Bulletins

The IRS recently issued Revenue Procedure 2022-34, lowering the affordability threshold for the 2023 calendar year to 9.12% of annual household income from the 2022 threshold of 9.61%. This percentage is used to determine an individual’s eligibility for a premium tax credit (PTC) through...

Self-funded plan sponsors must file the annual Patient-Centered Outcomes Research Institute (PCORI) fee by July 31. Employers may select from four calculation methods to determine how much is owed and use Form 720 to submit the information to the IRS. For clarification on how to fill out Form 720...

The annual Patient-Centered Outcomes Research Institute (PCORI) fee for plans ending between October 1, 2020, and October 1, 2021, is $2.66. This is an increase from the 2020 rate of $2.54.

In Notice 2020-76, the IRS extended the January 31, 2021, deadline to submit 2020 employee 1095-B and 1095-C ACA forms to March 2, 2021. The Notice does not extend the deadlines for employers to file ACA forms with the IRS. 

Since 2013, employers have been responsible for providing employees one of two Insurance Marketplace notices summarizing their health insurance options. There is no annual obligation to provide the notice to all employees, rather employers must provide the notice to all new hires, regardless of...

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 determinethe affordability of employer-sponsoredcoverage for applicable large employers(employers with 50 or more full-time

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.

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 the...

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, full-time...

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.