Affordable Care Act

Posted June 11th, 2019 in Employers, Producers

The Employer Mandate requires applicable large employers (ALEs), which are defined as employers with 50 or more full-time equivalent employees in the preceding year to offer health insurance to full-time employees. Generally, at least 95% of full-time employees must be offered health insurance. 

Posted May 16th, 2019 in Producers, Employers, Individuals

Last December, a federal judge in Texas District Court ruled that the Affordable Care Act (ACA) was unconstitutional. The decision came in response to a lawsuit filed by 20 Republican state attorneys general. These attorneys general argued that the ACA was unconstitutional because there is no longer a penalty associated with the Individual Mandate, and the judge agreed.

Posted May 7th, 2019 in Producers, Employers

Last year, the Trump administration issued new regulations relating to Association Health Plans (AHPs). The primary intent of the regulations was to allow small employers to more easily band together to purchase health insurance coverage. The regulations not only allowed for AHPs to be established by employers in the same industry, but the regulations also allowed AHPs to be established by employers in a similar geographic location (e.g. city, state, metropolitan area).

Posted April 15th, 2019 in Employers, Producers

The Internal Revenue Service (IRS) is continuing to send Letter 226J to employers for which the agency believes an Employer Mandate penalty is due. Currently, these notices are being sent to employers for penalties that apply to the 2016 calendar year.

Posted April 9th, 2019 in Producers, Employers

Last year, the Department of Labor (DOL) issued new regulations pertaining to Association Health Plans (AHPs). The rules relaxed previously issued regulations by allowing AHPs to be established for employers who are in the same industry or geographic location. AHPs are regulated like large group health plans which are exempt from some of the Affordable Care Act (ACA) market reforms, including the requirement to cover essential health benefits.

Posted April 2nd, 2019 in Producers, Employers, Individuals

There’s never a dull moment when it comes to the Affordable Care Act (ACA). Some people love the law, some people hate it, and others find themselves somewhere in between. However, there’s one thing that’s for certain. The rules are constantly being challenged or changed. Here are three key developments that occurred last week.

Posted January 29th, 2019 in Employers, Producers

Agency officials were busy last week releasing updated forms and publications while also proposing new rules that would generally impact health plans in 2020. Here are three important releases which are now available:

Posted January 17th, 2019 in Employers, Producers

This does not apply to all employers. Please read full article below for details.

2018 ACA Reporting Deadlines are Approaching

It’s that time of year where applicable large employers (ALEs) and certain other employers need to focus on completing their reporting obligations required under the Affordable Care Act (ACA). Here are some helpful tips and reminders.

Posted January 3rd, 2019 in Employers, Producers

Whether it be to inflation adjustments, new laws, tweaks to existing regulations or other reasons, each new year brings changes to health plans and other benefits. Here is a summary of 10 important changes taking effect in 2019.

1) There will be no penalty under federal law if you don’t have health insurance. The Tax Cuts and Jobs Act made the cost for not having health insurance $0 starting in 2019.

Posted December 17th, 2018 in Employers, Producers, Individuals

Last Friday, a federal judge in Texas ruled the Affordable Care Act (a.k.a. Obamacare) unconstitutional.

The judge’s decision came in response to a lawsuit filed by 20 Republican state attorneys general earlier this year. The lawsuit was filed after the Tax Cuts and Jobs Act zeroed out the Individual Mandate penalty. The lawsuit claimed the Individual Mandate was so essential to Obamacare, and without it, all of Obamacare must go. The judge agreed.

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