HORAN Health Benefits Compliance Blog

Keeping you up-to-date and on-track with health benefits compliance

Coming Soon: ACA Employer Mandate Penalty Notices

 November 17 2017     Diane Cross
Employers who were Applicable Large Employers (ALEs) for 2015 should be on the lookout for an Employer Shared Responsibility Penalty (ESRP) letter from the IRS before the New Year.  Under the Affordable Care Act (ACA), ALEs are required to pay a penalty if they fail to offer health coverage meeting minimum requirements to at least 95 percent of their full-time employees and their dependents.&...

You are a New ALE, Now What?

 November 9 2017     Shelly Hodges-Konys and Diane Cross
Since 2014, major provisions of the Affordable Care Act (ACA) have been in effect.  For impacted employers, requirements of the ACA may seem old hat.  But, small employers approaching 50 full-time employees for the first time may need a refresher on how being an applicable large employer (ALE) impacts their organization (see our previous blog post Time to Reassess Applicable Large Employ...

IRS Releases 2018 Health FSA Contribution Maximum, ACA 2017 Forms, and Updated PCORI Fees

 October 26 2017     Diane Cross
While 2018 may seem at a distance – it is quickly approaching.  For many employers, this means time for open enrollment, as well as upcoming reporting requirements, deadlines, and fee payments under the Affordable Care Act (ACA). Recently, the IRS has released important information for employers including: (1) the 2018 contribution maximum for Health Flexible Spending Accounts (FSAs); (...

The Latest on Healthcare from the White House

 October 13 2017     Diane Cross
Yesterday, October 12, 2017, was a busy day for healthcare efforts at the White House.  In the morning, an Executive Order (EO) was signed, Promoting Healthcare Choice and Competition Across the United States, followed by an announcement later that evening that subsidies for low income Americans under the Affordable Care Act (ACA) will be stopped.  We discuss details of each separately b...

Contraceptive Mandate Rolled Back for Employers

 October 11 2017     Shelly Hodges-Konys and Diane Cross
Last week, Interim Final Rules (currently unpublished) were released expanding the rights of employers to opt out of providing contraception coverage to employees at no cost through their employer-sponsored health plan.  These two rules roll back a portion of the Affordable Care Act (ACA) requiring employers to provide birth control coverage to participants of their group health plans at no c...

2018 HDHP Minimum Deductible Limits Require Plan Changes for Some Employers

 September 27 2017     Shelly Hodges-Konys and Diane Cross
As employers contemplate and finalize benefit changes for 2018, those with High Deductible Health Plans (HDHPs) with embedded deductibles that are paired with Health Savings Accounts (HSAs) should pay special attention to the 2018 limits announced in our previous blog post on the subject. As a reminder, earlier this year the IRS announced an increase in the minimum family deductible amount f...

Medicare Part D Notice: Due to Medicare-Eligible Individuals

 September 19 2017     Shelly Hodges-Konys and Diane Cross
Along with fall favorites like hayrides and pumpkin spice everything, this time of year also brings the annual Medicare Part D notice requirement (perhaps not as fun as the novelties of fall, but important nonetheless).  As a reminder, there are two disclosures required annually for employers sponsoring group health plans with prescription drug coverage related to Medicare Part D.  Emplo...

ACA's Health Insurance Tax Returns for 2018

 September 14 2017     Shelly Hodges-Konys and Diane Cross
Back from a brief hiatus in 2017, the Affordable Care Act’s health insurer tax (“HIT” tax) will resume as of January 1, 2018. For background, the HIT tax (also often referred to as the health insurance providers fee) began in 2014 and is an annual fee charged to certain health insurers to help fund federal and state marketplaces/exchanges. It was suspended for 2017 to help insu...

IRS Releases Draft Forms for 2017 ACA Reporting

 September 7 2017     Diane Cross
In anticipation of upcoming reporting requirements for Section 6055 and 6056 per the Affordable Care Act, the IRS has released draft forms and instructions.  Employers will notice that the 2017 forms and instructions are very similar to 2016, with clarification on some information and minor changes for items that no longer apply.  While employers should become familiar with any revisions...

Time to Reassess Applicable Large Employer (ALE) Status

 August 16 2017     Diane Cross
The future of health care reform may be uncertain, but there is one thing that remains clear - the Affordable Care Act (ACA) is the law of the land and the employer mandate is still in effect. This means it is a great time for employers who are approaching 50 employees to take a proactive approach and reassess their status as an applicable large employer (ALE) under the ACA. Remember, ALEs may be...
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