3 minute read: The Biden administration is once again finding ways to bolster the Affordable Care Act. This time the advancement comes in the form of ACA subsidies and the …
Internal Revenue Code (IRC) Section 4980H Penalties
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ACA ComplianceAffordable Care ActIRS
IRS Suspends Excess Repayment of APTCs for 2020 Tax Year
by Robert Sheenby Robert Sheen3 minute read: The latest ACA advancement to be introduced by the Biden administration comes via the American Rescue Plan and applies to the use of Advanced Payments of Premium …
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Affordable Care Act
IRS Experiences Paper Mail Backlog, Employers Should E-file ACA Returns
by Robert Sheenby Robert Sheen3 minute read: The COVID-19 pandemic created hardships for everyone and everything, including the IRS. On numerous occasions, the agency announced a significant backlog in processing paper returns. As of …
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ACA ComplianceAffordable Care Act
ACA Affordability for the 2021 Tax Year
by Robert Sheenby Robert Sheen2 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 …
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3 minute read: Employers should be aware that data concerning non-compliance with California’s Individual Mandate will be publicly reported and published annually by the California Franchise Tax Board (FTB) on …
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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 …
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3 minute read: President Joe Biden nominated California’s Attorney General Xavier Becerra, a known supporter of the ACA, as the new Health and Human Services (HHS) Secretary. On March 18, …
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3 minute read: The Congressional Budget Office (CBO) issued a report last month that outlines the budgetary effects on American employment if the Raise the Wage Act of 2021 is …
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Affordable Care Act
The IRS is Issuing ACA Penalty Letter 226J for 2018
by Robert Sheenby Robert Sheen3 minute read: The IRS has begun to issue Letter 226J penalty assessments to employers that failed to comply with the ACA’s Employer Mandate for the 2018 tax year. If …
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3 minute read: ACA reporting for the 2020 tax year will be different from years past because of the new Individual Coverage Health Reimbursement Arrangement (HRA) codes. These new codes, …
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Affordable Care Act
Employers May Face Additional Challenges with 2020 ACA Reporting
by Robert Sheenby Robert Sheen3 minute read: With the 2020 ACA filing deadlines fast approaching, employers will be met with additional reporting challenges due in large part to the COVID-19 pandemic. From determining full-time …
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3 minute read: Since the Biden Administration took office a few weeks ago, changes to help bolster the Affordable Care Act are already underway. President Joe Biden has already signed …
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Affordable Care Act
California Individual Mandate Penalties Will be Issued in 2021
by Robert Sheenby Robert Sheen3 minute read: State residents of California who failed to obtain health coverage during the 2020 tax year could see a penalty notice from the state as a part of …
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Affordable Care Act
5 Resources Essential for ACA Compliance in 2021
by Robert Sheenby Robert SheenThe 2021 tax year is already halfway over. With the Biden administration ramping up legislation around the ACA and the IRS increasing its enforcement efforts, employers need to be sure …
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Affordable Care Act
California Individual Mandate Final Regulations Have Been Updated
by Robert Sheenby Robert Sheen3 minute read: The California Franchise Tax Board (FTB) has released detailed information pertaining to the state’s Individual Mandate as the furnishing deadline for self-insured employers draws near. The details …
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Affordable Care Act
ACA Improvements to Expect from the Biden Administration
by Robert Sheenby Robert Sheen3 minute read: The inauguration welcoming president-elect Joe Biden to the White House is imminent and with the recent shift in majority control of the Senate, we can expect a …
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Affordable Care Act
Democrats Gain Senate, Paving the Way for Biden’s ACA Agenda
by Robert Sheenby Robert Sheen3 minute read: The results from last week’s Senate runoff race in Georgia have given Democrats control of the Senate, paving the way for Joe Biden’s presidency and his agenda …
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3 minute read: The California Franchise Tax Board (FTB) just published Final Regulations on the Individual Shared Responsibility Penalty. The California Individual Mandate, in effect since January 1, 2020, will …
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Affordable Care Act
Minimize Penalties with ACA Best Practices for the Holiday Season
by Robert Sheenby Robert Sheen3 minute read: With the New Year around the corner, employers should begin preparing their ACA Forms 1094-C and 1095-C if they haven’t already begun to do so. Each year, …
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Affordable Care Act
Biden’s ACA Enhancements Could Create Challenges For Employers
by Chris Areyby Chris Arey2 minute read: President-elect Joe Biden’s term will begin in a few short months and as he promised during his campaign, there will be a number of advancements made to …
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3 minute read: Earlier this year, the IRS issued the 2021 employer mandate penalties under IRC 4980H(a) and 4980H(b). It should come as no surprise that the penalty amounts have …
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Affordable Care Act
ACA Likely to Remain Following Supreme Court Oral Arguments
by Chris Areyby Chris Arey3 minute read: The Affordable Care Act may have avoided the possibility of being removed once and for all, as the Supreme Court hearing last week suggests. The California v. …
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Affordable Care Act
Prop 22 has Significant Implications on ACA Healthcare Benefits
by Robert Sheenby Robert Sheen2 minute read: With everyone’s attention focused on the results of the presidential election, folks may not realize that California Prop 22 will pass. As of November 6, the status …
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3 minute read: Heading into Election Day, a record-breaking one million Americans cast their ballots early, creating a myriad of potential challenges for determining a clear victor in the 2020 …
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Affordable Care Act
Lower ACA Premiums Heading into Open Enrollment for 2021
by Chris Areyby Chris Arey3 minute read: The Healthcare.gov open enrollment period for the 2021 tax year will begin on November 1, 2020, and will run through December 15. Surprisingly, premiums are down and …
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Affordable Care Act
D.C. Upholds Health Carrier Tax, Supporting ACA Health Exchanges
by Chris Areyby Chris Arey3 minute read: An argument regarding the District of Columbia’s ACA health exchange tax was decided late last month. The decision rules in favor of the tax, supporting state-run health …
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Affordable Care Act
Possible ACA Outcomes If Joe Biden Is Elected in November
by Chris Areyby Chris Arey2 minute read: With the 2020 presidential election a few short weeks out, it’s incredibly important that voters understand what Joe Biden versus Donald Trump will do to the ACA …
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2 minute read: “What exactly is Form 1095-C?” It’s a question that employers often ask when they’re first introduced to the responsibilities of the ACA’s Employer Mandate. In this post, …
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Affordable Care Act
CA AB2257 and Its Impact on ACA and Pay Equity Compliance
by Robert Sheenby Robert Sheen2 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 …
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Affordable Care Act
What California Residents Need to Know About the Individual Mandate
by Robert Sheenby Robert Sheen2 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 …
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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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Affordable Care Act
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 …
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Affordable Care Act
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. …
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Affordable Care ActHealth Care Coverage
ACA’s Expansion of Medicaid Key Player for Providing Health Coverage Amid COVID-19
by Robert Sheenby Robert Sheen2 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 …
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3 minute read: If you are a U.S. business, there is a good chance that one or more of your employees have taken emergency paid sick leave. Such leaves may …
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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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ACA ComplianceAffordable Care Act
When Choosing an ACA Vendor, Make Sure They’re SOC II Compliant
by Robert Sheenby Robert Sheen2 minute read: Who do you trust with your data? The large-scale data breaches of the 2010s saw companies ask the question of whether their network security was sufficient to …
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Affordable Care Act
Eliminating the ACA’s Cadillac Tax Will Not Impact the Employer Mandate
by Robert Sheenby Robert Sheen3 minute read: All eyes on are the U.S. Senate to see if a vote will be taken to eliminate a tax associated with the Affordable Care Act. The tax …
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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 …