Bulletins

IRS extends distribution deadline for ACA returns to March 2

Employers will have until March 2, 2020, to distribute Forms 1095 to employees. The original January 31 deadline has been extended for the fourth, consecutive year.

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4% ACA premium tax returns in 2020

Self funded plans exempt from tax

After a suspension in 2019, the health insurance tax, spawned by the Affordable Care Act (ACA), will be reinstated in 2020. That tax affects fully insured medical, dental and vision coverage. (See a more complete list of affected coverages below.) 

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Employers must follow guidelines when issuing MLR rebates

Area insurers are beginning to issue 2018 plan year medical loss ratio (MLR) rebates. The Affordable Care Act requires insurers to meet MLR requirements each year. If an insurer doesn’t meet the minimum MLR (spend 80 to 85 percent of its premium dollars on health care or activities that improve...

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IRS to lower 2020 affordability rate

The IRS recently lowered the affordability threshold for the 2020 calendar year to 9.78% of household income from the 2019 threshold of 9.86%. This percentage is used to determine an individual’s eligibility for a premium tax credit and the affordability of employer-sponsored coverage. 

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Annual PCORI fee due July 31, 2019

Employers who are responsible for paying the annual Patient-Centered Outcomes Research Institute (PCORI) Trust Fund fee should use the updated Form 720.  The PCORI fee must be reported annually on the second quarter Form 720 and paid by the July 31 due date.

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IRS releases 2018 ACA reporting forms

The IRS released the final versions of the 2018 Forms 1094 and 1095 needed to comply with the Affordable Care Act (ACA) reporting requirement.

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ACA affordability threshold increases for 2019

The IRS recently raised the affordability threshold for the 2019 calendar year to 9.86% of household income from the 2018 threshold of 9.56%.This percentage also is used to determine the affordability of employer-sponsored coverage for applicable large employers (employers with 50 or more...

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DOL issues final rule on association health plans

On June 19, 2018, the U.S. Department of Labor (DOL) issued a final rule to expand association health plans (AHPs). The new rule will make it easier for small businesses and self-employed workers to band together to purchase more affordable health care coverage.

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IRS to increase affordability rate for 2019

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Annual PCORI fee due July 31

Employers who are responsible for paying the annual Patient-Centered Outcomes Research Trust Fund fee should use the updated Form 720. The fee, a provision of the Affordable Care Act, funds the Patient-Centered Outcomes Research Institute (PCORI), which aims to help patients better understand...

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