United Benefit Advisors Insight and Analysis Blog

Karen Hsu

Director of Compliance at United Benefit Advisors

Recent Posts

IRS Releases Indexed PCORI Fee

Posted by: Karen Hsu    Jan 10, 2019 1:00:00 PM

The Patient Protection and Affordable Care Act (ACA) imposes a fee on insurers of certain fully insured plans and plan sponsors of certain self-funded plans to help fund the Patient-Centered Outcomes Research Institute (PCORI). The PCORI fee is due by July 31 of the year following the calendar year in which the plan or policy year ends.

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Topics: ACA, IRS, PCORI Fee

Treasury, DOL, and HHS Release Two Final Rules on Contraceptive Coverage Exemptions

Posted by: Karen Hsu    Dec 27, 2018 1:30:46 PM

The Department of the Treasury (Treasury), Department of Labor (DOL), and Department  of Health and Human Services (HHS) (collectively, Departments) released two final rules on contraceptive coverage exemptions. These rules finalize the Departments’ interim final rules that were published on October 13, 2017. HHS also issued a press release and fact sheet on these final rules.

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Topics: contraception coverage, Department of Labor, Department of Health and Human Services

IRS Issues Specifications for Employer-Provided Substitute ACA Forms

Posted by: Karen Hsu    Dec 20, 2018 12:52:11 PM

The Internal Revenue Service (IRS) issued Publication 5223 General Rules and Specifications for Affordable Care Act Substitute Forms 1095-A, 1094-B, 1095-B, 1094-C, and 1095-C that describes how employers may prepare substitute forms to furnish ACA reporting information to individuals and the IRS.

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Topics: IRS Form 1095, IRS Form 1094, IRS reporting, compliance recap

IRS Extends Due Date to Furnish ACA Forms to Participants and Provides Good Faith Penalty Relief

Posted by: Karen Hsu    Dec 11, 2018 1:12:23 PM

The Internal Revenue Service (IRS) issued Notice 2018-94 to extend the due date to furnish 2018 Forms 1095-B and 1095-C to individuals. The due date moves from January 31, 2019, to March 4, 2019.

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Topics: extended, Form 1095-B, Form 1095-C, compliance recap

HHS Releases Inflation-Adjusted Federal Civil Penalty Amounts

Posted by: Karen Hsu    Nov 29, 2018 2:36:55 PM

The Department of Health and Human Services (HHS) issued its Annual Civil Monetary Penalties Inflation Adjustment. Here are some of the adjustments:

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Topics: HHS, Medicare, compliance recap

IRS Releases Final Forms and Instructions for 2018 ACA Reporting

Posted by: Karen Hsu    Nov 15, 2018 1:12:11 PM

The Internal Revenue Service (IRS) released instructions for both the Forms 1094-B and 1095-B and the Forms 1094-C and 1095-C and Forms 1094-B, 1095-B,1094-C, and 1095-C. There are no substantive changes in the forms or instructions between 2017 and 2018, beyond the further removal of now-expired forms of transition relief. There is a minor formatting change to Forms 1095-B and 1095-C for 2018. There are dividers for the entry of an individual’s first name, middle name, and last name. 

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Topics: IRS, ACA reporting, compliance recap, IRS 1094, IRS 1095

Tri-Agency Proposed Rule on Health Reimbursement Arrangements

Posted by: Karen Hsu    Nov 1, 2018 1:37:24 PM

The Department of the Treasury (Treasury), Department of Labor (DOL), and Department of Health and Human Services (HHS) (collectively, the Departments) released their proposed rule regarding health reimbursement arrangements (HRAs) and other account-based group health plans. The DOL also issued a news release and fact sheet on the proposed rule.

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Topics: HRAs, HRA, Qualified Small Employer HRA, QSE HRA, Compliance Advisor

IRS Releases Draft Forms and Instructions for 2018 ACA Reporting

Posted by: Karen Hsu    Sep 27, 2018 1:12:48 PM

The IRS recently released draft instructions for both the 1094-B and 1095-B and the 1094-C and 1095-C and the draft forms for 1094-B, 1095-B, 1094-C, and 1095-C. There are no substantive changes in the forms or instructions between 2017 and 2018, beyond the further removal of now-expired forms of transition relief. There is a minor formatting change to draft Form 1095-C for 2018. There are dividers for the entry of an individual’s first name, middle name, and last name.

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Topics: compliance with health care reform, ACA reporting, IRS reporting, health care coverage, ACA Advisor

DOL and IRS Release Additional Information on Association Health Plans

Posted by: Karen Hsu    Sep 20, 2018 1:04:47 PM

On August 20, 2018, the Department of Labor (DOL) posted the Association Health Plans ERISA Compliance Assistance fact sheet.

On August 20, 2018, the IRS added a new Q&A 18 to its Questions and Answers on Employer Shared Responsibility Provisions Under the Affordable Care Act. Q&A 18 confirms that:

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Topics: Department of Labor, association health plans, Internal Revenue Service

Final Rule on Short-Term, Limited-Duration Insurance

Posted by: Karen Hsu    Sep 13, 2018 1:55:19 PM

On August 3, 2018, the Internal Revenue Service, the Department of Health and Human Services (HHS), and the Department of Labor (collectively, the Departments) published a final rule that amends the definition of short-term, limited-duration insurance. HHS also released a fact sheet on the final rule.

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Topics: health insurance, Department of Labor, Department of Health and Human Services, Internal Revenue Service