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. As a …
Applicable Large Employers
-
-
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 …
-
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 …
-
Affordable Care ActHealth Care Coverage
Federal Special Enrollment Period on the Horizon
by Robert Sheenby Robert Sheen2 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 …
-
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 …
-
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 …
-
Affordable Care Act
ACA Changes Continue to Stabilize the Marketplace
by Robert Sheenby Robert Sheen3 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 …
-
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 …
-
Affordable Care Act
California Health Exchange Welcomes New Enrollees Thanks to Individual Mandate
by Robert Sheenby Robert Sheen2 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 …
-
Affordable Care Act
ACA Paper Filing Submissions are Due to the IRS Today
by Robert Sheenby Robert Sheen2 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 …
-
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 …
-
ACA ComplianceAffordable Care Act
Why Monthly ACA Compliance is Critical for Avoiding IRS Penalties
by Robert Sheenby Robert Sheen2 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 …
-
Affordable Care ActPremium Tax Credit
Proposed CMS Rule Could Reduce Number of Premium Tax Credits
by Robert Sheenby Robert Sheen2 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 …
-
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 …
-
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 …
-
ACA ComplianceAffordable Care Act
When Choosing an ACA Vendor, Make Sure They’re SOC II Compliant
by Robert Sheenby Robert Sheen2 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 …
-
ACA ReportingAffordable Care ActForm 1095-C
Distribute Forms 1095-C by IRS Deadlines to Avoid ACA Penalties
by Robert Sheenby Robert Sheen3 minute read: *updated February 11, 2021 Every year, the IRS requires employers to furnish Forms 1095-C to their full-time workforce, in addition to filing them with the tax agency. …
-
Affordable Care Act
Dave & Buster’s Demonstrates Importance of Complying With the ACA
by Robert Sheenby Robert Sheen2 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 …
-
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, …
-
ACA ReportingAffordable Care Act
Avoid IRS Penalties by Electronically Submitting your ACA Filings
by Robert Sheenby Robert Sheen4 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, …
-
Affordable Care Act
How to Claim Good-Faith Transition Relief From IRS Penalty Assessments
by Robert Sheenby Robert Sheen2 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 …
-
Affordable Care Act
Why IRS Enforcement of the ACA Will Become More Severe in 2020
by Robert Sheenby Robert Sheen3 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 its …
-
ACA ComplianceACA ReportingAffordable Care Act
New Jersey’s ABC Test Could Impact ACA Compliance and Reporting
by Robert Sheenby Robert Sheen3 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 …
-
Affordable Care Act
ACA to Remain Following Fifth Circuit Court Decision
by Robert Sheenby Robert Sheen2 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 …
-
ACA ReportingAffordable Care Act
New Jersey Issues Updated State-Level ACA Reporting Guidance
by Robert Sheenby Robert Sheen2 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 …
-
Affordable Care ActHealth Care Coverage
Proposed Health Care Data Transparency Rule Complements ACA
by Robert Sheenby Robert Sheen2 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. …
-
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. …
-
ACA ReportingAffordable Care ActIRS
Employers Need to Meet IRS Deadlines to Avoid ACA Penalties
by Robert Sheenby Robert Sheen3 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 …
-
ACA ReportingAffordable Care Act
IRS Issues Deadline Extension for Furnishing Forms 1095-C
by Robert Sheenby Robert Sheen2 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 …
-
Affordable Care Act
What to Expect from California’s Individual Mandate
by Robert Sheenby Robert Sheen2 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 …
-
Affordable Care Act
Letter 972CG Late Penalty Assessments are Becoming More Difficult to Repeal
by Robert Sheenby Robert Sheen2 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 …
-
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 …
-
Affordable Care Act
Incorrect ITINs Will Cause Havoc With ACA Compliance
by Robert Sheenby Robert Sheen3 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 …
-
ACA ComplianceAffordable Care Act
The Triangle of Trust Is Critical for ACA Compliance [UPDATE]
by Robert Sheenby Robert Sheen3 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 …
-
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 …
-
Affordable Care Act
Proposed IRS Regs Provide Guidance on ACA and HRAs
by Robert Sheenby Robert Sheen3 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 …
-
Affordable Care Act
Get to Know the ACA’s Statewide Individual Mandates
by Robert Sheenby Robert Sheen3 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 …
-
Affordable Care Act
Eliminating the ACA’s Cadillac Tax Will Not Impact the Employer Mandate
by Robert Sheenby Robert Sheen3 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 …
-
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 …
-
Affordable Care Act
IRS Penalties Create A Hurricane for Businesses Failing to Comply with the ACA
by Robert Sheenby Robert Sheen5 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 …
-
Affordable Care ActHealth Care Coverage
Three More States Decide to Expand Medicaid Under the ACA
by Robert Sheenby Robert Sheen3 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 …
-
Affordable Care Act
Penalties for the 2019 Tax Year Are Higher Than Ever
by Robert Sheenby Robert Sheen3 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 …
-
3 minute read: We can expect a blizzard of ACA notices and penalty assessments being sent by the IRS as the tax agency steps up its ACA enforcement activities with …
-
Affordable Care ActHealth Care Coverage
Trump Tries to Change the ACA, But Not The Employer Mandate [UPDATE]
by Robert Sheenby Robert Sheen3 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 …
-
Affordable Care ActHealth Care Coverage
California Passes New State-Wide Healthcare Individual Mandate
by Robert Sheenby Robert Sheen5 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 …
-
ACA ComplianceAffordable Care Act
Expect Greater Scrutiny and Audits from IRS Staff on ACA Compliance
by Robert Sheenby Robert Sheen4 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 …
-
ACA ComplianceAffordable Care Act
IRS Limiting Length of Extensions for Responding to ACA Penalty Notices
by Robert Sheenby Robert Sheen3 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 …
-
ACA ReportingAffordable Care Act
Suggestions on Responding to IRS 6721/6722 ACA Penalties
by John Fordby John Ford3 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 …
-
Affordable Care ActHealth Care Coverage
New Jersey Plans to Create Statewide Health Exchange
by Robert Sheenby Robert Sheen3 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. …
-
ACA ComplianceAffordable Care Act
CMS Seeks Input from States on ACA Waivers
by Robert Sheenby Robert Sheen2 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 …