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Top 5 Open Enrollment Notices
A company's open enrollment period can be a hectic time for management, HR, and employees alike. However, during the enrollment process, employers should remember their disclosure obligations. In this article, you will learn five key notices that must be distributed to employees around the open enrollment period.

Reminder: 'Pay or Play' Coverage Penalties Remain In Effect
Despite recent attempts in Congress to "repeal and replace" the Affordable Care Act (ACA) and President Trump's executive order calling for executive agencies to minimize the ACA's regulatory burden, penalties for failing to comply with the ACA's employer shared responsibility ("pay or play") provisions remain in effect.

Upcoming ACA Information Reporting Deadlines for Early 2018
Employers subject to the Affordable Care Act's (ACA) information reporting requirements are reminded that the 2018 deadlines for reporting coverage provided in calendar year 2017 are currently as follows:

IRS Releases 2017 Draft Instructions for Forms 1094 and 1095
The IRS has released the 2017 Draft Instructions for Forms 1094-B, 1095-B, 1094-C, and 1095-C to help employers and insurers prepare for calendar year 2017 Affordable Care Act (ACA) information reporting. Employers and insurers will use the final versions of the forms and instructions in early 2018 to report on health coverage offered (or not offered) in the 2017 calendar year.

Who Are 'Full-Time Employees' Under 'Pay or Play'?
As a reminder, the employer shared responsibility provisions of the Affordable Care Act (also known as "pay or play") require applicable large employers ("ALEs")—generally those with at least 50 full-time employees, including full-time equivalent employees (FTEs)—to offer affordable health insurance that provides a minimum level of coverage to full-time employees (and their dependents) orpay a penalty tax if any full-time employee is certified to receive a premium tax credit for purchasing individual coverage on the Health Insurance Marketplace. But who are "full-time employees" under the pay or play provisions?

POSTED AUGUST 31, 2017 6:06 AM
IRS Issues Maximum Individual Mandate Payment for 2017
The IRS has released the 2017 monthly national average premium for a bronze level health plan offered through the Health Insurance Marketplace, which is used to determine the maximum individual mandate penalty.

POSTED AUGUST 22, 2017 3:03 AM
What is the 'Age 26' Requirement Under the ACA?
Under the Affordable Care Act, when a plan covers dependents, it must continue to make the coverage available until a child reaches the age of 26, even if the young adult has been offered coverage through his or her own employer, is married, no longer lives with his or her parents, is not a dependent on a parent's tax return, or is no longer a student.

POSTED AUGUST 18, 2017 4:04 AM
IRS Releases Draft 2017 Forms 1094 and 1095
The IRS has released draft versions of the Forms 1094-B, 1095-B, 1094-C, and 1095-C that employers and insurers will use in early 2018 to report on health coverage offered in the 2017 calendar year.

POSTED AUGUST 07, 2017 4:04 AM
Reminder: Individual Marketplace Open Enrollment Begins Nov. 1
The 2018 open enrollment period to obtain coverage in the individual Health Insurance Marketplace runs from November 1, 2017 through December 15, 2017, with coverage starting January 1, 2018. After this period, individuals can enroll or change plans only if they qualify for a special enrollment period.

POSTED AUGUST 01, 2017 2:02 AM
Reminder: Issuer MLR Rebates Due to Plan Sponsors by Sept. 30
The Medical Loss Ratio (MLR) rules under Health Care Reform require an issuer to provide rebates if its medical loss ratio (the amount of health insurance premiums spent on health care and activities to improve health care quality) falls short of the applicable standard during a reporting year.

POSTED JULY 17, 2017 8:08 AM

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