ACA Times

JUNE 21, 2023

Many organizations find ACA compliance to be challenging and time-consuming, leading to potential penalties from the IRS. But while almost all organizations need to comply with reporting requirements (those that… The post Industries Most at Risk for ACA Penalties first appeared on The ACA Times.

Industry 130

Industry ATS Compliance Report 130

ACA Times

FEBRUARY 22, 2023

A set of proposed rules issued by the Internal Revenue Service, Employee Benefits Security Administration, the Centers for Medicare and Medicaid Services, earlier this month aims to expand free access… The post 4 Ways ACA Preventive Care Provisions Will Change if New Proposed Rules Pass first appeared on The ACA Times.

Employee Benefits 246

Employee Benefits Compliance 246

ACA Times

FEBRUARY 15, 2023

There are many factors at play when determining which company shoulders the responsibility of ACA reporting falls on during a merger or acquisition. Ultimately, ACA reporting requirements are the obligation… The post ACA Compliance Concerns That May Arise During Mergers and Acquisitions first appeared on The ACA Times.

Compliance 130

Compliance Report Company ATS 130

ACA Times

NOVEMBER 17, 2022

As the number of available healthcare coverage options increases, more and more employers are turning to individual coverage health reimbursement arrangements (ICHRAs). A relatively new player in the market, ICHRAs…. The post Employers Investing More in ICHRAs Poses ACA Coding Risk first appeared on The ACA Times.

Report 130

Report 130

ACA Times

NOVEMBER 9, 2022

ACA filing for the 2022 tax year is fast approaching. Employers with operations in Rhode Island should take note of the recent changes made regarding ACA filing and furnishing. Late…. The post Rhode Island Permanently Extends ACA Filing Deadlines first appeared on The ACA Times.

Report 246

Report 246

ACA Times

AUGUST 25, 2022

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…. The post Understanding ACA Affordability for 2023 Tax Year first appeared on The ACA Times.

Report 130

Report Analysis Compliance 130

ACA Times

AUGUST 11, 2022

Trends to eliminate discrimination in all facets of the workplace continue to take hold across the country. Health and Human Services (HHS) is the latest government agency to make this…. The post HHS Proposes Rule to Bolster ACA’s Section 1557 first appeared on The ACA Times.

Discrimination 239

Discrimination Trends Compliance 239

ACA Times

AUGUST 4, 2022

Last week the IRS announced the affordability percentage for Premium Tax Credits (PTCs) and employee contributions for employer-sponsored health coverage. In IRS Rev. Proc 2022-34, the agency makes clear that…. The post ACA Affordability Drops to Historic Low for 2023 Tax Year first appeared on The ACA Times.

Compliance 246

Compliance 246

ACA Times

AUGUST 3, 2022

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…. The post Inflation Reduction Act to Extend Enhanced ACA Subsidies first appeared on The ACA Times.

246

246

ACA Times

MAY 11, 2022

Last month the IRS published a proposed regulation that would amend the existing rule regarding employer-sponsored Minimum Essential Coverage (MEC) for family members of an employee. . The proposed rule would effectively solve the “family glitch” and make coverage more affordable for spouses and dependents, instead of just for the employee.

Compliance 130

Compliance Report Meeting Company 130

ACA Times

MAY 5, 2022

Following the 2021 tax year, the ACA has garnered the highest number of enrollments it has ever seen. Over 35 million Americans have obtained health coverage because of the ACA, according to a report issued by the Department of Health and Human Services (HHS). Of the 35 million enrollees an estimated 13.6 million enrolled through health exchanges, and over 21 million opted into Medicaid coverage, including 16.8 million who were not eligible prior to the ACA’s expansion.

Compliance 130

Compliance Comparison Report Course 130

ACA Times

APRIL 27, 2022

The last several years have been difficult for the IRS, but now that the historic backlog has an end date , the agency is making significant progress on a long list of to-do items, including issuing ACA penalties. Over the last month or so, we’ve heard from our partners, brokers, and new clients about the flurry of ACA penalties being issued from the IRS, namely, the notorious Letter 226J.

Assessment Software 130

Assessment Software Compliance Meeting Examples 130

ACA Times

FEBRUARY 9, 2022

The IRS is experiencing a massive mail backlog of unprocessed documents first caused by COVID-19. Included in that backlog of notices are ACA penalty assessments. To help the situation, the agency said it would be reassigning 1,200 employees to assist with the 2021 tax season distribution, which at the onset only compounded the backlog, making a bad situation worse. .

Assessment Software 130

Assessment Software Report Compliance Immedis 130

ACA Times

FEBRUARY 2, 2022

Over 14.5 million Americans elected to receive health coverage through one of the ACA’s insurance marketplaces during the 2022 open enrollment period. The record-breaking participation is 21% higher than the signups for the 2021 open enrollment. Of the 14.5 million, 5.8 million were new signups , meaning they hadn’t previously received ACA coverage through the marketplace.

Planning Tools 147

Planning Tools Compliance Report Meeting 147

ACA Times

NOVEMBER 18, 2021

With the Infrastructure Bill now officially signed into law, Congress will now shift its focus onto the $1.75 trillion Build Back Better proposal. In its current version, the plan could reshape U.S. healthcare and the ACA. To start, the plan allocates roughly $130 billion to expand Medicaid and reduce medical premiums for ACA coverage, according to CNBC.

Compliance 246

Compliance Policies Meeting Wellness 246

ACA Times

NOVEMBER 9, 2021

Every year employers must file their ACA information via forms 1094-C and 1095-C to the IRS and any state government. For the last seven years, there have been two methods for doing this, that is until now. A new IRS proposed rule seeks to phase out the paper-filing option by 2023, leaving it intact for only the smallest subset of employers. Specifically, the proposed rule would reduce the 250 count threshold to 100 for filings due in 2022.

Assessment Software 130

Assessment Software Compliance Report Meeting 130

ACA Times

NOVEMBER 4, 2021

The 2022 federal open enrollment period began earlier this week and will run through January 15, 2022. Consumers will have a wide variety of options to choose from, as well as reduced premiums. According to a news release from the Centers of Medicare and Medicaid Services (CMS) , there will be 213 participating insurers offering coverage for the 2022 plan year.

Planning Tools 130

Planning Tools Assessment Software Compliance Meeting 130

ACA Times

NOVEMBER 2, 2021

With the end of the year approaching quickly, ACA compliance and the subsequent ACA reporting are ramping up. Employers preparing for IRS and state filing requirements should consider the importance of the 1095-C form. What is the 1095-C form? Form 1095-C is a record of an ACA full-time employee’s health coverage for a particular year. The IRS says that the 1095-C form “is filed and furnished to any employee of an Applicable Large Employers (ALE) member who is a full-time employee for one or mor

Assessment Software 130

Assessment Software Compliance Immedis Report 130

ACA Times

OCTOBER 28, 2021

On October 2, 2020, the IRS issued Notice 2020-76 , extending the deadline for employers to furnish ACA Forms 1095-C to applicable full-time employees from January 31, 2021, to March 2, 2021. Will the agency issue an extension for the 2021 tax year? To further align with the agency’s goals to identify ACA Employer Mandate non-compliance, it makes sense for the agency to not issue an extension.

Report 130

Report Compliance Meeting Resources 130

ACA Times

AUGUST 17, 2021

The IRS recently issued a notice that further clarifies the usage of Consolidated Omnibus Budget Reconciliation Act (COBRA) coverage as amended via the American Rescue Plan (ARP). IRS Notice 2021-46 expands on 2021-31 and identifies several parameters around COBRA continuation coverage in a question and answers format. Before diving into the specifics, it’s important to note how the ARP created changes to COBRA coverage for select individuals.

Compliance 246

Compliance Comparison Groups Meeting 246

ACA Times

AUGUST 10, 2021

Several health carriers are experiencing growth because of the recent Affordable Care Act advancements. Most notably is CVS Health Corp. and its affiliated health insurance business, Aetna. Last week the health carrier stated that it will be entering the ACA individual coverage marketplace in eight states, including Texas, Florida, Georgia, Missouri, Nevada, North Carolina, and Virginia.

Compliance 246

Compliance Data Productivity Report 246

ACA Times

JULY 14, 2021

We’ve heard from our partners and brokers that the IRS has begun issuing Letter 5699 to employers for the 2019 tax year. Officially called “Missing Information Return Form 1094/1095-C,” Letter 5699 is the precursor notice that is issued to employers before a penalty assessment. The IRS issues Letter 5699 to Applicable Large Employers (ALEs) identified as having failed to file applicable ACA Forms 1094-C and 1095-C for a specific tax year as required under the ACA’s Employer Mandate.

Compliance 162

Compliance Report Meeting Company 162

ACA Times

NOVEMBER 6, 2014

Employer’s won’t be able to use so-called “skinny” health plans to meet coverage requirements of the Affordable Care Act , according to a notice issued Nov. 4 by the Internal Revenue Service (IRS) and the Department of Health and Human Services (HHS). The agencies issued Notice 2014-69, which said employers cannot use plans that sharply limit for inpatient hospital services and/or physician services to meet the “ minimum Value” requirements of Internal Revenue Code section 4980H , commonly refer

Compliance Training 100

Compliance Training Compliance Immedis Meeting 100

ACA Times

NOVEMBER 7, 2014

A key element the Act – the way the administration is distributing subsidies – is the subject a challenge that the Supreme Court today (Nov. 7, 2014) agreed to hear. Plaintiffs in the case, King v. Burwell , argue that the federal practices for handling the subsidies goes beyond what the 2010 Act authorized, and is therefore an unconstitutional encroachment on authority to control federal spending.

Compliance 100

Compliance Compliance Training Company 100

ACA Times

NOVEMBER 8, 2014

In advance the November 15 beginning open under the Act , government technology are beefing up to avoid a repetition last year’s glitches. “We’re really making sure that website works super well,” President Obama said at a news conference. “We’re double- and triple-checking it.” Behind the scenes, the website is being equipped with “virtual rooms” that will be triggered if the system detects that more users are trying to access the system tha

Screening 100

Screening Conference Compliance System 100

ACA Times

NOVEMBER 11, 2014

Obama administration officials say the number of Americans who will gain health coverage during 2015 through Affordable Care Act marketplaces will be about 30% lower than earlier estimates. Health and Human Services executives said 9 million to 9.9 million will have insurance under the ACA by the end of 2015. Several months ago the Congressional Budget Office predicted that the figure would be 13 million.

Compliance 100

Compliance Compliance Training Company ATS 100

ACA Times

NOVEMBER 12, 2014

A quarter all Hispanics in the United States lack, the highest rate for any minority in the nation, according to data released by the Census Bureau. About 2.6 million an estimated 10.2 million eligible Latinos did not enroll during the first year the Act’s operation. Foreign-born Hispanics are twice as likely to be as those born in the country, according to an analysis by the Pew Research Center.

Analysis 100

Analysis Compliance Compliance Training Data 100

ACA Times

NOVEMBER 22, 2014

Republican members the House Representatives announced Friday, Nov. 21 st , that they have filed a lawsuit against the Obama administration’s “unilateral actions” implementing the Act. The lawsuit says the administration unlawfully postponed the deadline for companies with 50 or more full- employees to either to their workers or pay for failing to do so.

Compliance 100

Compliance Policies Company ATS 100

ACA Times

NOVEMBER 22, 2014

The IRS announced yesterday (Nov. 21, 2014) that it has made it easier for those subject to the Act to qualify for an exemption from the rule requiring that an individual either obtain insurance coverage or pay a tax penalty. That rule, Internal Revenue Code Section 5000A, implements the “Individual Mandate” the Affordable Care Act, which requires every American to have minimum essential insurance for himself/herself and for any family member he or she claims as a dependent.

Certification 100

Certification Compliance Company 100

ACA Times

DECEMBER 3, 2014

A legal challenge to the administration’s postponement of the Affordable Care Act’s employer mandate was denied by a 3-judge panel of the U.S. Circuit Court of Appeals. The panel ruled on Dec. 2 that the Florida company challenging the postponement did not have standing to sue because it failed to show it had been harmed by the delay. In February of 2014 the Obama administration delayed by two years, to 2016, the mandate for businesses with 50 or more full-time workers to provide health insuranc

Compliance 100

Compliance Report Company Wellness 100

ACA Times

DECEMBER 7, 2014

Because the Act, Americans will for the first have to declare that they have in the they file by April 15 th 2015, or pay a penalty if they don’t. But nearly half taxpayers don’t know about the requirement. That’s the finding a Harris Poll 2,000 adults commissioned by Intuit TurboTax. About 48% respondents said they were unaware they will have to declare their status the they file for their 2014 income, according to BenefitsPro.com.

Compliance 100

Compliance Survey Productivity Company 100

ACA Times

DECEMBER 10, 2014

Nearly 1.4 million consumers signed up for coverage under the Affordable Care Act on the federal health insurance exchange during the first three weeks of open enrollment, the Department of Health and Human Services (HHS) announced Dec. 10. During open enrollment, HHS will release weekly snapshots of preliminary data drawn only from the federal exchange, or CuidadodeSalud.gov , and callers to the federal call center at 800-318-2596.

Planning Tools 100

Planning Tools Report Compliance Data 100

ACA Times

DECEMBER 11, 2014

Health and Human Services Secretary Sylvia M. Burwell announced $36.3 million in quality improvement awards to 1,113 centers nationwide. The money, provided through the Affordable Care Act, recognizes quality improvement achievements made by the centers and provides funding for ongoing quality improvement activities. The health centers received awards for achievements in chronic disease management, preventive care and the use of Electronic Health Records (EHRs) to report quality data.

Benchmarking 100

Benchmarking Compliance Report Data 100

ACA Times

DECEMBER 16, 2014

Covered California extended until midnight Dec. 21 the deadline for new and renewing consumers to enroll for that will be effective January 1, 2015. The deadline had been Dec. 15, as it is in most other states and for the federal exchange. A notice from the Covered California Assistance noted that, despite the extended deadline, its Center will be closed Sunday, Dec. 21.

Compliance 100

Compliance Company 100

ACA Times

DECEMBER 16, 2014

More than 1 million consumers selected Act the federal exchange during the fourth open, the Department and Human Services (HHS) announced Dec. 16. Total signups reached nearly 2.5 million since the began, HHS said. The most recent report covers the Dec. 6 to Dec. 12. It does not include the final three before the first open deadline, Dec. 15. “I am pleased with the response to date on Open , but we know we still have a lot work to do between now and February 15,” said HHS Secretary Sylvia Burwe

Report 100

Report Compliance Data Compliance Training 100

ACA Times

DECEMBER 17, 2014

The King v. Burwell case now before the Supreme Court has attracted heated rhetoric from both opponents and supporters the Act. But what would be the actual dollar impact if the Justices rule against the administration? First Capitol Inc. looked at the impact – consumers, and the – a pro-King ruling that disallowed subsidies in the 37 states without an independently operated exchange.

Policies 100

Policies Analysis Industry Compliance 100

ACA Times

DECEMBER 17, 2014

Grants totaling over $665 million will go to 28 states, 3 territories and the District Columbia to design and test innovative and delivery models aimed at improving quality and lowering costs under the Act. and Human Services Secretary Sylvia M. Burwell, announced the awards, funded by the Act, Dec. 16. A previous round awards with similar goals was released in early 2013.

Compliance 100

Compliance System Training Compliance Training 100