3 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 …
Minimum Value (MV)
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3 minute read: A legal case focused on transgender rights may provide further validation of the protections offered by Section 1557 of the Affordable Care Act. The case involves Sergeant …
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Affordable Care Act
California Bill AB5 May Impact Your ACA Compliance Process
by Robert Sheenby Robert Sheen2 minute read: California employers may have another level of complexity coming their way in regards to compliance with the Affordable Care Act. The California state legislature has passed a …
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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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Affordable Care Act
Get to Know the ACA’s Statewide Individual Mandates
by Robert Sheenby Robert Sheen3 minute read: In January 2019, the federal Individual Mandate was effectively eliminated. Many states responded by implementing their own and some of them have both employer and employee penalties …
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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 …
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Affordable Care Act
IRS Penalties Create A Hurricane for Businesses Failing to Comply with the ACA
by Robert Sheenby Robert Sheen5 minute read: It’s a hurricane of IRS penalty notices. And it’s no laughing matter for businesses that have failed to comply with the Affordable Care Act. The IRS is …
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Affordable Care ActHealth Care Coverage
ACA Approval Ratings on The Rise
by Robert Sheenby Robert Sheen3 minute read: As the discussion over the 2020 election begins to take shape, we can expect the Affordable Care Act to be a topic of debate. However, based on …
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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 …
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ACA ComplianceAffordable Care Act
IRS Enforcement of the ACA Not Wavering
by Robert Sheenby Robert Sheen2 minute read: Give the IRS credit. It is consistent. In 2017, the federal tax agency responded to an inquiry about waivers to business owners from U.S. House Representative Bill …
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ACA ReportingAffordable Care Act
IRS Issues Letter 972CG to Employers for Late ACA Filings
by Robert Sheenby Robert Sheen4 minute read: The IRS has started to issue ACA penalties to employers who have filed their annual ACA information past IRS deadlines, another sign that the IRS is further …
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Affordable Care Act
Expect Increased IRS Penalties in 2019 for ACA Non-Compliance
by Robert Sheenby Robert Sheen3 minute read: Expect to see increased ACA penalties for employers that do not comply with the ACA in the 2019 tax year. Here’s how the anticipated ACA penalties for …
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Affordable Care Act
Penalties for the 2019 Tax Year Are Higher Than Ever
by Robert Sheenby Robert Sheen3 minute read: The IRS has not let up with issuing ACA penalties to employers identified as having failed to comply with the law’s Employer Mandate. As in past tax …
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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 …
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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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3 minute read: The IRS has announced that nearly two million ITINs are set to expire in 2019. What does this mean for your business and ACA compliance? We have …
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Affordable Care ActHealth Care Coverage
California Passes New State-Wide Healthcare Individual Mandate
by Robert Sheenby Robert Sheen5 minute read: In early January, I wrote a blog post titled, “Will 2019 Be the Year for Statewide Individual Health Insurance Mandates?” More and more, it is appearing that …
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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 …
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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 …
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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 …
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ACA ReportingAffordable Care Act
Suggestions on Responding to IRS 6721/6722 ACA Penalties
by John Fordby John Ford3 minute read: In late 2018, the IRS began issuing ACA penalties under IRC 6721/6722 to employers that failed to distribute 1095-C forms to employees and to file 1094-C and …
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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
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 …
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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 …
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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 …
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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 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 …
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ACA ComplianceAffordable Care Act
ACA Compliance Still Confusing to Employers
by Robert Sheenby Robert Sheen5 minute read: Employers are still confused with how to comply with the Affordable Care Act, and continue to hide their heads in the sand about the real risk of …
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ACA ReportingAffordable Care ActIRS 226J/226-J
Avoid These ACA Filing Errors to Prevent Getting IRS Letter 226J Year After Year
by Robert Sheenby Robert Sheen5 minute read: They say insanity is doing the same thing over and over expecting different results. We’ve seen many employers repeatedly make the same mistakes in their annual ACA …
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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 …
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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, …
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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 …
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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 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 …
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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 …
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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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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, …
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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 …
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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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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 …
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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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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. …
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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 …
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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 …
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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 …
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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 …
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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 …
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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 …