The responsibilities under the ACA’s Employer Mandate may seem straightforward, but, in reality, complying with them can be challenging and time-consuming. An area that many Applicable Large Employers (ALEs) struggle …
Employer Shared Responsibility Provisions (ESRP)
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ACA ReportingAffordable Care Act
The IRS’s Forms 1095 For the ACA Explained
by Robert Sheenby Robert SheenA number of changes were introduced to the health insurance marketplace with the passage of the ACA in 2010. From different reporting forms and health insurance plan requirements to the …
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3 minute read: Since the Biden Administration took office a few weeks ago, changes to help bolster the Affordable Care Act are already underway. President Joe Biden has already signed …
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3 minute read: The Patient Protection and Affordable Care Act (ACA) is a comprehensive healthcare reform law enacted under President Barack Obama in 2010. The implementation of the ACA represented …
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Affordable Care Act
ACA Improvements to Expect from the Biden Administration
by Robert Sheenby Robert Sheen3 minute read: The inauguration welcoming president-elect Joe Biden to the White House is imminent and with the recent shift in majority control of the Senate, we can expect a …
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ACA ComplianceAffordable Care Act
New Jersey Adopts ACA Provision to Lower Healthcare Costs
by Robert Sheenby Robert Sheen3 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 …
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Affordable Care Act
Protect App-Based Drivers Act Would Create Further Employee Classification and ACA Reporting Issues
3 minute read: As part of their campaign against the requirements of California Assembly Bill 5 (AB5), which went into effect January 2020 and requires employers to treat contract workers …
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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 …
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ACA ComplianceAffordable Care Act
Uber and Lyft sued by California for Misclassifying Gig Workers. How Misclassification can Impact ACA Compliance
by Robert Sheenby Robert Sheen3 minute read: Gig Economy giants Uber and Lyft are being sued by the state of California for allegedly failing to meet the requirements of California Assembly Bill 5 (AB …
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ACA ComplianceAffordable Care Act
Supreme Court Rules in Favor of ACA Risk Corridors
by Robert Sheenby Robert Sheen2 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 …
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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. …
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ACA Compliance
ACA Compliance Should Continue Despite Government Shutdown
by Robert Sheenby Robert Sheen2 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 …
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Affordable Care ActHealth Insurance Marketplace
More Insurers Will Participate in the ACA Marketplace in 2019
by Robert Sheenby Robert Sheen3 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 …
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Affordable Care ActHealth Care Coverage
ACA Support May Dictate Midterm Election Results
by Robert Sheenby Robert Sheen2 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 …
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Affordable Care ActIRS 226J/226-J
IRS Letter 226J for 2016 “In the Mail”
by Robert Sheenby Robert Sheen3 minute read: It’s confirmed. The IRS will begin issuing Letter 226J for the 2016 tax year in the next few weeks. IRS staff has indicated that the penalty notices …
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Affordable Care Act
ACA Popularity Remains Strong as Midterms Approach
by Robert Sheenby Robert Sheen2 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 …
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Affordable Care ActIRS 226J/226-J
IRS Letter 226J Notices for 2015 Tax Year May Be Issued Through 2019
by Robert Sheenby Robert Sheen3 minute read: Employers who have not yet received a 2015 ESRP penalty notice should not breathe a sigh of relief yet. The IRS identified 49,259 employers at risk for …
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ACA ReportingApplicable Large Employer (ALE)
Is Your Organization an ALE? (UPDATE)
by Robert Sheenby Robert Sheen4 minute read: It’s always interesting to look back and see how regulation develops. The Affordable Care Act (ACA) is no exception. I wrote a five-part series about the ACA …
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Affordable Care ActHealth Care Coverage
Insurers Plan ACA Expansion for 2019
by Robert Sheenby Robert Sheen2 minute read: There has been a lot of talk about the future of the Affordable Care Act (ACA). With the midterm elections coming soon, Americans have stated that healthcare …
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Affordable Care ActElectionHealthcare
Midterm Elections Won’t Affect the Employer Mandate
by Robert Sheenby Robert Sheen2 minute read: Since President Trump took office, a top priority has been to repeal and replace the Affordable Care Act (ACA) and his administration continues its attempts to undermine …
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Affordable Care Act
More States Move Forward with Reinsurance Programs
by Robert Sheenby Robert Sheen3 minute read: The Trump administration has made repealing and replacing the Affordable Care Act a top priority. What’s interesting, however, is that as the White House continues to undermine …
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Affordable Care Act
Feds Confirm Their Own ACA Emergency Care Cost Guidelines
by Robert Sheenby Robert Sheen4 minute read: It comes as no surprise that many organizations have had difficulty keeping up with the Affordable Care Act (ACA). Whether complying with the regulations under the employer …