How to Successfully Appeal an Exchange Notice from the Healthcare Marketplace

How to Successfully Appeal an Exchange Notice from the Healthcare Marketplace

April 10, 2017 – 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 Read More
The American Health Care Act Prohibits Tax Credits for Abortion Coverage

The American Health Care Act Prohibits Tax Credits for Abortion Coverage

March 14, 2017 The 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 Read More
The ACA Exchange Appeals Process

The ACA Exchange Appeals Process

February 22, 2017 The 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 Read More
2016-2017 Healthcare.Gov Open Enrollment Figures: An Infographic

2016-2017 Healthcare.Gov Open Enrollment Figures: An Infographic

February 14, 2017 From 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 Read More
Trump Supporters And Healthcare: What Do They Want?

Trump Supporters And Healthcare: What Do They Want?

February 2, 2017 In 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 Read More
The Last Day For ACA Enrollment Almost Went Unmarketed

The Last Day For ACA Enrollment Almost Went Unmarketed

January 31, 2017 Healthcare.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 Read More
IRS Commissioner Reports On ACA Stats For 2015

IRS Commissioner Reports On ACA Stats For 2015

January 26, 2017 While 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 Read More
The Reality Of ACA Penalties Post-Repeal

The Reality Of ACA Penalties Post-Repeal

January 20, 2017 As 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 Read More
IRS Finalizes Regulations Adopt Intentional or Reckless Disregard of Facts Exceptions to Employee Safe Harbor

IRS Finalizes Regulations Adopt Intentional or Reckless Disregard of Facts Exceptions to Employee Safe Harbor

January 12, 2017 The 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 Read More
Rewinding The Clock: An ACA Repeal Would Put Money Back In The Wealthy’s Pockets

Rewinding The Clock: An ACA Repeal Would Put Money Back In The Wealthy’s Pockets

December 12, 2016 At 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 Read More
Enrollment On ACA Healthcare Exchanges Hits The One Million Mark In Two Weeks

Enrollment On ACA Healthcare Exchanges Hits The One Million Mark In Two Weeks

November 30, 2016 As 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 Read More
ACA Retaliation Claims: The Final Verdict Comes From OSHA

ACA Retaliation Claims: The Final Verdict Comes From OSHA

November 14, 2016 Under 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 Read More
The Nondiscrimination Provision of the ACA: What To Know

The Nondiscrimination Provision of the ACA: What To Know

November 9, 2016 Final 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 Read More
Will ColoradoCare replace the ACA?

Will ColoradoCare replace the ACA?

November 3, 2016 November 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 Read More
Study Shows Millions Of Uninsured Eligible Americans Are Still Underutilizing The ACA

Study Shows Millions Of Uninsured Eligible Americans Are Still Underutilizing The ACA

October 31, 2016 The 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 Read More
News From Washington: ACA Has To Tighten Up Pediatric Dental Care

News From Washington: ACA Has To Tighten Up Pediatric Dental Care

October 26, 2016 When 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 Read More
Come 2017, Blue Cross Will Be Everywhere In North Carolina

Come 2017, Blue Cross Will Be Everywhere In North Carolina

October 18, 2016 In 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 Read More
New Updates Arrive Surrounding Individual Shared Responsibility

New Updates Arrive Surrounding Individual Shared Responsibility

October 12, 2016 At 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. Read More
It’s A Brand New Day For Marketplace Notices And Appeals

It’s A Brand New Day For Marketplace Notices And Appeals

October 3, 2016 Over 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 Read More
ACA Drops Nation’s Uninsured Rate To Record Low

ACA Drops Nation’s Uninsured Rate To Record Low

September 29, 2016 The 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 Read More
Late Filers: Is Your Premium Tax Credit In Jeopardy?

Late Filers: Is Your Premium Tax Credit In Jeopardy?

September 28, 2016 For 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. Read More
New Study Finds That Premiums Are Still Down Thanks To The ACA

New Study Finds That Premiums Are Still Down Thanks To The ACA

August 22, 2016 Of 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 Read More
Hey Cigna, Welcome To Chicago!

Hey Cigna, Welcome To Chicago!

August 22, 2016 2016 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 Read More
The DOs And DON’Ts Of Marketplace Notices

The DOs And DON’Ts Of Marketplace Notices

August 18, 2016 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 Read More
Heads Up About Code 4980H

Heads Up About Code 4980H

August 17, 2016 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 Read More
IRS Update: Premium Tax Credit And Shared Responsibility Payment

IRS Update: Premium Tax Credit And Shared Responsibility Payment

August 4, 2016 New 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 Read More
Marketplace Notices: They’re Not (Always) As Bad As You Think

Marketplace Notices: They’re Not (Always) As Bad As You Think

August 3, 2016 In 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 Read More
The Nondiscrimination Provision of the ACA Comes Into Effect On July 18th

The Nondiscrimination Provision of the ACA Comes Into Effect On July 18th

July 13, 2016 Section 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 Read More
Assisters Prove Helpful In ACA Open Enrollment

Assisters Prove Helpful In ACA Open Enrollment

July 13, 2016 In 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 Read More
Study Reveals The Health Insurance Marketplace Doesn’t Have The Highest Premiums

Study Reveals The Health Insurance Marketplace Doesn’t Have The Highest Premiums

July 12, 2016 Think 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 Read More
UnitedHealth Bids Farewell To The ACA In CA

UnitedHealth Bids Farewell To The ACA In CA

July 11, 2016 It 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 Read More
Premiums Up, With The Uninsured Down

Premiums Up, With The Uninsured Down

July 7, 2016 It’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 Read More
California Pioneers Move To Provide Health Care To All Immigrants

California Pioneers Move To Provide Health Care To All Immigrants

June 30, 2016 On 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 Read More
To Audit Or Not To Audit: How An ACA Audit Can Save Your Company’s Pockets

To Audit Or Not To Audit: How An ACA Audit Can Save Your Company’s Pockets

June 27, 2016 It 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 Read More
Is Individual Shared Responsibility Your Responsibility?

Is Individual Shared Responsibility Your Responsibility?

May 8, 2016 Since 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 Read More
Do You Have Minimum Essential Coverage?

Do You Have Minimum Essential Coverage?

April 19, 2016 Under 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 Read More
Understanding The Premium Tax Credit

Understanding The Premium Tax Credit

January 19, 2016 If 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 Read More
74,000 Selected Plans in Week 10

74,000 Selected Plans in Week 10

January 14, 2016 More 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 Read More
Coverage Offer Can Affect Shared Responsibility Payment

Coverage Offer Can Affect Shared Responsibility Payment

September 25, 2015 Under 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, Read More