The home healthcare, staffing, restaurant, and construction industries are under fire from the IRS for failing to comply with the ACA. Organizations within these industries have been shocked to receive …
Health Insurance Marketplace
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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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Affordable Care ActHealth Care Coverage
ACA to Aid Millions in Obtaining Healthcare, KFF Report Finds
by Robert Sheenby Robert Sheen2 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 …
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Affordable Care Act
Covered California Introduces New Special Enrollment Period
by Robert Sheenby Robert Sheen1 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 …
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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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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 …
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Affordable Care Act
IRS Release Drafts of 2020 IRS Forms 1094-C and 1095-C
by Robert Sheenby Robert Sheen2 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 …
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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 …
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Affordable Care Act
Proposed IRS Regs Will Not Affect How Individuals Receive PTCs
by Robert Sheenby Robert Sheen2 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, …
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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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Affordable Care Act
Employers May See More ACA Penalties As a Result of COVID-19
by Robert Sheenby Robert Sheen2 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 …
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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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Affordable Care Act
Potential ACA Relief for Employers Facing COVID-19 Hardship
by Robert Sheenby Robert Sheen2 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 …
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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 …
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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 …
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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 …
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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 …
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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 …
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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 …
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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 …
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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. …
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ACA ComplianceAffordable Care Act
Employers Must Correct IRS Errors to Avoid ACA Penalties
by Robert Sheenby Robert Sheen3 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 …
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Affordable Care ActHealth Care Coverage
CMS Report Shows a Stabilizing ACA
by Robert Sheenby Robert Sheen2 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 …
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ACA ReportingAffordable Care Act
Mark These 2019 Dates for 2018 ACA Reporting [UPDATE]
by Robert Sheenby Robert Sheen5 minute read: Every year, the IRS requires employers to submit important ACA information to the agency and their employees. Here are some important dates to keep in mind for …
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2 minute read: The Affordable Care Act has seemed to turn the corner. On a number of fronts, it appears that the ACA is now being accepted as a beneficial …
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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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ACA ReportingAffordable Care Act
ACA Reporting Requirements [UPDATE]
by Robert Sheenby Robert Sheen7 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 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 Act
What Employers Need to Know About the ACA (UPDATE)
by Robert Sheenby Robert Sheen7 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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ACA ComplianceAffordable Care ActIRS 226J/226-J
How to Respond to IRS Letter 226J for the 2016 Tax Year [INFOGRAPHIC]
by Robert Sheenby Robert Sheen1 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 …
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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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Affordable Care ActIRS
IRS Penalties Increase in 2018 for ACA Non-Compliance
by Robert Sheenby Robert Sheen2 minute read: The IRS has increased the penalties for employers that do not comply with the ACA for the 2018 tax year. Here’s a rundown of the changes: 4980H …
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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 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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ACA Compliance
Association Health Plans Don’t Help Larger Employers with ACA Compliance
by Robert Sheenby Robert Sheen3 minute read: The Affordable Care Act’s employer mandate has been in effect for the past three years and IRS enforcement of the healthcare law has begun. At the same …
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Affordable Care ActHealth Care Coverage
More Americans Paying for ACA Health Plans
by Robert Sheenby Robert Sheen2 minute read: It’s no secret that replacing the law is a top priority for President Trump and a majority of Republicans in Congress. Recent data from the Centers for …
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Affordable Care Act
Despite Presidential Rhetoric, ACA Employer Mandate Still Here
by Robert Sheenby Robert Sheen2 minute read: The Trump Administration has been vocal about what it believes are its successful efforts to repeal and replace the Affordable Care Act (ACA). At a recent campaign …
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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 …
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ACA ComplianceACA ReportingIRS 226J/226-J
These Errors Greatly Determine Your Penalty Assessment in IRS Letter 226J
by Robert Sheenby Robert Sheen3 minute read: The issuance of Letter 226J for IRS information filings submitted for the 2015 tax year has caught many organizations off guard. More than 30,000 notices have been …
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Health Care Coverage
Proposed California Bill Puts the State in Charge of Healthcare Costs
by Robert Sheenby Robert Sheen2 minute read: As the current White House and Congressional Republicans continue to snipe at the Affordable Care Act, some states are taking action to shore up the federal healthcare …
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ACA ReportingAffordable Care ActIRS
ACA Employer Mandate Poses IRS and U.S. GAAP Complications
by Robert Sheenby Robert Sheen4 minute read: Originally published on April 18,2018, in Accounting Today. In most organizations, the task of ensuring compliance with the Affordable Care Act lies with the Human Resources team. …
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ACA ComplianceAffordable Care Act
New CMS Rule Keeps ACA Employer Mandate Intact
by Robert Sheenby Robert Sheen3 minute read: The Center for Medicare and Medicaid (CMS) has issued a final rule to expand short-term insurance options for Americans as part of the federal government’s continuing campaign …
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Affordable Care ActHealth Care Coverage
ACA Complexity to Grow as States Develop Their Own Healthcare Solutions [UPDATE]
by Robert Sheenby Robert Sheen5 minute read: The many false starts of the Republican-led effort to dismantle the Affordable Care Act (ACA), along with the Trump administration’s continued efforts to undermine the healthcare law, …
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Affordable Care ActHealth Insurance Marketplace
2018 Looks Promising for Health Insurers Offering Marketplace Plans [Update]
by Robert Sheenby Robert SheenThe Affordable Care Act’s (ACA) Health Insurance Marketplace has evolved over the years as a necessary evil for some healthcare providers. Some have withdrawn from it, citing profit losses and …
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Affordable Care ActHealth Care Coverage
IRS, CMS, EBSA Seek Public Comment on ACA Change
by Robert Sheenby Robert SheenThe IRS, the Employee Benefits Security Administration (EBSA), and the Centers for Medicare and Medicaid Services (CMS) are seeking public comments on proposed regulations that would change the definition of …
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Affordable Care ActHealth Care CoverageHealth Insurance Marketplace
2018 Affordable Care Act Enrollment Shows Marketplace Stabilizing
by Robert Sheenby Robert SheenThe Centers for Medicare and Medicaid Services (CMS) plan to release a more detailed 2018 enrollment report in March for the recent open enrollment under the Affordable Care Act, including …
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If you haven’t filed your taxes yet, then you may have avoided having to file an amended return if you received a corrected 2017 Form 1095-A for the Healthcare Marketplace. …
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Affordable Care ActHealth Care Coverage
Masshealth Changes Come With a Hefty Price Tag For Employers [UPDATE]
by Robert Sheenby Robert SheenWhile healthcare continues to be talked about by the federal government, some state governments are taking steps of their own to shore up the Affordable Care Act (ACA) impact on …
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ACA ReportingIRS
Expect IRS to Enforce the ACA’S Individual and Employer Mandates [UPDATE]
by Robert Sheenby Robert SheenThe approval of tax reform legislation by Congress may ultimately have an impact on the Affordable Care Act (ACA) in 2019. That’s when the legislation essentially repeals the individual mandate …
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IRS 226J/226-JPremium Tax Credit
Employees Obtaining Premium Tax Credits Can Trigger IRS Letter 226J for Employers
by Robert Sheenby Robert SheenIndividual taxpayers who obtain Premium Tax Credits from the federal government to subsidize health insurance plans purchased on government healthcare exchanges under the Affordable Care Act (ACA) will be filing …