Webinar: Best Practices for Handling IRS ACA Penalty Letters

Posted by Matt Schwartz on Fri, Aug 27, 2021 @ 11:08 AM

Tuesday, September 14, 2021
2:00 p.m. Eastern

The Affordable Care Act requires that applicable large employers (ALEs) provide minimum essential coverage to eligible employees, which is enforced by the IRS based on information reported in IRS Forms 1094 and 1095. In response to Form filings, the IRS may issue Letter 226J, which is an initial penalty letter assessing liability for the Employer Shared Responsibility Payment (ESRP).

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits, Learning Events

No Surprise Billing Interim Final Regulations - Part 1

Posted by Matt Schwartz on Tue, Jul 27, 2021 @ 09:07 AM

On July 1, 2021, the U.S. Departments of Health and Human Services, Labor, and Treasury, along with the Office of Personnel Management (collectively, the Departments), issued an interim final rule (IFR) to explain provisions of the No Surprises Act (the Act) that passed as part of sweeping COVID-19 relief legislation signed in December 2020.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits, COVID-19

Compliance Recap - June 2021

Posted by Matt Schwartz on Mon, Jul 19, 2021 @ 09:07 AM

June 2021 was not a busy month in the benefits industry, largely due to the summer vacation season and the Independence Day holiday. Importantly, however, the U.S. Supreme Court upheld the constitutionality of the Patient Protection and Affordable Care Act (ACA).

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits, Compliance Recap

Supreme Court Upholds the Affordable Care Act

Posted by Matt Schwartz on Mon, Jun 21, 2021 @ 09:06 AM

On June 17, 2021, the U.S. Supreme Court upheld the constitutionality of the Patient Protection and Affordable Care Act (ACA) by a 7-to-2 vote. The Court heard oral arguments in the case, California v. Texas, on November 10, 2020, which was a consolidation of 20 cases filed by state attorneys general and governors.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Patient-Centered Outcomes/Comparative Effectiveness (PCORI) Fee FAQ - Updated 2021

Posted by Matt Schwartz on Tue, Jun 15, 2021 @ 09:06 AM

The Patient-Centered Outcomes Research Institute (PCORI) fee initially applied from 2012 to 2019. However, in December 2019, the Further Consolidated Appropriations Act, 2020 extended the fee to 2029.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

2021 Patient-Centered Outcomes Research Institute (PCORI) Fee

Posted by Matt Schwartz on Thu, Jun 10, 2021 @ 08:06 AM

The Patient-Centered Outcomes Research Institute (PCORI) fee deadline is around the corner. In
Notice 2020-84, the IRS adjusted the applicable dollar amount to be multiplied by the average number of covered lives for purposes of calculating the fee for policy years and plan years that end on or after October 1, 2020, and before October 1, 2021.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Executive Order on Strengthening Medicaid and the Affordable Care Act

Posted by Matt Schwartz on Thu, Apr 1, 2021 @ 11:04 AM

3/24/2021 Update: CMS has extended the new special enrollment period for marketplaces using the Heathcare.gov platform until August 15, 2021. See the updated CMS FAQs for more information.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits, COVID-19

The American Rescue Plan Act of 2021 - Part 2 - DCAPs and Exchange Health Insurance

Posted by Matt Schwartz on Tue, Mar 30, 2021 @ 09:03 AM

On March 11, 2021, President Biden signed the American Rescue Plan Act of 2021 (Act). The Act is a $1.9 trillion legislative package, which contains several provisions intended to relieve employers and families from some of the economic burdens associated with COVID-19.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits, COVID-19

Compliance Recap - February 2021

Posted by Matt Schwartz on Fri, Mar 12, 2021 @ 11:03 AM

February was a relatively busy month in the employee benefits world. The Department of Labor (DOL) issued EBSA Disaster Relief Notice 2021-01 regarding the end of the COVID-19 outbreak period.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits, COVID-19

Consolidated Appropriations Act, 2021: Advance EOB, Patient/Consumer Protections and Reporting

Posted by Matt Schwartz on Mon, Feb 22, 2021 @ 09:02 AM

On December 27, 2020, former President Trump signed the Consolidated Appropriations Act, 2021 (Appropriations Act). The Appropriations Act amends Title XXVII of the Public Health Service Act (PHSA), Part 7 of Title I of the Employee Retirement Income Security Act of 1974 (ERISA), and Chapter 100 of the Internal Revenue Code of 1986 (IRC).

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits