Reminder: PCORI Fee Due August 1, 2022
The PCORI fee due on August 1, 2022 for self-funded employers is $2.66 per member covered during the 2021 plan year.
Tag ACA
IRS Letter 226J
The Affordable Care Act (ACA) contains requirements called the employer shared responsibility rules (often called the employer mandate). Code §4980H requires applicable large employers (ALEs – those with 50 or more full-time equivalents) to offer coverage to full-time employees and…
Draft of House ACA “Replace” Legislation Leaked to the Press
A draft of a House “repeal and replace” bill has been leaked to the press. Although it’s only a draft, and there is no confirmation that it is authentic, but if it is, the document is the most detailed we…
Employer Exchange Subsidy Notices – Appeal or Not?
Employers are starting to receive notices from public Exchanges indicating that one or more employees are currently receiving a subsidy when purchasing individual health insurance coverage through a public Exchange, which could potentially trigger employer penalties under §4980H. If an…
Form 1095 Deadline Penalties Alert
As part of the ACA employer reporting requirements, certain employers must provide a Form 1095-C or 1095-B to all applicable employees by March 31, 2016. Employers subject to employer reporting requirements who fail to provide the required Form 1095s by…
Proposed Revisions to SBC and Uniform Glossary Modifications
On February 22, 2016, the Departments of Labor, Treasury, and Health and Human Services (“the Departments”) released proposed updates to the Uniform Summary of Benefits and Coverage (SBC) template, instructions, and Uniform Glossary (“glossary”). The proposed documents build largely on…
ACA Developments – House Fails to Override ACA Veto
On Tuesday, February 2 by a vote of 241 to 186 the House of Representatives failed to override President Obama’s veto of a budget reconciliation legislation that would have dismantled major portions of the Affordable Care Act (ACA). Specifically, the…
Form 1095 – Employee Communications
Many employers want to provide some type of communication along with, or before, the distribution of Form 1095s to relevant employees. Although any employee communication must be tailored to meet the employer’s specific circumstances, some general concepts are addressed here…
Cadillac Tax – Delayed Effective Date
In December, the Consolidated Appropriations Act, 2016 was signed into law which, amongst other provisions, effectively delayed the excise tax on high-cost health coverage (also known as the “Cadillac tax”) until January 1, 2020. In addition, the law made the…