Final versions of IRS Forms 1094 and 1095, which are to be used by health plan issuers and employers to fulfill reporting obligations under Code §§ 6055 and 6056, were released by the IRS in February. The agency will use the benefit and participant information reported in these forms to administer the ACA employer and … Continued
Clarification on how the ACA annual cost-sharing limitation affects benefits offered under a high-deductible health plan (HDHP) has been released by the Department of Health & Human Services (HHS). This official interpretation of the ACA’s annual cost-sharing limitation effectively embeds an individual out-of-pocket limit for family coverage. The embedded annual limit, effective with non-grandfathered policy … Continued
As of January 1, “Play or Pay” penalties are in effect. This means if one of your full-time employees qualifies for premium tax credits for Exchange coverage, it may trigger your employer-shared responsibility penalties under Code § 4980H. Employers that have employees enrolled in Exchange coverage may want to become familiar with the process although … Continued
The Expatriate Health Coverage Clarification Act provides permanent ACA relief for some expatriate plans, including self-insured programs. Qualifying plans are exempt from the following mandates and fees: Annual and lifetime limits Required dependent coverage to age 26 Preventive health services Summary of Benefits and Coverage (SBC) Essential health benefit requirement Prohibitions on pre-existing conditions, excessive … Continued
Regardless of where they live, nearly all Americans are likely to face severe winter weather at some point in their lives. Winter storms can range from moderate snow over a few hours to a blizzard with blinding, wind-driven snow that lasts for several days. Many winter storms accompany dangerously low temperatures and strong winds, ice, … Continued
