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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
Employers: Don't Forget to Pay PCORI Fees
Employers that sponsor certain self-insured health plans—including some health reimbursement arrangements (HRAs) and health flexible spending arrangements (health FSAs)—are reminded that they are responsible for Patient-Centered Outcomes Research Institute (PCORI) fees. Fees for self-insured plans with plan years that ended in 2017 are dueJuly 31, 2018, and are required to be paid viaIRS Form 720.

POSTED MAY 11, 2018 2:02 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
Small Businesses May Be Able to Keep Existing Health Coverage Through 2019
A previously extended transitional policy which allows health insurance issuers, at their option, to continue group coverage that would otherwise be terminated or cancelled has been further extended to policy years beginning on or before October 1, 2019, provided that all policies end by December 31, 2019.

POSTED APRIL 19, 2018 8:08 AM
2019 Cost-Sharing Limits for Most Group Health Plans Released
A new rule from the U.S. Department of Health and Human Services (HHS) addresses, among other things, the requirement under the Affordable Care Act that non-grandfathered group health plans limit annual out-of-pocket cost-sharing for coverage of essential health benefits under the plan. Under the rule, these out-of-pocket expenses may not exceed $7,900 for self-only coverage or $15,800 for family coverage in 2019.

POSTED APRIL 10, 2018 5:05 AM
New Rule Allows Brokers to Further Aid SHOP Enrollment
The U.S. Department of Health and Human Services (HHS) has issued a new rule that allows employers to directly enroll in SHOP coverage through a SHOP-registered agent or broker.

POSTED APRIL 10, 2018 5:05 AM
Individual Mandate Exemptions Available for 2017 Tax Returns
Under the Affordable Care Act's (ACA) ''individual mandate'' (also called individual shared responsibility) provision, every individual must have minimum essential health coverage for each month, qualify for an exemption, or make a payment when filing his or her federal income tax return. Among other exemptions, individuals may claim the certain exemptions from the individual mandate by filing Form 8965 (Health Coverage Exemptions) along with his or her tax return.

POSTED APRIL 06, 2018 4:04 AM
Reminder: Significant Penalties Exist for Information Reporting Failures
With the April 2 deadline to electronically file Forms 1094 & 1095 with the Internal Revenue Service (IRS) approaching, employers are reminded that failing to comply with these information reporting requirements may result in significant penalties.

POSTED MARCH 27, 2018 5:05 AM
Electronic Filing Deadline for Forms 1094 and 1095 is April 2
Employers subject to the Affordable Care Act’s (ACA) information reporting requirements are reminded that the deadline to electronically file ACA information returns with the IRS is April 2.

POSTED MARCH 22, 2018 6:06 AM

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