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Tag "Health Care Coverage"
The Look-Back Measurement Method Can Help Prevent ACA Penalties
Determining the accurate full-time employee count during a calendar year is important for Affordable Care Act compliance. Classifying employees incorrectly can lead to inaccurate information being submitted to the IRS Read More
The IRS’s Forms 1095 For the ACA Explained
A 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 Read More
Understanding ACA Forms 1094-C/1095-C
Employers required to comply with the ACA’s Employer Mandate must report their full-time employee’s healthcare information to the IRS annually via forms 1094-C and 1095-C, but what exactly are these Read More
IRS Limited Non-Assessment Periods Help Avoid ACA Penalties
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 area Read More
IRS Affordability Safe Harbors Help Avoid ACA Penalties
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
ACA Affordability for the 2021 Tax Year
2 minute read: For the 2021 tax year, the ACA affordability threshold will increase to 9.83%. That means employees will likely have to contribute more towards their employer-sponsored healthcare. IRS Read More
March 31 is the Deadline for E-Filing ACA Returns With the IRS
2 minute read: March 31, 2021, is the deadline for e-filing ACA returns, Forms 1094-C and 1095-C, to the IRS for the 2020 tax year as required by the ACA’s Read More
CA AB2257 and Its Impact on ACA and Pay Equity Compliance
2 minute read: California’s AB 5 has forever changed how employers work with freelance workers; that much is certain. A new bill, however, may provide relief for employers that work Read More
What California Residents Need to Know About the Individual Mandate
2 minute read: This year will mark the first year that California residents will face a new reality of the Individual Mandate. While 2019 was a year of reprieve from Read More
ACA to Aid Millions in Obtaining Healthcare, KFF Report Finds
2 minute read: The data is in: at least 27 million Americans have lost employer-sponsored health coverage as a result of COVID-19. The Kaiser Family Foundation issued a report in Read More
Covered California Introduces New Special Enrollment Period
1 minute read: Covered California, the state health insurance marketplace established by the Affordable Care Act, has introduced a new special enrollment period to benefit victims of the 500+ wildfires Read More
ACA Reporting to Grow in Complexity Due to State Individual Mandates
3 minute read: Employers with operations in states that have additional state level ACA reporting as a requirement of the state’s Individual Mandate know that it’s no easy undertaking, but Read More
New Jersey Adopts ACA Provision to Lower Healthcare Costs
3 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 Read More
New Victory Shows ACA’s Staying Power in Court
2 minute read: In another court victory for the Affordable Care Act (ACA), a federal appellate court ruled in Texas v. Rettig that a provision of the ACA that imposes Read More
ACA Compliance Responsibilities Could Increase if the Federal Government Adopts the ABC Test for Employee Misclassification
3 minute read: A tsunami for the gig economy may be coming on the horizon. We have written recently about the ongoing issues that gig economy employers, such as Uber Read More
ACA Expansion of Medicaid Passes in Missouri
3 minute read: In yet another triumphant win for the Affordable Care Act, the state of Missouri approved and passed the expansion of Medicaid. The expansion comes after nearly 53% Read More
Most States Reject Trump ACA STLDI Rule as DC Circuit Says It’s Here to Stay
2 minute read: The convergence of insurance regulation at the federal and state levels keeps getting more complex. In July, the DC Circuit Court of Appeals upheld the Trump administration Read More
New Senate Bill Seeks to Enhance the Employee Retention Credit Under the CARES Act
2 minute read: The Senate recently introduced new legislation to further assist in the continuing COVID-19 pandemic, including the American Workers, Families and Employer Assistance Act. Under this Senate Bill, Read More
Gig-Economy Worker Benefits Will Affect ACA Compliance
3 minute read: It’s no mystery that both companies and consumers benefit from the gig-economy, but what about the workers? Sure, it provides a means to an end, but workers Read More
Employee Misclassification Laws Add Headache to Employer ACA Compliance
3 minute read: In the past year three states have implemented laws that broaden the definition of “employee” and include penalties or additional liability exposure for employers who misclassify their Read More
More ACA Complexity: California Releases Draft Instructions Diverge From ACA Employer Reporting
2 minute read: With the zeroing out of the ACA’s “Individual Mandate,” which required individuals to have minimum essential health coverage through the enactment of the Tax Cuts and Jobs Read More
ACA Enhancement Bill Telling of the Times
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 Read More
Trump ACA Contraceptive Rule Upheld by Supreme Court
2 minute read: On July 8, 2020 the Supreme Court handed down its decision in Little Sisters of the Poor v. Pennsylvania, upholding the new Trump Administration rule regarding contraceptive Read More
IRS Release Drafts of 2020 IRS Forms 1094-C and 1095-C
2 minute read: The IRS released its draft 2020 IRS Forms 1094-C and 1095-C, dated as draft as of July 13, 2020. There are no changes to the Form 1094-C Read More
ACA’s Expansion of Medicaid Takes Hold in Oklahoma
3 minute read: In late June, Oklahoma joined 37 other states and the District of Columbia in expanding Medicaid under the ACA. Better late than never and in good timing Read More
Proposed Rules allow for More Flexibility to Grandfathered Group Health Plans
2 minute read: The Treasury, the Internal Revenue Service, the Department of Labor and the Department of Health and Human Services have jointly released a notice of proposed rulemaking to Read More
Californians Beware, The Individual ACA Penalty Has Increased
2 minute read: California residents that fail to obtain qualified health coverage this year will receive a penalty from the state for an amount larger than first projected. Per California’s Read More
IRS to Begin Issuing ACA Penalty Letters after July 15, 2020
2 minute read: Employers should start gearing up for IRS penalty letters issued under the Affordable Care Act. According to an announcement posted on the IRS website, the IRS has Read More
Virginia’s New Misclassification Law Will Impact Employers ACA Compliance
2 minute read: Virginia has decided to get into the worker misclassification game with the passage and implementation of HB 984 on July 1, 2020. Unlike states such as California Read More
The ACA PCORI Fee Deadline is Fast Approaching
2 minute read: This time last year was presumed to be the last time health insurers and employers offering self-funded health insurance plans would have to pay PCORI fees, but Read More
Employers, Are You Prepared for the DC 1094-C/1095-C Filing Requirements?
2 minute read: Washington DC is one of several jurisdictions to have implemented an individual mandate in the wake of Congress zeroing out the federal ACA penalty for individuals who Read More
How Serious are Penalties under the ACA? Very.
2 minute read: The Affordable Care Act (ACA) is the single most important piece of health care legislation in generations. One major reason for the ACA’s significant impact on the Read More
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 Read More
Proposed IRS Regs Will Not Affect How Individuals Receive PTCs
2 minute read: The IRS recently issued proposed regulations on how the personal tax exemption reduction to “0” will affect qualifications for recipients of Premium Tax Credits (PTCs). Regulation 124810-19, Read More
AB5 Targets Multi-Level Marketing Companies – See How this Could Affect Your ACA Compliance
3 minute read: Multi-level marketing giant Amway was sued in a proposed class action earlier this year for misclassifying its Independent Business Owners (IBOs) as independent contractors instead of employees. Read More
ACA’s Expansion of Medicaid Key Player for Providing Health Coverage Amid COVID-19
2 minute read: By now it’s become abundantly clear how important it is for individuals to have health coverage. COVID-19 or not, healthcare is saving lives and the ACA has Read More
Why CMS’s 2021 Payment Notice May Lead to More PTC Allocations
2 minute read: Back in March, the Centers for Medicare and Medicaid Services (CMS) issued the Notice of Benefit and Payment Parameters for 2021 (2021 Payment Notice). The rule includes Read More
New IRS Notice May Provide Relief and ACA Exposure
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 Read More
Employers May See More ACA Penalties As a Result of COVID-19
2 minute read: A new data analysis report from the Kaiser Family Foundation (KFF) finds the vast majority of Americans who lost their job amid COVID-19will be eligible for government Read More
Uber and Lyft sued by California for Misclassifying Gig Workers. How Misclassification can Impact ACA Compliance
3 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 Read More
Workforce Changes Now Will Affect ACA Reporting Later
3 minute read: Several weeks into quarantine and social distancing, many are wondering when the country will reopen. As of April 20, 42 states had placed shelter in place orders. Read More
TIGTA Reports 27.4% of Premium Tax Credits Are Improper Payments
2 minute read: On April 30, 2020, the Treasury Inspector General for Tax Administration (TIGTA) issued a new report entitled, “Improper Payment Reporting Has Improved; However, There Have Been No Read More
Returning to Work: Rehiring Employees After COVID-19 and the Impact on ACA Compliance
4 minute read: As states begin to relax their stay at home orders and businesses look to reopen post COVID-19 Pandemic, Employers should start thinking about how bringing back furloughed Read More
Supreme Court Rules in Favor of ACA Risk Corridors
2 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 Read More
Potential ACA Relief for Employers Facing COVID-19 Hardship
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 Read More
ACA COVID-19 Special Enrollment Periods Open in States Across the Country
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 Read More
Group Health Plans, the CARES Act and the ACA
2 minute read: Many employers are understandably concerned about how to navigate the difficult business environment created by the COVID-19 Pandemic and resulting state and federal mitigation measures. Below is Read More
Workforce Management, ACA Compliance and the COVID-19 Pandemic
13 minute read: Compliance with the various employer provisions of the Affordable Care Act (ACA) can be complicated under normal employment conditions. As employers face the incredibly difficult business climate Read More
Get to Know the Employer Benefits in the CARES Act
5 minute read: Many employers are understandably concerned about how to navigate the difficult business environment created by the Covid-19 Pandemic and resulting state and federal mitigation measures. Below is Read More
