ACA Penalties Are About to Hit Employers

ACA Penalties Are About to Hit Employers

Reach way back into your memory bank to the time when your broker presented you with a “pay or play” analysis to determine whether you comply with the employer mandate under the Affordable Care Act. There was the $2,000 penalty which applies to every full-time employee in the event there was no valid offer of… [Read More]

ACA Penalties – Not Gone Yet

ACA Penalties – Not Gone Yet

Although the Trump Administration has clearly signaled that enforcement of the individual penalty will not likely be a target for 2017, it is not as clear concerning the employer penalty. Earlier this month the Treasury Department issued its report titled “Affordable Care Act: Assessment of Efforts to Implement the Employer Shared Responsibility Provision.” The Treasury… [Read More]

Insights From Inside Washington

Reshaping Healthcare in the United States

As the word game semantics continue regarding repeal, replace, repair and rebrand, our clients who have businesses to run and don’t really care if you call it Obamacare, Trumpcare or Putincare, are really just focused on one thing: what, in practice, will actually happen so we can adjust our strategic planning and investment decisions accordingly?… [Read More]

1095 Nightmares

1095 Reporting

I just got an email from UnitedHealthcare regarding 2016 reporting. A light bulb moment. UHC reports 1095Bs for their insured accounts, and eventually, the IRS will do a data match to ascertain that employers complied with the healthcare mandate. Many clients have multiple companies included in their plans, and it is pretty clear that the… [Read More]

Rubber Hits the Road


After over six years of waiting, employers are finally getting their first documented taste of the employer mandate and its implications. At the end of June, HHS began sending letters to employers informing them of the names of employees who enrolled in exchange coverage and received subsidies. There are several reasons an employee can gain… [Read More]

Employers Outsmart the Government

Emplpyrs Outsmart the Government

Last week, the U.S. Census released new data on the prevalence of employers offering health coverage and the employee take-up rate of the coverage being offered. The data is particularly relevant as it is the largest data set in which we can observe employers’ behavior in 2015, the first year employers were bound by the ACA… [Read More]

Employer Mandate is Here…Now What?


The ball has dropped. The long-awaited employer mandate is here and the individual mandate is entering its second enrollment cycle. As I discuss ACA with clients and prospects I realize that there is a lot of confusion about what happens next. One big question is, “How will all of this be enforced?” In 2016, employers… [Read More]

An End to Cash in Lieu of Benefits


Think you can pay cash to incentivize employees to waive coverage under an employer-sponsored health plan? Think again. On November 6 in FAQ 22, the DOL made clear that cash paid to reimburse individual market policies would subject the employer to excise tax whether the reimbursement was a pre-tax or post-tax payment. Interesting. And perhaps… [Read More]

Gallup Has Surveyed ACA: What America is Saying about Health Reform


Gallup, the renowned polling organization, has been looking at the U.S. healthcare system, releasing two new studies in October, 2014. The first poll shows the uninsured rate is at its lowest point, 13.4%. ACA is meeting its goal of reducing the uninsured; this statistic represents a 3.7% decline since the imposition of the individual mandate…. [Read More]

ACA Regs for IRS Reporting: Advance Tax Credit Could Come Back and Bite


On March 5, Treasury released final regulations on ACA reporting under Internal Revenue Code sections 6055 and 6056 applicable to employers (including members of a controlled group) with more than 50 full-time equivalent employees. Although the actual forms are not yet available, employers and insurers must begin collecting information on January 1, 2015, to report… [Read More]