United Benefit Advisors Insight and Analysis Blog

IRS Updates Guidance on Play-or-Pay Penalty Assessments

Posted by: Danielle Capilla    Dec 5, 2017 9:30:00 AM

Beginning in 2015, to comply with the Patient Protection and Affordable Care Act (ACA), “large” employers must offer their full-time employees health coverage, or pay one of two employer shared responsibility / play-or-pay penalties. The Internal Revenue Service (IRS) determines the penalty each calendar year after employees have filed their federal tax returns.

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Topics: IRS, employer shared responsibility, Affordable Care Act, play or pay requirements

IRS Releases Final Forms and Instructions for 2017 ACA Reporting

Posted by: Danielle Capilla    Oct 24, 2017 9:30:00 AM

Instructions for both the 1094-B and 1095-B and the 1094-C and 1095-C were released, as were the forms for 1094-B, 1095-B, 1094-C, and 1095-C.

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Topics: employer shared responsibility, Affordable Care Act, ACA reporting

IRS Roundup: What Employers Need to Know about the Latest ACA Notices

Posted by: Danielle Capilla    Sep 28, 2017 9:30:00 AM

In spite of the recent efforts by Congress to change or repeal the ACA, its provisions are still in effect. The IRS has issued continuing guidance on the affordability rate for coverage, the employer shared responsibility provisions and reporting, and the individual mandate provision.

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Topics: employer shared responsibility, Affordable Care Act, IRS reporting

An Employer’s Guide to Navigating the ACA’s Strong Headwinds

Posted by: Michael Weiskirch    Apr 13, 2017 9:30:00 AM

One might describe the series of events leading to the death of the American Health Care Act (Congress’s bill to repeal and replace the Affordable Care Act) as something like a ballistic missile exploding at launch. The Patient Protection and Affordable Care Act (ACA) repeal debate began nearly a decade ago with former President Barack Obama’s first day in office and reemerged as a serious topic during the 2016 presidential election. Even following the retraction of the House bill, repeal of the ACA remains a possibility as the politicians consider alternatives to the recent bill. The possibility of pending legislation has caused some clients to question the need to complete their obligation for ACA reporting on a timely basis this year. The legislative process has produced a great deal of uncertainty which is one thing employers do not like, especially during the busy year end.

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Topics: ACA, employer shared responsibility, Affordable Care Act, ACA reporting, independent employee benefits advisors

The “Line 22” Question: Which Box(es) Do I Check?

Posted by: Danielle Capilla    Mar 1, 2017 9:30:00 AM

Under the Patient Protection and Affordable Care Act (ACA), individuals are required to have health insurance while applicable large employers (ALEs) are required to offer health benefits to their full-time employees.

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Topics: ACA, employer shared responsibility, Danielle Capilla, Affordable Care Act, play or pay requirements, applicable large employers, IRS Form 1094-C

Making Sense of Form 1095 Minimum Essential Coverage Reporting

Posted by: Vicki Randall    Jan 12, 2017 9:30:00 AM

In a few weeks, a second season of shared responsibility reporting will begin. For some of you, last year’s inaugural year of reporting may have felt eerily similar to Lewis Carroll’s famous book. You know the one. It included a little girl falling down a dark hole, a rabbit frantically checking his watch and a lot of other crazy characters. Now that you have the benefit of one year of reporting under your belt, let’s look at the reporting forms and try to make them less confusing by breaking them down.

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Topics: ACA, IRS Form 1095, minimum essential coverage, employer shared responsibility, Affordable Care Act, individual shared responsibility, Compliancedashboard, IRS reporting, Form 1095-B, Form 1095-C

Employer Exchange Subsidy Notices: Should You Appeal?

Posted by: Vicki Randall    Dec 15, 2016 10:30:00 AM

Under the Patient Protection and Affordable Care Act (ACA), all public Exchanges are required to notify employers when an employee is receiving a subsidy (tax credits and cost-sharing reductions) for individual health insurance purchased through an Exchange. According to the final rules published in August 2013, employers have the right, but are not required, to engage in an appeal process through the IRS if they feel an employee should not be receiving a subsidy because the employer offers minimum value, affordable coverage.

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Topics: health insurance exchanges, ACA, IRS Reporting Rules, employer shared responsibility, Affordable Care Act, Compliancedashboard, Dan Bond, health insurance subsidy, Vicki Randall

Employer Considerations When Offering Health Coverage under the SCA or DBA

Posted by: Danielle Capilla    Nov 3, 2016 10:30:00 AM

Employers that are subject to the McNamara-O’Hara Service Contract Act (SCA), Davis-Bacon Act (DBA), and Davis-Bacon Related Acts (Related Acts), and who are considered an applicable large employer (ALE) under the Patient Protection and Affordable Care Act (ACA) must ensure that they meet the requirements of all three acts, despite the fact that the interplay between them can be confusing and misunderstood. The Department of Labor has provided guidance for these employers based on two U.S. Department of Labor (DOL) documents: its December 28, 2015, Notice 2015-87 (DOL Notice) and its March 30, 2016, All Agency Memorandum Number 220 (DOL Memo).

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Topics: ACA, PPACA, employer shared responsibility, Danielle Capilla, applicable large employers, McNamara-O'Hara Service Contract Act, DBA, wage and fringe benefit requirements, Davis-Bacon Act, SCA

Reporting Minimum Essential Coverage

Posted by: Danielle Capilla    Oct 6, 2016 10:30:00 AM

Minimum essential coverage (MEC) is the type of coverage that an individual must have under the Patient Protection and Affordable Care Act (ACA). Employers that are subject to the ACA’s shared responsibility provisions (often called “play or pay”) must offer MEC coverage that is affordable and provides minimum value.

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Topics: ACA, minimum essential coverage, employer shared responsibility, Danielle Capilla, Affordable Care Act, MEC

IRS Reporting: Now What?

Posted by: Danielle Capilla    Jun 24, 2016 10:00:00 AM

Applicable large employers and self-funded employers of all sizes have now completed the first round of required IRS reporting under the Patient Protection and Affordable Care Act (ACA). The ACA requires individuals to have health insurance, while applicable large employers (ALEs) are required to offer health benefits to their full-time employees.

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Topics: ACA, PPACA, IRS Reporting Rules, premium tax subsidy, employer shared responsibility, minimum value coverage, applicable large employers