to move raw data to successful regulatory compliance. Success can only be 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
Distribute 1095-Cs By IRS Deadlines to Avoid Penalties

Distribute 1095-Cs By IRS Deadlines to Avoid Penalties

January 30, 2019 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
Electronically Submit your ACA Filings to Avoid IRS Penalties

Electronically Submit your ACA Filings to Avoid IRS Penalties

January 28, 2019 3 minute read: If you are not yet filing Affordable Care Act information with the IRS, you may want to reconsider. There are some considerable benefits to doing so, including Read More
California Carries the Torch for State-Based Individual Mandates

California Carries the Torch for State-Based Individual Mandates

January 16, 2019 2 minute read: California Governor Gavin Newsom has not wasted time wading into the healthcare debate. The governor has proposed an individual mandate requiring all California residents to obtain health Read More
ACA Compliance Should Continue Despite Government Shutdown

ACA Compliance Should Continue Despite Government Shutdown

January 9, 2019 2 minute read: As we enter the third week of government shutdown, we’re on track to surpass the longest shutdown in U.S. history. The shutdown affects many government agencies, including Read More
Will 2019 be the Year for Statewide Individual Health Insurance Mandates?

Will 2019 be the Year for Statewide Individual Health Insurance Mandates?

January 7, 2019 3 minute read:  Since the Trump Administration took office, the ACA has been under fire from the White House and many Congressional Republicans. Legislative repeal of the ACA failed. However, Read More
Provide ACA Information by IRS Deadlines to Avoid Penalties

Provide ACA Information by IRS Deadlines to Avoid Penalties

December 10, 2018 4 minute read:  The IRS has released Revenue Procedure 2018-57, which highlights the penalty rates associated with failing to provide ACA information by IRS deadlines for the 2019 tax year, Read More
IRS EXTENDS ACA FURNISHING DEADLINE FOR 1095-C FORMS AND GOOD-FAITH TRANSITION RELIEF FOR 2018 TAX YEAR

IRS EXTENDS ACA FURNISHING DEADLINE FOR 1095-C FORMS AND GOOD-FAITH TRANSITION RELIEF FOR 2018 TAX YEAR

December 3, 2018 3 minute read: In what has become an annual rite, the IRS has extended the deadline for distributing Form 1095-C for the 2018 tax year to full-time employees as required Read More
More Insurers Will Participate in the ACA Marketplace in 2019

More Insurers Will Participate in the ACA Marketplace in 2019

November 21, 2018 3 minute read: It was predicted that the health insurance marketplace would be turned upside down with the individual mandate penalty effectively reduced to $0 beginning January 1,2019. However, that Read More
ACA Compliance Doesn’t Have to Burden HR Staff

ACA Compliance Doesn’t Have to Burden HR Staff

November 14, 2018 5 minute read: Human Resources staff have a difficult job. They help keep their organizations running smoothly by ensuring, to the greatest degree possible, that the employer is in compliance Read More
Employers Receiving IRS Letter 226J for 2016

Employers Receiving IRS Letter 226J for 2016

November 7, 2018 2 minute read: The IRS has started issuing Letter 226J penalty notices for the 2016 tax year to employers identified as having failed to comply with the ACA’s Employer Mandate. Read More
ACA Support May Dictate Midterm Election Results

ACA Support May Dictate Midterm Election Results

November 5, 2018 2 minute read:  Americans across the country will report to their respective poll places to cast their ballots in the midterm elections on November 6, and the issue of healthcare Read More
IRS ISSUES ACA 2018 FORMS 1094-C AND 1095-C, INSTRUCTIONS, AND 226J FOR 2016

IRS ISSUES ACA 2018 FORMS 1094-C AND 1095-C, INSTRUCTIONS, AND 226J FOR 2016

October 29, 2018 1 minute read: The IRS has released the final 1094/1095-C schedules and reporting instructions for the 2018 tax year, to be filed and furnished in 2019. You can find the Read More
How to Respond to IRS Letter 226J for the 2016 Tax Year [INFOGRAPHIC]

How to Respond to IRS Letter 226J for the 2016 Tax Year [INFOGRAPHIC]

October 22, 2018 1 minute read:  IRS staff has confirmed that the agency will begin issuing Letter 226J penalty notices for the 2016 tax year in the next few weeks. If you receive Read More
ACA Popularity Remains Strong as Midterms Approach

ACA Popularity Remains Strong as Midterms Approach

October 10, 2018 2 minute read:  The midterm elections are less than a month away on November 6. With an estimated 20 million Americans at risk of losing health coverage if the ACA Read More
Why You Should Be Concerned that ACA Exchange Notices are Being Issued

Why You Should Be Concerned that ACA Exchange Notices are Being Issued

October 8, 2018 2 minute read:  The fourth quarter of the 2018 tax year is here, bringing with it record temperatures in many parts of the country. The ACA enforcement process is also Read More
Expect the IRS to Start Issuing ACA Penalties for 2016 Tax Year in November

Expect the IRS to Start Issuing ACA Penalties for 2016 Tax Year in November

September 26, 2018 3 minute read:  As November approaches, two things seem certain. There will be national midterm elections and the IRS will begin issuing Letter 226J penalty notices to employers identified as Read More
An ACA Penalty Risk Assessment May Help Employers Avoid IRS Penalties

An ACA Penalty Risk Assessment May Help Employers Avoid IRS Penalties

September 24, 2018 3 minute read: The Affordable Care Act (ACA) is complex and complying with the law’s Employer Mandate can be challenging for organizations. Under the ACA’s Employer Mandate, Applicable Large Employers Read More