|Hardship Exemptions from Individual Mandate Can Now Be Claimed on Tax Returns
The Centers for Medicare and Medicaid Services (CMS) has announced that
individuals will be able to claim hardship exemptions from the
Affordable Care Act’s individual mandate for tax year 2018 on their 2018
federal income tax return.
POSTED SEPTEMBER 13, 2018 5:05 AM
|Short-Term Health Insurance Soon Available For Up To 36 Months
Effective October 3, 2018, a new rule will allow individuals to purchase
short-term, limited-duration health insurance coverage for a period of less than 12 months, and renew such coverage for up to 36 months.
POSTED AUGUST 03, 2018 1:01 AM
|Medical Loss Ratio Rebates Coming Soon to Plan Sponsors
The Affordable Care Act's medical loss ratio (MLR) rules require group
health insurance issuers to provide rebates if their MLR—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. Plan sponsors should be looking for these rebates to arrive in the coming weeks.
POSTED JULY 18, 2018 2:02 AM
|Reminder: PCORI Fees Due Soon
sponsor certain self-insured health plans are reminded that they are
Patient-Centered Outcomes Research Institute (PCORI) fees due July 31.
POSTED JULY 06, 2018 6:06 AM
|New Rule Eases Formation of Association Health Plans
The U.S. Department of Labor (DOL)
has issued a new rule that allows employers to join together as a single group
to offer group health insurance coverage to employees, working owners
(including those without other employees), and their spouses and dependents as
part of an "association health plan." The rule allows
association health plans to be formed on the basis of industry or geography,
such as by state, city, county, or multi-state metropolitan area.
POSTED JUNE 19, 2018 7:07 AM
|'Pay or Play' Estimator Available from IRS
The Taxpayer Advocate
Service—an independent organization within the Internal Revenue
Service (IRS)—has developed a Employer Shared Responsibility Provision Estimator tool
to assist employers in understanding how the Affordable Care Act's
employer shared responsibility ("pay or play") provisions work and how
the provisions may apply to them.
POSTED JUNE 15, 2018 5:05 AM
|Understanding IRS 'Pay or Play' Penalty Letters
The Internal Revenue Service (IRS) is currently issuing Letter 226-J to certain applicable large employers
(ALE)—generally those with at least 50 full-time employees, including
full-time equivalent employees, on average during the prior year—that it
believes owe a penalty for failure to comply with the Affordable Care
Act's employer shared responsibility provisions ("pay or play" provisions). In conjunction with Letter
226-J, employers will receive Form 14764, which they can use to respond to Letter 226-J.
POSTED JUNE 01, 2018 2:02 AM
|2019 'Pay or Play' Affordability Percentage Set at 9.86%
For plan years beginning in 2019,
the Internal Revenue Service has announced that coverage will generally be considered affordable if the employee's
required contribution for the lowest cost self-only health plan offered is 9.86% or less of his or her household income for the taxable year.
POSTED MAY 21, 2018 7:07 AM
|How Summer Hires May Impact ALE Status
Employers looking to hire seasonal
workers this summer are reminded that there is an exception when
measuring workforce size to determine whether they are an applicable
large employer (ALE) subject to the Affordable Care Act's employer
shared responsibility ("pay or play") provisions.
POSTED MAY 17, 2018 5:05 AM
|How to Correct Form 1094-C and 1095-C Errors
Although the deadlines for employers to file and furnish their 2017 Forms 1094-C & 1095 have passed,
employers should confirm the accuracy of these forms and
correct any errors on them soon to avoid noncompliance penalties.
POSTED APRIL 26, 2018 4:04 AM