While the Affordable Care Act’s Employer Mandate is likely very well known (if not well loved) by employers, many are unaware of the ACA’s Rule of Parity, which offers some …
IRS 4980H Penalties
-
-
The deadline for electronically filing ACA forms 1094-C and 1095-C for the 2022 tax year was March 31. Did you make the deadline? If you did, were all your submissions …
-
ACA Compliance
ACA Measurement Methods Are Critical for Avoiding IRS Penalties
by Robert Sheenby Robert SheenIf you or someone you know has been hit with IRS Letter 226J, you know that it is no laughing matter. The IRS is currently issuing these ACA penalty assessments …
-
ACA Compliance
IRS Limited Non-Assessment Periods Help Avoid ACA Penalties
by Robert Sheenby Robert SheenThe responsibilities under the ACA’s Employer Mandate may seem straightforward, but, in reality, complying with them can be challenging and time-consuming. An area that many Applicable Large Employers (ALEs) struggle …
-
ACA Compliance
Owners of Multiple Small Businesses May Need to Comply with the ACA
by Robert Sheenby Robert SheenUnderstanding the details of the employer-shared responsibility provisions under the ACA can be challenging, especially as the IRS continues to issue penalties for non-compliance. One of the first steps is …
-
The words “summer” and “vacation” often go together. Applicable Large Employers (ALEs) should note that even though their ACA filing responsibilities have likely been satisfied due to the deadlines in …
-
ACA Penalties
These Industries are Most at Risk for ACA Penalties From the IRS
by Robert Sheenby Robert SheenThe 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 …
-
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 …
-
ACA ReportingAffordable Care ActIRS
How to Handle ACA Filing Corrections With the IRS
by Robert Sheenby Robert Sheen3 minute read: If you found yourself in a situation where you received receipt of your ACA information returns for 2020 with a status of “Accepted with Errors,” you’re not …
-
ACA ReportingAffordable Care Act
Tis’ The Season to Check the Health of Your Data for ACA Reporting
by John Fordby John Ford5 minute read: The end of 2019 is here and that means that if you haven’t done so already, it’s time to get your Affordable Care Act (ACA) filings in …
-
ACA ReportingAffordable Care ActIRS
Employers Need to Meet IRS Deadlines to Avoid ACA Penalties
by Robert Sheenby Robert Sheen3 minute read: The IRS recently issued an extension for furnishing forms 1094-C and 1095-C to employees for the 2019 tax year, which extends the schedule employers need to keep …
-
ACA ComplianceAffordable Care Act
The Triangle of Trust Is Critical for ACA Compliance [UPDATE]
by Robert Sheenby Robert Sheen3 minute read: Creating the optimal alignment of data, regulatory expertise and software is critical in achieving ACA compliance. We call this principle the Triangle of TrustSM. This principle has …
-
Affordable Care ActHealth Care Coverage
Three More States Decide to Expand Medicaid Under the ACA
by Robert Sheenby Robert Sheen3 minute read: Utah, Nebraska, and Idaho will join 33 states and the District of Columbia in expanding Medicaid under the Affordable Care Act. The expansion will take place under …
-
3 minute read: We can expect a blizzard of ACA notices and penalty assessments being sent by the IRS as the tax agency steps up its ACA enforcement activities with …
-
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 …
-
ACA ComplianceAffordable Care Act
Expect Greater Scrutiny and Audits from IRS Staff on ACA Compliance
by Robert Sheenby Robert Sheen4 minute read: The IRS staff is preparing a new round of IRC 4980H penalty assessments to be issued to employers for failing to comply with the requirements of the …
-
ACA ComplianceAffordable Care Act
IRS Limiting Length of Extensions for Responding to ACA Penalty Notices
by Robert Sheenby Robert Sheen3 minute read: Employers that receive IRS Letter 226J penalty notice for failing to comply with the Affordable Care Act will be limited to one 30-day extension for each IRS …
-
Affordable Care ActIRS 226J/226-J
Get Ready! More IRS Letter 226J ACA Penalty Notices Are on the Way [UPDATE]
by Robert Sheenby Robert Sheen3 minute read: IRS staff is expected to start issuing Affordable Care Act penalty notices for the 2017 tax year this month. This comes on the heels of a final …
-
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. …
-
ACA ComplianceAffordable Care Act
CMS Seeks Input from States on ACA Waivers
by Robert Sheenby Robert Sheen2 minute read: The Centers for Medicare and Medicaid (CMS) and the U.S. Department of Treasury have issued a request for information (RFI) to states seeking more ideas on potential …
-
ACA ComplianceAffordable Care Act
Grandmothered ACA Plans Receive Transition-Relief Extension
by Robert Sheenby Robert Sheen2 minute read: The U.S. Department of Health and Human Services’ Center for Medicare and Medicaid Services (CMS) has extended the period of non-enforcement for certain non-compliant health policies under …
-
ACA ComplianceAffordable Care Act
An ACA Penalty Risk Assessment May Help School Districts Avoid IRS Penalties
4 minute read: The Affordable Care Act is complex and complying with the law’s Employer Mandate can be challenging for school districts. We had that confirmed in recent conversations at …
-
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 …
-
ACA ComplianceAffordable Care Act
Reduce IRS Penalty Risk With Monthly ACA Compliance
by Robert Sheenby Robert Sheen3 minute read: At this point, if your organization has achieved success in complying with the Affordable Care Act, you understand that it’s no simple undertaking. Chances are, your organization …
-
ACA ComplianceAffordable Care Act
The Signs Were There for IRS’s ACA Enforcement
by Robert Sheenby Robert Sheen5 minute read: One of the more complex sections of the Affordable Care Act is the Employer Shared Responsibility Provisions, also referred to as the ACA Employer Mandate. Under the …
-
Affordable Care ActHealth Care Coverage
Is Maryland the Next State to Approve an Individual Mandate?
by Robert Sheenby Robert Sheen3 minute read: Maryland is getting closer to a state-wide version of an individual mandate that will encourage state residents to purchase health insurance. A bill in the Maryland legislature, …
-
Affordable Care ActIRS 226J/226-J
Contact IRS Staff About Your Letter 226J
by Robert Sheenby Robert Sheen2 minute read: IRS staff continue to work to get current on a backlog of activities that resulted from the recent federal government shutdown. As mentioned in a previous blog …
-
ACA ReportingAffordable Care ActIRS
With IRS Staff Back, Expect A Flurry of ACA Penalty Notices
by Robert Sheenby Robert Sheen3 minute read: The government shutdown is over, at least for now, and IRS staff is back to work. Get ready for a flurry of Affordable Care Act penalty notices …
-
ACA ComplianceHealth Care Coverage
California Carries the Torch for State-Based Individual Mandates
by Robert Sheenby Robert Sheen2 minute read: California Governor Gavin Newsom has not wasted time wading into the healthcare debate. The governor has proposed an individual mandate requiring all California residents to obtain health …
-
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 …
-
Affordable Care ActHealth Care Coverage
Will 2019 be the Year for Statewide Individual Health Insurance Mandates?
by Robert Sheenby Robert Sheen3 minute read: Since the Trump Administration took office, the ACA has been under fire from the White House and many Congressional Republicans. Legislative repeal of the ACA failed. However, …
-
ACA ReportingAffordable Care Act
IRS EXTENDS ACA FURNISHING DEADLINE FOR 1095-C FORMS AND GOOD-FAITH TRANSITION RELIEF FOR 2018 TAX YEAR
by Robert Sheenby Robert Sheen3 minute read: In what has become an annual rite, the IRS has extended the deadline for distributing Form 1095-C for the 2018 tax year to full-time employees as required …
-
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 …
-
5 minute read: Human Resources staff have a difficult job. They help keep their organizations running smoothly by ensuring, to the greatest degree possible, that the employer is in compliance …
-
Affordable Care ActIRS 226J/226-J
Employers Receiving IRS Letter 226J for 2016
by Robert Sheenby Robert Sheen2 minute read: The IRS has started issuing Letter 226J penalty notices for the 2016 tax year to employers identified as having failed to comply with the ACA’s Employer Mandate. …
-
Affordable Care ActHealth Care Coverage
ACA Support May Dictate Midterm Election Results
by Robert Sheenby Robert Sheen2 minute read: Americans across the country will report to their respective poll places to cast their ballots in the midterm elections on November 6, and the issue of healthcare …
-
ACA ReportingAffordable Care Act
IRS ISSUES ACA 2018 FORMS 1094-C AND 1095-C, INSTRUCTIONS, AND 226J FOR 2016
by Robert Sheenby Robert Sheen1 minute read: The IRS has released the final 1094/1095-C schedules and reporting instructions for the 2018 tax year, to be filed and furnished in 2019. You can find the …
-
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 …
-
Affordable Care ActIRS 226J/226-J
IRS Letter 226J for 2016 “In the Mail”
by Robert Sheenby Robert Sheen3 minute read: It’s confirmed. The IRS will begin issuing Letter 226J for the 2016 tax year in the next few weeks. IRS staff has indicated that the penalty notices …
-
Affordable Care Act
What to Measure, Track and Record Under 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 …
-
Affordable Care Act
ACA Popularity Remains Strong as Midterms Approach
by Robert Sheenby Robert Sheen2 minute read: The midterm elections are less than a month away on November 6. With an estimated 20 million Americans at risk of losing health coverage if the ACA …
-
Affordable Care Act
Why You Should Be Concerned that ACA Exchange Notices are Being Issued
by Robert Sheenby Robert Sheen2 minute read: The fourth quarter of the 2018 tax year is here, bringing with it record temperatures in many parts of the country. The ACA enforcement process is also …
-
ACA ReportingAffordable Care ActIRS 226J/226-J
IRS Letter 226J Penalty Notices for 2016 May Contain Higher Penalties
by Robert Sheenby Robert Sheen5 minute read: Starting this fall, employers should expect Letter 226J penalty notices to be issued to organizations determined by the IRS to have failed to comply with the Affordable …
-
ACA ReportingAffordable Care ActIRS
Expect the IRS to Start Issuing ACA Penalties for 2016 Tax Year in November
by Robert Sheenby Robert Sheen3 minute read: As November approaches, two things seem certain. There will be national midterm elections and the IRS will begin issuing Letter 226J penalty notices to employers identified as …
-
ACA ReportingAffordable Care Act
An ACA Penalty Risk Assessment May Help Employers Avoid IRS Penalties
by Robert Sheenby Robert Sheen3 minute read: The Affordable Care Act (ACA) is complex and complying with the law’s Employer Mandate can be challenging for organizations. Under the ACA’s Employer Mandate, Applicable Large Employers …
-
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 …
-
ACA ReportingApplicable Large Employer (ALE)
Is Your Organization an ALE? (UPDATE)
by Robert Sheenby Robert Sheen4 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 …
-
Affordable Care ActIRS 226J/226-J
Exchange Notices Can Lead to IRS Letter 226J ACA Penalties
by Robert Sheenby Robert Sheen3 minute read: It’s no secret the IRS has been actively enforcing the Affordable Care Act’s Employer Mandate. To date, the IRS has identified a total of 49,259 employers that …
-
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 …
-
Affordable Care ActHealth Care Coverage
The Affordable Care Act, and Why You Can’t Afford to Ignore It [UPDATE]
by Robert Sheenby Robert Sheen5 minute read: It’s always interesting to look back and see how the contours of a law changes in time. The Affordable Care Act (ACA) is no exception. I wrote …