Insurance News

The following are the top 4 changes to pay or play for 2016: Check out our Pay or Play section for valuable calculators and a toolkit for employers.

On the evening of February 29, CMS released almost 700 pages of regulatory guidance related to implementation of the ACA.. These documents cover hundreds of topics spanning virtually all aspects of the American private and public health coverage systems. Most of the new rules will be effective for the 2017 coverage year on forward, although […]

HRAs, as they are lovingly called, have undergone a major transformation over the last six years due to the ACA. With all the guidance coming out from different sources, it’s hard to keep track, let alone stay compliant. One day you can use them to reimburse premiums. The next you’re told you can’t by the […]

Important Reminder for Employers who help pay employees individual health insurance premiums The Affordable Care Act specifically prohibits you from paying insurance premiums for your employees’ individual health plans. It makes no difference whether paid with pre or post tax dollars. The fine is stiff: $100 per employee per day. See IRS Notice 2013-54 & […]

Can I reimburse my employees for their Medicare Premiums? The quick answer is Yes ~ BUT ONLY IF you have two or more employees on Medicare, PLUS a Group Insurance plan for your employees. See the details and four conditions below. Call me if you want to review. Be very careful ~ Transition Relief has […]

Q. What happens if I did not file a 2014 federal tax return to reconcile my advance payment of the premium tax credit, or APTC. What do I need to do?A. To keep their APTC and/or cost-sharing subsidy (CSR) for 2016, if you received APTC in 2014 you are required to file a 2014 federal […]

If you are an “Applicable Large Employer” with over 50 full time employees (including full time equivalents) you will be required to complete certain new IRS forms in early 2016 to be distributed to each employee by January 31st and submitted to the IRS by February 29, 2016, or March 31, 2016, if filing electronically. […]

After more than four years of working on Healthcare Reform, one might expect the chaos to have settled down a bit. Unfortunately, the ambiguities of ACA (Affordable Care Act) and the Obama Administration’s shifting deadlines have extended and exacerbated the upheaval. Some of this upheaval has resulted in good news for many of you. One […]

One time Opportunity for Current Federal COBRA Enrollees to Move to New ACA Plan The Department of Health and Human Services has provided a one-time-only Special Enrollment Period available until July 1, 2014, for individuals currently enrolled in a COBRA plan. This allows COBRA enrollees to move to a consumer market ACA plan and drop […]

Important News You Can Use: On May 16, 2014, the Internal Revenue Service (IRS) issued a FAQ clarifying that it is illegal for an employer to pay for individual health coverage for employees inside or outside of the Marketplace with pre-tax dollars despite those who claim there are loopholes available that make such offerings permissible. […]