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Home» Health Care Reform

Health Care Reform

ACA reporting and disclosure deadlines extended

Posted on January 18, 2018 by Mary Andersen in 6055, 6056, ACA, Compliance, Disclosure, Health Care Reform, Reporting

The Affordable Care Act added IRC sections §6055 and §6056 which requires insurers, applicable large employers and self-insured plans to provide annual health information returns to the IRS and statements to employees. (See ErisaALERTs 2014-04 and 2014-09 for background information.) The regulations require that the employee statements be provided by January 31 and reported to […]

6055, 6056, ACA, compliance, reporting and disclosure

ACA – Don’t let your guard down

Posted on February 7, 2017 by Mary Andersen in ACA, Health Care Reform

Impact of Executive Order on Plan Sponsors – not much at the present time On January 20, 2017, President Trump signed an Executive Order – MINIMIZING THE ECONOMIC BURDEN OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT PENDING REPEAL. As you read through the Executive Order, the words “to the maximum extent permitted by law” […]

ACA

Proposed changes to Summary of Benefits and Coverage – 2016

Posted on March 30, 2016 by Leo in ACA, Disclosure, Health Care Reform, SBC

On March 11, 2016, the Department of Labor released FAQs about Affordable Care Act Implementation (Part 30) that addresses implementation dates for the proposed Summary of Benefits and Coverage template and associated documents (published on February 26, 2016). (See ErisaALERT 2012-06 for background information). The government intends to act “expeditiously” to finalize the new documents. […]

ACA, HCA, SBC

The Final Countdown to ACA Reporting and Disclosure Roundup of Useful IRS Resources

Posted on March 24, 2016 by Mary Andersen in 1095-C, ACA, Disclosure, Health Care Reform, Reporting

This is a roundup of information available on the IRS website. The links are working as of the date of this newsletter! Health Coverage Information Return Deadlines https://www.irs.gov/Affordable-Care-Act/Employers/Mark-Your-Calendars-Health-Coverage-Information-Return-Deadlines Action Reporting Due Dates in 2016 for… Applicable Large Employers – Including Those That Are Self-Insured Self-insured Employers That Are Not Applicable Large Employers Coverage Providers  – […]

1095-C, ACA, Affordable Care Act, reporting and disclosure

The Impact of Employer HRA Contributions and Flex-Credits on ACA Affordability Calculations

Posted on February 25, 2016 by Mary Andersen in ACA, Affordability, Flex Credits, Health Care Reform, HRA, Shared Responsibility

IRS Notice 2015-87 (“the Notice”) provided guidance in the form of questions and answers on certain group health plan provisions of the Affordable Care Act (ACA). ErisaALERT 2016-01 discussed the impact of opt-out incentives on ACA affordability. This ALERT discusses the impact of employer HRA contributions and flex credits on ACA affordability. Quick overview of […]

ACA, Affordability, flex credits, HRA, shared responsibility

IRS Seeks More Input on the Cadillac Tax

Posted on August 14, 2015 by Mary Andersen in ACA, Cadillac Tax, Excise Tax, Health Care Reform

This ALERT will provide a high level overview of what looks likely to be a very complicated process if the Notices are any indication. Background The Cadillac tax under the Affordable Care Act applies to taxable years beginning after December 31, 2017. It imposes a 40 per cent nondeductible excise tax on employer-sponsored health coverage […]

ACA, Cadillac, Cadillac tax, excise tax

ErisaALERT 2014-11 – Transitional Reinsurance Fee – Affordable Care Act

Posted on October 15, 2014 by Mary Andersen in ACA, Compliance, Health Care Reform

ErisaALERT 2014-11 – What is the transitional reinsurance fee? The Affordable Care Act established a three-year (2014, 2015 and 2016) transitional reinsurance program to stabilize premiums in the individual market inside and outside of the Marketplaces. Who must pay the transitional reinsurance fee? A contributing entity must make reinsurance contributions on behalf of its enrollees […]

ACA, compliance, HCR, transitional reinsurance fee

ErisaALERT 2014-10 – What is an HPID – Health Plan Identifier – Who Needs It

Posted on October 15, 2014 by Mary Andersen in ACA, Compliance, Health Care Reform, HPID

ErisaALERT 2014-10 – What is an HPID? Note: Late on October 31, HHS announced a delay HPID requirement. A health plan identifier (HPID) is intended to increase standardization within HIPAA standard transactions. Both the Affordable Care Act and the Social Security Act require the adoption of a standard unique health plan identifier. Covered entities are […]

ACA, Affordable Care Act, HCR, Health Plan Identifier, HPID

ErisaALERT 2014-09 – ACA Reporting 6055 and 6056

Posted on October 15, 2014 by Mary Andersen in 6055, 6056, ACA, Disclosure, Health Care Reform, Reporting

ErisaALERT 2014-09 – ACA’s shared responsibility provisions impose penalties on individuals who do not maintain minimum essential coverage (MEC) and on plan sponsors who do not offer minimum value, affordable coverage. The way the IRS will know if an individual has MEC and if an employer offers minimum value, affordable coverage is via the §6055 […]

6055, 6056, ACA, compliance, Disclosure, HCR, Reporting

ErisaALERT 2014-07 Orientation Period Final Regulations

Posted on July 7, 2014 by Mary Andersen in ACA, Health Care Reform

The DOL, IRS and HHS have issued final regulations clarifying the maximum length of an employee orientation period in light of the 90-day waiting period limitation ErisaALERT 2012-13 under the Affordable Care Act (ACA). To guard against potential subterfuges for the passage of time, final regulations provide that one month is the maximum allowed length of […]

90 day waiting period, ACA, orientation period
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