– Op-Ed published on April 7, 2017 on ‘Accounting Today’ – Some companies across the country may have experienced receiving exchange notices from the health insurance marketplace informing them they …
Health Insurance Marketplace
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Affordable Care ActHealth Care Coverage
The American Health Care Act Prohibits Tax Credits for Abortion Coverage
by Robert Sheenby Robert SheenThe Patient Protection and Affordable Care Act (ACA) did not change state law on abortions and expressly allowed states to elect out of abortion coverage in qualified health plans offered …
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ACA AuditACA ComplianceAffordable Care ActHealth Care CoverageReporting
The ACA Exchange Appeals Process
by Robert Sheenby Robert SheenThe Exchanges in the Health Insurance Marketplace have been issuing out notices to employers. Each such Notice indicates to the employer that it may be subject to penalties for failing …
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Affordable Care ActHealth Care Coverage
2016-2017 Healthcare.Gov Open Enrollment Figures: An Infographic
by Robert Sheenby Robert SheenFrom November 1, 2016 through January 31, 2017, Healthcare.gov launched its open enrollment period for new and returning consumers to obtain coverage through the Health Insurance Marketplace. Our infographic shows …
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Affordable Care ActHealth Care Coverage
Trump Supporters And Healthcare: What Do They Want?
by Robert Sheenby Robert SheenIn mid-January, Republicans made the official first step in repealing the Affordable Care Act (ACA) by voting 227-198 in permitting the GOP to bring their bill for repeal of the …
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Affordable Care ActHealth Care CoverageHealth Insurance Marketplace
The Last Day For ACA Enrollment Almost Went Unmarketed
by Robert Sheenby Robert SheenHealthcare.gov has been hard at work informing consumers of a continuous countdown to the end of open enrollment, advising to sign up for 2017 Marketplace coverage ASAP. However, at the …
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Affordable Care ActIRSReporting
IRS Commissioner Reports On ACA Stats For 2015
by Robert Sheenby Robert SheenWhile we are getting our information in order for the 2016 tax year, we received some clarity on the previous year from the IRS. The IRS’s Commissioner John Koskinen has …
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ACA ComplianceAffordable Care ActReporting
The Reality Of ACA Penalties Post-Repeal
by Robert Sheenby Robert SheenAs Donald J. Trump officially takes his seat as the 45th President of the United States, we inch closer to the reality of an Affordable Care Act repeal. While the …
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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 …
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Affordable Care ActHealth Care Coverage
Rewinding The Clock: An ACA Repeal Would Put Money Back In The Wealthy’s Pockets
by Robert Sheenby Robert SheenAt face value, it’s difficult for many to comprehend exactly what a repeal of the Affordable Care Act would entail during the upcoming Trump Administration. For some, there’s really no …
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2016 Presidential ElectionAffordable Care ActHealth Care Coverage
Enrollment On ACA Healthcare Exchanges Hits The One Million Mark In Two Weeks
by Robert Sheenby Robert SheenAs we’re nearing the end of 2016, big changes appear to be on the horizon. Our President-Elect Donald Trump has been selected as the 45th President and while his plans …
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ACA ComplianceOccupational Safety and Health Administration (OSHA)Regulations
ACA Retaliation Claims: The Final Verdict Comes From OSHA
by Robert Sheenby Robert SheenUnder the Affordable Care Act, employees unable to afford the minimum essential coverage from employers are possibly eligible for Premium Tax Credits from the Health Insurance Marketplace to assist in …
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Affordable Care ActRegulations
The Nondiscrimination Provision of the ACA: What To Know
by Robert Sheenby Robert SheenFinal rules implementing Section 1557 of the Affordable Care Act was published on May 18, 2016, and go into effect on July 18, 2016. However, any changes to applicable health …
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Affordable Care ActHealth Care Coverage
Will ColoradoCare replace the ACA?
by Robert Sheenby Robert SheenNovember 8th is right around the corner. And while the onus of the day is placed on electing our next President, Colorado residents will have something else to ponder in …
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Affordable Care ActUninsured
Study Shows Millions Of Uninsured Eligible Americans Are Still Underutilizing The ACA
by Robert Sheenby Robert SheenThe Kaiser Family Foundation has released another report surrounding ACA figures, and the results are astounding. In a report of “Estimates of Eligibility for ACA Coverage among the Uninsured in …
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Affordable Care ActHealth Care CoverageRegulations
News From Washington: ACA Has To Tighten Up Pediatric Dental Care
by Robert Sheenby Robert SheenWhen it comes to healthcare under the Affordable Care Act, many points of coverage can often be an afterthought. QHPs, or “qualified health plans,” are required to fulfill ten “essential …
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Affordable Care ActHealth Care CoverageHealth Insurance Marketplace
Come 2017, Blue Cross Will Be Everywhere In North Carolina
by Robert Sheenby Robert SheenIn April, UnitedHealth announced its plans to exit from multiple Marketplaces, including in North Carolina. The health care giant has complained of the Affordable Care Act (ACA) causing them huge …
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Affordable Care ActHealth Care CoverageIndividual Shared Responsibility Payment
New Updates Arrive Surrounding Individual Shared Responsibility
by Robert Sheenby Robert SheenAt the top of September, the House Ways and Means Committee reunited following summer break with new markups surrounding the individual shared responsibility payment requirement of the Affordable Care Act. …
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ACA ComplianceHealth Insurance Marketplace
It’s A Brand New Day For Marketplace Notices And Appeals
by Robert Sheenby Robert SheenOver the course of the year, many employers participated in a widespread panic over notices mailed to them from the ACA’s Health Insurance Marketplace. These notices summarized that an employee …
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Affordable Care ActPolls/Surveys
ACA Drops Nation’s Uninsured Rate To Record Low
by Robert Sheenby Robert SheenThe number of uninsured Americans is now at record low thanks to the Affordable Care Act. In a study conducted by the National Health Interview Survey over the first three …
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Premium Tax CreditTax Filings
Late Filers: Is Your Premium Tax Credit In Jeopardy?
by Robert Sheenby Robert SheenFor those who received an advance payment for the Premium Tax Credit, yet have extended their 2015 tax return filing or don’t file at all, there’s something you should know. …
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Affordable Care Act
New Study Finds That Premiums Are Still Down Thanks To The ACA
by Robert Sheenby Robert SheenOf all the preconceived notions surrounding the Affordable Care Act (ACA), anything money related remains at the forefront. As insurance companies claim financial hits due to reduced marketplace premiums, on …
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Health Care CoverageHealth Insurance Marketplace
Hey Cigna, Welcome To Chicago!
by Robert Sheenby Robert Sheen2016 has been a confusing one for many Americans who question the security of their health insurance providers. As major companies like UnitedHealthcare are swiftly withdrawing from certain exchanges nationwide …
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By the time July kicked off, many employers received notices from the Health Insurance Marketplace aka “the Exchange,” provided by the Affordable Care Act where individuals and families can obtain …
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One of the most talked about issues regarding employers and health care for their employees is under Internal Revenue Code 4980H. This Code, being Shared Responsibility for Employers Regarding Health …
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Affordable Care ActPremium Tax CreditRegulationsShared Responsibility Payment
IRS Update: Premium Tax Credit And Shared Responsibility Payment
by Robert Sheenby Robert SheenNew regulations have arrived for the ACA’s Premium Tax Credit and Shared Responsibility Payment provisions. For the 2015 tax year, many employers and employees encountered difficulties with regard to the …
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Affordable Care ActHealth Insurance Marketplace
Marketplace Notices: They’re Not (Always) As Bad As You Think
by Robert Sheenby Robert SheenIn May, the ACA Times released an article detailing what exactly a notice from the Health Insurance Marketplace entails. As previously stated, this notice is to inform employers that one …
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Affordable Care ActHealth Care CoverageRegulations
The Nondiscrimination Provision of the ACA Comes Into Effect On July 18th
by Robert Sheenby Robert SheenSection 1557 of the Affordable Care Act was finalized on May 18, 2016, and will be coming into effect two months from that date on July 18, 2016. However, any …
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Affordable Care ActHealth Care CoveragePolls/Surveys
Assisters Prove Helpful In ACA Open Enrollment
by Robert Sheenby Robert SheenIn a recent Kaiser Family Foundation survey, the results proved the Affordable Care Act’s 2016 open enrollment had a much-needed push from assisters and brokers. The open enrollment period lasted …
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ACA ComplianceAffordable Care ActHealth Insurance Marketplace
Study Reveals The Health Insurance Marketplace Doesn’t Have The Highest Premiums
by Robert Sheenby Robert SheenThink the Health Insurance Marketplace has the highest premiums? Think again. A report by the Commonwealth Fund reveals that the ACA’s Health Insurance Marketplace is not the most expensive place …
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Affordable Care ActHealth Insurance Marketplace
UnitedHealth Bids Farewell To The ACA In CA
by Robert Sheenby Robert SheenIt comes as no surprise that UnitedHealth Group is not a fan of the Affordable Care Act. This year, the health care provider claimed a financial hit in 2015 due …
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Affordable Care ActHealth Care Coverage
Premiums Up, With The Uninsured Down
by Robert Sheenby Robert SheenIt’s been quite a rollercoaster ride for the Affordable Care Act this year, as companies like UnitedHealth have spiked their premiums in an effort to combat what they reportedly found …
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Affordable Care ActCovered CaliforniaHealth Care Coverage
California Pioneers Move To Provide Health Care To All Immigrants
by Robert Sheenby Robert SheenOn June 23, President Obama’s championing for Immigration reform received some sobering news when the Supreme Court thwarted Obama’s plan to protect certain illegal immigrants from possible deportation. It was …
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ACA AuditACA CompliancePenalties
To Audit Or Not To Audit: How An ACA Audit Can Save Your Company’s Pockets
by Robert Sheenby Robert SheenIt feels like the year of penalties for employers this tax season, primarily those classified by the ACA for an Applicable Large Employer (50+ full-time equivalents). This is due largely …
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Affordable Care ActHealth Care CoverageRegulations
Is Individual Shared Responsibility Your Responsibility?
by Robert Sheenby Robert SheenSince the implementation of the Affordable Care Act, the goal in mind is to ensure that every American has received or has been given access to adequate health coverage. While …
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Affordable Care ActHealth Care CoverageHealth Insurance Marketplace
Do You Have Minimum Essential Coverage?
by Robert Sheenby Robert SheenUnder the Affordable Care Act, individuals and families are generally required to have minimum essential coverage in order to avoid year-end penalties or shared responsibility payments. This coverage can be …
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Affordable Care ActPremium Tax Credit
Understanding The Premium Tax Credit
by Robert Sheenby Robert SheenIf you or anyone in your family enrolled in an Affordable Care Act health insurance plan through the federal Healthcare.gov health insurance marketplace or a state exchange, you may be …
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Affordable Care ActHealth Care Coverage
74,000 Selected Plans in Week 10
by Robert Sheenby Robert SheenMore than 74,200 consumers selected Affordable Care Act health care plans through the Healthcare.gov online marketplace during the tenth week of open enrollment, according to the “weekly snapshot report” issued …
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Affordable Care Act
Coverage Offer Can Affect Shared Responsibility Payment
by Robert Sheenby Robert SheenUnder the Affordable Care Act, applicable large employers are subject to the employer shared responsibility provisions. They must either offer affordable minimum essential coverage to full-time employees and their dependents, …