Employer Mandate- 1094 / 1095 Reporting Requirements for 2023

Applicable large employers (ALEs) are required to report information about the health coverage they offered, or did not offer to employees for 2023.  ALEs are generally entities that employed 50 or more full-time and full-time-equivalent (FTE) employees in the prior...

Gag Clause Prohibition- Attestation – Due 12/31

The Gag Clause Attestation is a newly required process requiring health plans and employer plan sponsors to annually attest to the absence of a gag clause in their health plan.  The Consolidated Appropriations Act of 2021 (CAA) prohibits employer sponsored group...

2024 Affordability Percentage – Lowest Yet

In a recent Notice the IRS announced another decreased percentage that will be used to determine whether employees' share of their 2024 premiums are considered affordable for purposes of the employer mandate. Applicable Large Employers, for the 2024 plan year, will...
Recent Articles

PCORI Fee – Due July 31st

By Angel Carrier | May 15, 2024 | Employer Guidance, Health Care Reform, Healthcare Reform

What is the PCORI Fee?

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 and all non-excepted employer sponsored health plans need to pay PCORI Fees by July 31st. 

2025 HSA Limits Announced

By Jimmy Beatrice | May 15, 2024 | Employee Benefits

The IRS announced the HSA limits for 2025. The new single maximum contribution limit is increasing to $4,300 and the family maximum is increasing to $8,550. The 2025 HSA contributions, maximum out of pocket limits, and minimum deductible limits for High Deductible...

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