ppaca updates Archives - Employee Benefits I AP Benefit Advisors

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) […]

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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 […]

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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 […]

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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 […]

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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 […]

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The American Health Care Act Passes the House

On May 4, 2017, the House of Representatives narrowly passed the American Health Care Act (AHCA) by a vote of 217 to 213. This was a big step for House Republicans in fulfilling President Trump’s campaign promise to repeal the Affordable Care Act (ACA). The bill must also pass in the Senate for it to […]

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ACA Repeal & Replace – New House Bill Details

House Republicans just released the latest version of the ACA repeal and replace legislation.  The good news for many of our clients is that the Congress has listened to you and us as your brokers, consultants, agents and administrators.  Many of us didn’t see the wisdom in upsetting the employer-sponsored-healthcare market (150+ million Americans enjoy […]

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The Future of the ACA and Employee Benefit Plans

It’s been over a week since the election results came in and since then, you have likely been inundated with emails, seen many television interviews, and heard other news sources espousing predictions of what is on the horizon for employee benefit plans, and specifically, the future of the Affordable Care Act (“ACA”). Indeed, the Trump […]

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Transitional Reinsurance Fee Year 3 – Deadline Approaching Nov 15th

Deadline is Tuesday, November 15, 2016:  Your self-funded health plan must submit your enrollment count and schedule your payments for the 2016 plan year. What is it? The Reinsurance Assessment is a fee applicable to insured and self-funded major medical plans for calendar years 2014 through 2016. It will primarily be used to help cover […]

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Did You Receive an Exchange Subsidy Notice? Ready to Appeal?

Please see our Compliance Alert about the need to timely appeal subsidy notices.  If your employees incorrectly tell a federal or state exchange that you didn’t offer them coverage, or that your coverage wasn’t creditable or wasn’t affordable, then there’s a good chance that you will face a fine.  You need to appeal these subsidy […]

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