Bulletins

IRS INCREASES 2018 PENALTIES FOR NONCOMPLIANCE

The employer shared responsibility penalties (ESRPs) for 2018 are $2,320 and $3,480 per employee. The $2,320 penalty is applied should an applicable large employer (with 50 or more full-time-equivalent employees) not provide minimum essential coverage to at least 95% of benefit-eligible,...

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Return of ACA tax comes with increase in premiums

A one-year moratorium on the ACA Health Insurance Tax (HIT) will expire at the end of the year, and fully insured health insurance premiums will rise as insurers scramble to recoup costs. Under the ACA, all health insurers are required to pay an annual fee roughly proportionate to their fully...

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DOL releases new Marketplace notice

A condition of the Affordable Care Act (ACA) means employers required to provide new hires with an up-to-date copy of the Marketplace notice explaining coverage options and subsidy eligibility. Recently, the Department of Labor (DOL) issued a updated Marketplace notice that won't expire until...

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IRS lowers ACA affordability threshold for premium tax credit

The IRS recently lowered the 2018 affordability threshold to 9.56% of household income for purposes of determining eligibility for a premium tax credit. The 2017 rate was 9.69% of household income. This percentage is also used to determine the affordability of employer-sponsored coverage....

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Transitional relief extended for small group employers

The Centers for Medicare & Medicaid Services (CMS) recently issued a one-year extension of its transmittal policy, allowing small group employers to keep their non-grandfathered plans that are not compliant with the ACA.

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Annual PCORI fee due July 31

Self-insured health and HRA plans must file form; carriers pay fee on behalf of fully insured plans 

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Forms 1095 due to employees by March 2

Employers with more than 50 employees (or fewer than 50 if they sponsor a self-funded health plan) have until March 2, 2017, to provide employees a copy of the IRS-required Form 1095. The original deadline was January 31. The deadline for filing with the IRS has not changed.

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IRS extends employer deadline for ACA forms

The IRS recently issued Notice 2016-70 granting employers and other coverage providers an additional month to deliver IRS Form 1095-B and Form 1095-C to employees and other covered individuals. Forms for the 2016 calendar year now are due March 2, 2017, rather than January 31. 

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Transition reinsurance fee form available

Self-insured health plans must report member count by November 15

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Marketplace notices define appeals process

The Health Insurance Marketplace is issuing letters to company benefit managers in response to employees who enrolled in coverage through healthcare.gov and received a premium tax credit or cost-sharing reduction.

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