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The Affordable Care Act (ACA) introduced the Medical Loss Ratio (MLR) to ensure that health insurance companies spend a significant portion of premiums on medical care and quality improvement activities rather than administrative costs and profits. When insurers fail to meet the MLR threshold, they are required to issue rebates to plan sponsors. Understanding MLR … Continued
Affordable Care Act (ACA) reporting under Section 6055 and Section 6056 for the 2021 calendar year is due in early 2022. Specifically, reporting entities must: Furnish statements to individuals by March 2, 2022; and File returns with the IRS by Feb. 28, 2022 (or March 31, 2022, if filing electronically). Penalties may apply for reporting … Continued
Recently, the President signed a bill repealing the Affordable Care Act’s Individual Mandate (the tax penalty imposed on individuals who are not enrolled in health insurance). While some are praising this action, there are others who are concerned with its aftermath. So how does this affect you and why should you pay attention to this … Continued
Do you offer coverage to your employees through a self-insured group health plan? Do you sponsor a Health Reimbursement Arrangement (HRA)? If so, do you know whether your plan or HRA is subject to the annual Patient-Centered Research Outcomes Institute (PCORI) fee? This article answers frequently-asked questions about the PCORI fee, which plans are affected, … Continued
Taking control of health care expenses is on the top of most people’s to-do list for 2018. The average premium increase for 2018 is 18% for Affordable Care Act (ACA) plans. So, how do you save money on health care when the costs seems to keep increasing faster than wage increases? One way is through … Continued
With the advent of the Affordable Care Act, health insurers can no longer deny coverage or increase rates based upon pre-existing medical conditions. While the overall costs of health care will go down, you’ll still have to pay some health care costs out of pocket. A good diet and regular exercise can reduce your risk … Continued
On December 22, 2017, the IRS released Notice 2018-06 to extend the due date for employers to furnish 2017 Form 1095-C or 1095-B under the Affordable Care Act’s employer reporting requirement. Employers will have an extra 30 days to prepare and distribute the 2017 form to individuals. The due dates for filing forms with the … Continued
The addition of a stepchild to your family brings a variety of rewards and challenges. The task of adding your stepchild to your health insurance should be a relatively easy process. The addition of the stepchild might have occurred after a marriage or with a change in custody. According to Insurance Lawyers, most health insurance … Continued
On October 6, 2017, the Departments of Health and Human Services (HHS), Labor (DOL), and Treasury released new interim final rules to allow more employers to exclude contraceptive coverage from their group health plans. The new rules will be published in the Federal Register next Friday and take effect immediately. Read the Moral Exemptions and … Continued
The IRS has finalized the forms and instructions that employers will use for 2017 reporting under the Affordable Care Act (ACA). Applicable large employers (ALEs) will use the following: 2017 Form 1094-C (transmittal to IRS). 2017 Form 1095-C (statement to individual). 2017 Instructions for Forms 1094-C and 1095-C (instructions). Employers that self-fund a minimum essential … Continued