Since ACA reporting was first required by employers in 2015, the affordability component under the Employer Mandate was established each year by indexing the standard of 9.5%. This has always …
Federal Poverty Level (FPL)
-
-
Late last week news broke regarding a $300 billion bill that would extend the enhanced ACA subsidies issued via Premium Tax Credits (PTC) through 2025. It all started when Senator …
-
ACA Reform
Millions to Lose Coverage if American Rescue Plan PTCs Expire
by Robert Sheenby Robert SheenEnhanced Premium Tax Credit (PTC) subsidies introduced via the American Rescue Plan (ARP) are set to expire this December, and the consequences could be serious. Before diving into what could …
-
The ACA’s requirements are constantly evolving and with new deadlines, increasing penalty amounts, and changing affordability thresholds the stakes are high. That’s why we created the ACA 101 Toolkit. To …
-
Employers should review their ACA compliance processes carefully in light of new data issued by the Kaiser Family Foundation (KFF). Below we’ve identified why. Key PTC findings Health exchange enrollees …
-
Open enrollment period for the 2022 coverage year is well underway, and ACA premiums are continuing to drop. The federal period for obtaining health coverage kicked off on November 1 …
-
The 2022 federal open enrollment period began earlier this week and will run through January 15, 2022. Consumers will have a wide variety of options to choose from, as well …
-
Affordable Care Act
House Democrats Share More ACA Advancements in $3.5 Trillion Plan
by Robert Sheenby Robert SheenDemocrats in the House of Representatives have shared their plans for ACA healthcare expansion as part of a proposed $3.5 trillion package. Included in the proposal are several provisions that …
-
ACA Compliance
CMS Proposed Rule to Provide Greater Access to ACA Coverage
by Chris Areyby Chris AreyThe Biden administration is yet again making strides to bolster the Affordable Care Act. This time, it’s through a proposed rule that aims to strengthen the ACA’s federal and state …
-
Affordable Care Act
Special Enrollment Period Doubles Enrollees, Final Month Approaches
by Robert Sheenby Robert SheenIn June, the ACA’s special enrollment period garnered 1 million sign-ups through the federal health exchange, HealthCare.gov. A month later and the number of enrollees has doubled. On July 14, …
-
3 min read The Supreme Court case in which the Justices consider whether the Affordable Care Act is unconstitutional without the Individual Mandate will see a judicial decision any day …
-
Affordable Care Act
Recapping on Biden’s ACA Reforms, What Employers Need to Know
by Robert Sheenby Robert Sheen3 minute read: Since Biden took office on January 20, 2021, several advancements to the Affordable Care Act followed, so we thought it best to recap on the ACA reforms …
-
Affordable Care Act
New Stimulus Plan Expands PTC Eligibility, Employer Penalties
by Robert Sheenby Robert Sheen3 minute read: President Joe Biden recently signed into law the American Rescue Plan (ARP) and it includes provisions that make ACA healthcare coverage more accessible to Americans. The $1.9 …
-
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 …
-
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 …
-
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. …
-
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 …
-
ACA ComplianceHealth Care Coverage
California Carries the Torch for State-Based Individual Mandates
by Robert Sheenby Robert Sheen2 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 …
-
Affordable Care ActHealth Care CoverageMedicaid
Medicaid Expansion Supports ACA Popularity
by Robert Sheenby Robert Sheen2 minute read: It’s not a mystery that the Affordable Care Act (ACA) is complex. Since its passage in 2010, the landscape of the healthcare industry and marketplace has changed …
-
Affordable Care ActMedicaid
Medicaid Receives Praise From Its Recipients
by Robert Sheenby Robert SheenThere’s a fallacy amongst some people that suggests Medicaid recipients are receiving less than stellar healthcare. That couldn’t be further from the truth according to a new study from Harvard’s …
-
American Health Care Act (AHCA)Health Care Coverage
The AHCA May Cost Seniors Almost Half Of Their Annual Income In Premiums
by Robert Sheenby Robert SheenThe American Health Care Act (AHCA) is still sitting in the Senate, awaiting a verdict on being modified or dismantled to something unrecognizable. While in limbo, analyses continue to surface, …
-
Affordable Care ActAmerican Health Care Act (AHCA)
Study Finds Veterans Received Healthcare Thanks To ACA Medicaid Expansion
by Robert Sheenby Robert SheenDuring President Trump’s campaign, there was a lot of rhetoric extolling the importance of caring for veterans. That time seemed to change with the House passage of the American Healthcare …
-
Health Care CoverageMedicaid
Seniors And Medicaid: The Real Connection
by Robert Sheenby Robert SheenFor many Americans, the understanding of healthcare when it comes to senior citizens is that their benefits are derived from Medicare. While that may be true for millions, there are …
-
American Health Care Act (AHCA)Health Care Coverage
President Trump’s Budget Proposal Poses Continued Threat To Medicaid And Planned Parenthood
by Robert Sheenby Robert SheenLast week, news broke that the Congressional Budget Office (CBO) estimated that Trump’s newly revamped American Health Care Act (AHCA) will leave 23 million more people uninsured in 2026 than …
-
Affordable Care ActAmerican Health Care Act (AHCA)Health Care Coverage
Would American Health Care Act Dis-incentivize Employers From Offering Healthcare?
by Robert Sheenby Robert SheenOp-Ed Published on LA Biz Journal on March 21, 2017 Starting in the 1940’s, the Internal Revenue Service (IRS) made employer-based healthcare tax free. Employers were not required to offer …
-
Affordable Care ActIRSRegulations
IRS Finalizes Regulations Adopt Intentional or Reckless Disregard of Facts Exceptions to Employee Safe Harbor
by Robert Sheenby Robert SheenThe IRS has provided clarity with regard to what qualifies as an “intentional or reckless disregard of facts” by employees when it comes to seeking shelter under the employee Premium …