Affordable Care Act Archives - Employee Benefits I AP Benefit Advisors

HHS Provides 2021 Benefit Payment Out-of-Pocket Limits

Earlier this week, the Department of Health and Human Services (HHS) published finalized 2021 Benefit Payment Parameters with an $8,550 out-of-pocket maximum for self-only coverage and $17,100 for family coverage for health plans beginning in 2021. See, the 5/14/2020 Federal Register publication here. Under the Affordable Care Act (ACA), non-grandfathered health plans are required to […]

Read More...

ACA Limits, Penalties and Fees – 2014 thru 2020

Employer Shared Responsibility (Employer Mandate) Plan Years 2020 2019 2018 2017 2016 2015 2014 Affordability Safe Harbor Percentage 9.78% 9.86% 9.56% 9.69% 9.66% 9.56% 9.50% Employer Mandate Penalties – Calendar Year Penalties 2020 2019 2018 2017 2016 2015 2014 Tier One: Failure to offer coverage or to offer to 95% of employees (70% for 2015) […]

Read More...

HRCI & SHRM Pre-Approved Webinar | 2019 Mid-Year Review – Your Compliance Checkup!

Join us for this HRCI* and SHRM** pre-approved, complimentary, one-hour webinar as our General Counsel and VP of Compliance, Patrick Haynes, reviews the first-half of 2019 and provides a compliance checkup that you won’t want to miss. Patrick will cover: Changes to the Affordable Care Act (ACA) ERISA/Section 125 Best Practices Federal Government’s Approach to […]

Read More...

ACA Limits, Penalties and Fees – 2014-2019

Employer Shared Responsibility (Employer Mandate) Plan Years 2019 2018 2017 2016 2015 2014 Affordability Safe Harbor Percentage 9.86% 9.56% 9.69% 9.66% 9.56% 9.50% Employer Mandate Penalties – Calendar Year Penalties 2019 2018 2017 2016 2015 2014 Tier One: Failure to offer coverage or to offer to 95% of employees (70% for 2015) $2,500 $2,320 $2,260 […]

Read More...

ACA – Pay or Play Enforcement has arrived

As we reported in our 2nd Quarter Newsletter, the IRS has indicated it would notify applicable large employers (ALEs) in 2017 of their potential penalties for failing to comply with the employer shared responsibility mandate, for the 2015 calendar year.  With the numerous attempts this year to repeal or replace the ACA, ALEs may have […]

Read More...

HRCI & SHRM Pre-approved AssuredPartners Webinar | After All of That: The ACA is Still the Law of the Land

To the surprise of many, Congressional Republicans failed to make good on their 7-year long campaign promise to repeal and replace the Affordable Care Act (ACA). And after everything we have been through, especially since President Trump took office, we are left with not much more than a litany of questions…What went wrong? What’s going […]

Read More...

Don’t Be Fooled – ACA Employer Mandate Penalties Are Still Effective

Contrary to popular belief, the Affordable Care Act’s (ACA’s) individual and employer mandate penalties continue to apply and the IRS intends to enforce them. Much of the confusion surrounding the ACA mandate penalties stems from President Trump’s Inauguration day Executive Order, in which he directed federal agencies to “minimize the unwarranted economic and regulatory burdens” […]

Read More...

Senate GOP’s Better Care Reconciliation Act – Updates

Senate Republicans released their health reform overhaul today after weeks of intrigue. The fight going forward is going to be over the reoriented subsidies and Medicaid. There is nothing explicit that allows states to waive out of anything new but the general waiver requirements process has been expanded. The greatly anticipated (and robustly debated) Senate […]

Read More...

IRS Reduces Affordability Percentages for 2018

In Revenue Procedure 2017-36, the IRS announced that for plan years beginning on or after January 1, 2018, employer-sponsored health plan coverage will be considered affordable if the employee’s required contribution for self-only coverage does not exceed 9.56% of the employee’s household income for the year (down from 9.69% for 2017). This percentage is considered […]

Read More...