Health Care Reform

In a recent Notice the IRS announced the adjusted percentage that will be used to determine whether employees' share of their 2021 premiums are considered affordable for purposes of the employer mandate. Applicable Large Employers, for the 2021 plan year, will need to apply the threshold of 9.83% (up from 9.78% for 2020) to any of three "safe harbors": •             W-2 wages •   ... 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 were originally scheduled to be collected for plan years and policy years that end after September 30, 2012 and before October 1, 2019.  In a bill recently signed by the President, the PCORI  fee has been extended through fiscal year 2029.  All non-excepted employer sponsored health pl... Read more
As reported by National Association of Health Underwriters, Congress has voted to fully repeal the Cadillac (excise) Tax and the Health Insurance Tax. The legislation fully repeals the Cadillac Tax and repeals the HIT effective January 1, 2021, which means the HIT will still be in place for 2020. According to the Congressional Budget Office, repealing the Cadillac Tax will save consumers $197 billion, and the HIT repeal will save consumers $150 billion! Busines... Read more
Employer reporting requirements and penalties for non-compliance have largely remained the same even though the individual penalty payment is no longer applicable. Forms 1094/1095-B (B Forms) and Forms 1094/1095-C (C Forms), and related instructions, for the 2019 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-equiva... Read more
On July 17, 2019 the IRS issued guidance expanding the preventive care benefits that can be provided by a high-deductible health plan (HDHP) and remain qualified for HSA eligibility. Ordinarily the HSA rules do not allow for preventive care for services or benefits intended to treat existing illnesses, injuries, or conditions. The new ruling allows for certain conditions to have coverage with no-deductible or below the HSA deductible limits. The Treasury Department and ... Read more
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