With the New Year well underway, the IRS has begun assessing new ACA penalties, setting the tone for compliance in 2024. Earlier this month we received notice from a new …
Premium Tax Credit (PTC)
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The last several years have been difficult for the IRS, but now that the agency is almost through its historic backlog, it is making significant progress on a long list …
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As IRS enforcement of the ACA continues to ramp up, organizations would be wise to implement a monthly compliance process, if they haven’t already. Employers that implement a monthly ACA …
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Since ACA reporting was first required by employers in 2015, the affordability component under the Employer Mandate was established each year by indexing the standard of 9.5%. This has always …
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Late last week news broke regarding a $300 billion bill that would extend the enhanced ACA subsidies issued via Premium Tax Credits (PTC) through 2025. It all started when Senator …
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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 …
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Employers should review their ACA compliance processes carefully in light of new data issued by the Kaiser Family Foundation (KFF). Below we’ve identified why. Key PTC findings Health exchange enrollees …
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The IRS penalty amounts for non-compliance of the ACA’s Employer Mandate are again increasing in 2022. Below is a rundown of the new penalty amounts and how the IRS will …
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Affordable Care Act
Letter 226J Notices For The 2019 Tax Year Have Arrived
by Robert Sheenby Robert SheenThe IRS is now issuing Letter 226J penalty notices to employers identified as having failed to comply with the ACA’s Employer Mandate for the 2019 tax year. Just in time …
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Affordable Care Act
Special Enrollment Period Doubles Enrollees, Final Month Approaches
by Robert Sheenby Robert SheenIn June, the ACA’s special enrollment period garnered 1 million sign-ups through the federal health exchange, HealthCare.gov. A month later and the number of enrollees has doubled. On July 14, …
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Affordable Care Act
ACA Employer Penalties Are Real and The IRS Will Be Issuing More
by Robert Sheenby Robert Sheen3 min read ACA reporting for the 2021 tax year may not be top of mind for employers right now, but that doesn’t mean you shouldn’t be aware of the …
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ACA ComplianceAffordable Care ActIRS
American Rescue Plan Introduces New Changes to COBRA
by Robert Sheenby Robert Sheen3 minute read: Biden’s American Rescue Plan (ARP) has reshaped the way Americans receive and qualify for healthcare coverage, including COBRA. Before diving into the specifics of how the ARP …
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ACA ComplianceAffordable Care ActIRS
Biden Seeks to Make PTC Eligibility Expansion Permanent
by Robert Sheenby Robert Sheen3 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 …
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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
IRS Enforcement of the ACA is Increasing
by Robert Sheenby Robert Sheen3 minute read: IRS enforcement of the ACA is going to increase throughout the remainder of the year and well into 2022, as President Biden’s FY 2022 discretionary request alludes …
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ACA ComplianceAffordable Care Act
What Happens if You Fail to Pay an ACA Penalty?
by Robert Sheenby Robert SheenHave you ever wondered what would happen if your organization didn’t pay an ACA penalty issued by the IRS? In this post, Trusaic explains what you need to know about …
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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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Affordable Care Act
Recapping on Biden’s ACA Reforms, What Employers Need to Know
by Robert Sheenby Robert Sheen3 minute read: Since Biden took office on January 20, 2021, several advancements to the Affordable Care Act followed, so we thought it best to recap on the ACA reforms …
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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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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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3 minute read: The Patient Protection and Affordable Care Act (ACA) is a comprehensive healthcare reform law enacted under President Barack Obama in 2010. The implementation of the ACA represented …
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Affordable Care Act
Taxpayers (Including Employers) Have the Right to Challenge the IRS
by Robert Sheenby Robert SheenThe IRS has a Taxpayer Bill of Rights, which includes a section stating every taxpayer’s “right to challenge the IRS’s position and be heard.” These fundamental rights apply to all …
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Affordable Care Act
Wage Fixing Indictment Has Implications for Employers
by Robert Sheenby Robert Sheen3 minute read: A recent federal wage-fixing indictment against the former owner of a health care staffing company indicates that the Department of Justice’s Antitrust Division is taking a closer …
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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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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
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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Affordable Care Act
IRS Announces COVID-19 Tax Relief Initiative to Help Taxpayers
by Robert Sheenby Robert Sheen2 minute read: On November 2, 2020, the IRS announced several changes to its collection procedures to assist struggling taxpayers impacted by COVID-19. These changes include: Taxpayers who qualify for …
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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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3 minute read: As the fourth quarter of 2020 draws near, so does the presidential election. A popular topic of debate to be addressed in the coming election is healthcare, …
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Affordable Care Act
IRS Releases New ACA Filing Information for the 2020 Tax Year
by Robert Sheenby Robert Sheen2 minute read: The IRS has published various Affordable Care Act Information Returns (AIRs) documents for the 2020 tax year with which employers will need to familiarize themselves before electronically …
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2 minute read: New IRS guidance addresses the intersection of COVID-19, Medicaid, and the Affordable Care Act (ACA). In a bid to increase COVID-19 testing in the U.S., one facet …
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Affordable Care Act
ACA Office Reopens & Issues 2018 Penalty Letters
by Robert Sheenby Robert Sheen1 minute read: The IRS Affordable Care Act (ACA) Enforcement Office, located in Ogden, Utah, had been temporarily closed since late March 2020, due to state stay-at-home orders issued in …
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Affordable Care ActHealth Care Coverage
ACA to Aid Millions in Obtaining Healthcare, KFF Report Finds
by Robert Sheenby Robert Sheen2 minute read: The data is in: at least 27 million Americans have lost employer-sponsored health coverage as a result of COVID-19. The Kaiser Family Foundation issued a report in …
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2 minute read: The Affordable Care Act (ACA) is the single most important piece of health care legislation in generations. One major reason for the ACA’s significant impact on the …
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Affordable Care Act
Why CMS’s 2021 Payment Notice May Lead to More PTC Allocations
by Robert Sheenby Robert Sheen2 minute read: Back in March, the Centers for Medicare and Medicaid Services (CMS) issued the Notice of Benefit and Payment Parameters for 2021 (2021 Payment Notice). The rule includes …
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2 minute read: While Trump Administration shot down the idea of a special ACA enrollment period to help individuals who have lost their coverage due to the COVID-19 Pandemic, states …
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Affordable Care ActHealth Care Coverage
Federal Special Enrollment Period on the Horizon
by Robert Sheenby Robert Sheen2 minute read: The Trump Administration is doing the unexpected and considering a special ACA enrollment period in light of the COVID-19 Pandemic. The special enrollment period will provide uninsured …
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2 minute read: Now that it is 2020, several state-wide Individual Mandates have gone into effect, including California’s. As of January 1, California residents, including domestic partners and their dependents, …
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3 minute read: In 2020, the affordability threshold will decrease. What that means is that employers will need to contribute more to their employee’s health coverage in order to fall …
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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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ACA ComplianceAffordable Care Act
Monthly ACA Compliance Can Help Employers Avoid IRS Penalties
by Robert Sheenby Robert Sheen4 minute read: As the IRS begins rolling out a new round of ACA penalty notices this month, we can’t stress enough how important it is to assess your compliance …
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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 ReportingAffordable Care Act
Mark These 2019 Dates for 2018 ACA Reporting [UPDATE]
by Robert Sheenby Robert Sheen5 minute read: Every year, the IRS requires employers to submit important ACA information to the agency and their employees. Here are some important dates to keep in mind for …
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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 …