Category Archives: Affordable Care Act

June 1, 2017 – Compliance Observer Alert – 2017 PCORI Fees

Applies to:  Self-Insured Health Plans, including HRAs & FSAs With the release of IRS Notice 2016-64, the IRS provided that the PCORI fee (Patient-Centered Outcomes Research Institute fee) also called the CER fee (Comparative Effectiveness Research Fee) for plan years ending on or after October 1, 2016, and before October 1, 2017, is $2.26 per […]

May 4, 2017 – Compliance Observer Alert – The American Health Care Act Passes the House

  May 4, 2017 The American Health Care Act Passes the House On May 4, 2017, the House of Representatives narrowly passed the American Health Care Act (AHCA) by a vote of 217 to 213. This was a big step for House Republicans in fulfilling President Trump’s campaign promise to repeal the Affordable Care Act […]

November 18, 2016- Compliance Observer Alert- The Future of the ACA and Employee Benefit Plan

November 18, 2016   The Future of the ACA and Employee Benefit Plans It’s been over a week since the election results came in and since then, you have likely been inundated with emails, seen many television interviews, and heard other news sources espousing predictions of what is on the horizon for employee benefit plans, […]

ACA Reporting – Earlier Deadlines for 2017

Just when you thought your ACA information reporting was over, it’s time to start planning for 2017. Although the due dates for the first year of reporting were extended, transition relief has ended. Unless the IRS releases additional relief, the dates for your 2016 reporting will revert back to the original dates provided in the […]

Aug 26, 2016 – Compliance Observer Alert – New ACA Nondiscrimination Rules

August 26, 2016 What Do the New ACA Nondiscrimination Rules Mean to You? Applies to: All Employers On May 18, 2016, we published this Compliance Alert detailing the requirements of the new ACA Nondiscrimination Rules (Section 1557 of the ACA) and to whom the rules apply. Since then, we have received many questions regarding how these […]

Jul 28, 2016 – Compliance Observer Alert – ACA Reporting Update

July 28, 2016 ACA Reporting Update Applies to:  All Employers   Background Under the ACA, Applicable Large Employers (ALEs) are required to report on the health coverage offered to full-time employees.  To report this information to the IRS an ALE must use forms 1094-C and 1095-C (“IRS returns”) and these forms must be filed by […]

Significant Changes Proposed for Form 5500

The DOL, IRS and PBGC have proposed significant changes to the Form 5500 Annual Return/Report series, affecting group health plans of all sizes but small group health plans (fewer than 100 participants) previously exempt from filing must also be aware of these changes.   According to the DOL Fact Sheet, the changes are proposed to improve: […]

Supreme Court Avoids Ruling on ACA’s Contraceptive Coverage Mandate

Instead of issuing an opinion and ruling on the merits of the cases surrounding the Affordable Care Act’s (ACA) contraceptive coverage mandate, the U.S. Supreme Court sent seven related cases challenging said mandate back to the lower courts to be reconsidered. In all of the related cases, nonprofit religious employers challenged the self-certification requirement under […]

Departments Finalize SBC Template

Under the Affordable Care Act, group health plans, grandfathered and non-grandfathered, and health insurance issuers are required to provide a written Summary of Benefits and Coverage (“SBC”) to plan participants and beneficiaries at specified times during the enrollment process and upon request. The SBC provides a summary of what the plan covers and the cost […]

Understanding the New ACA Tax Forms

You may have already received or will soon receive a new tax form related to the health care insurance coverage you had during 2015. Much like IRS Form W-2 and Form 1099, these new forms provide information that you may need for filing your individual income tax return.  The IRS has issued three new forms […]

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