Employee Benefits

The Center for Medicare and Medicaid Services (CMS) has released rules requiring hospitals to post standard charges online. Previous law required that hospitals make a list of standard charges uniform and public. The guidelines have been updated, effective January 1, 2019, to specify that hospitals are required to list these charges via the Internet in a machine readable format. Additionally, hospitals must update the list at least once annually and more often if necessa... Read more
This past December, District Judge Reed O’Conner released his ruling in the case Texas v. United States. The case questioned the constitutionality of the ACA’s individual mandate after the Tax Cuts and Jobs Act of 2017 reduced the individual mandate penalty to $0. The judge ruled that the mandate without tax penalty was unconstitutional, and as a result, so was the entire ACA. It is expected that the ruling will be appealed and likely tied up for months bef... Read more
Once again (in Notice 2018-94) the IRS has extended the deadline for furnishing Forms 1095-B and 1095-C to individuals from January 31 to March 4, 2019.  The notice does not extend the due date for filing Forms 1094-B and 1094-C (and accompanying Form 1095s) with the IRS. Accordingly, the deadline remains February 28, 2019, for paper filings, and April 1, 2019, for electronic filings.  The electronic filing of  information returns (Forms 1094/1095) f... Read more
The Affordable Care Act established the Patient-Centered Outcomes Research Institute (PCORI) to explore the effectiveness, risks and benefits of medical treatments. The fees are to be collected for plan years and policy years that end after September 30, 2012, and before October 1, 2019.  All non-excepted employer sponsored health plans need to pay PCORI Fees by July 31st.  If the plan is fully insured, the carrier is responsible for paying the fee. If the pla... Read more
Forms 1094/1095-B (B Forms) and Forms 1094/1095-C (C Forms), and related instructions, for the 2018 tax year have been released and are provided below. Employers Subject to Reporting Applicable large employers (ALEs), who are in general, entities that employed 50 or more full-time and full-time-equivalent employees in 2017, are required to report information about the health coverage they offered or did not offer to employees for 2018. To meet this reporting... Read more
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