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State ACA Mandates

WebACA CENTRAL Employer Guide & Glossary ACATOZ blog RESOURCES TO DOWNLOAD STATE ACA MANDATES When passed IN 2010, the AFFORDABLE CARE ACT [ACA] required individual US citizens to purchase & maintain qualifying health insurance coverage - or face a federal penalty. By reducing these penalties to zero in 2019, the…

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URL: https://www.benefitscape.com/aca-central/state-aca-mandates/

Employee Communications

WebData flows & integration lie at the heart of successful EMPLOYEE COMMUNICATIONS, and this includes making the most of another major business investment — your company’s HCM.Integration in this context means a 360 picture of each employee. Employers sponsoring FULLY INSURED HEALTH PLANS, for example, need a joined up picture …

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Calculating ALE Status

WebIn any tax year, for the purposes of calculating ALE STATUS, your number of full-time employees is based on an average for the preceding calendar year, even for non-calendar health plans.In other words, ALE STATUS for TY24 will be based on your average number of FULL-TIME EMPLOYEES in 2023. The calculation of this number also needs to …

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ACA State Mandates: A Guide & Checklist

WebWhen passed, the Affordable Care Act [ACA] required individuals to purchase & maintain qualifying health insurance coverage – or face a federal penalty. By reducing these penalties to zero in 2019, the federal Tax Cuts & Jobs Act [TCJA] effectively repealed the ACA individual mandate [as distinct from the ACA employer mandate].. …

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Questions and Answers on the Individual Shared

WebAs a provider of millions of ACA 1095 Forms, we are often asked "if the employee must have a copy of this ACA Form 1095 to file their federal income tax return?" The IRS has finally answered the question, NO. The Form 1095 is …

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What does IRS affordability change mean for TY24 ACA compliance

WebIn late August the IRS announced changes to the 2024 health plan affordability threshold. [See IRS Rev. Proc. 2023-29.] This is the measure used to determine if an employer’s lowest-premium health plan meets ACA affordability requirements. The 2024 threshold will be 8.39% of an employee's household income.

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Women’s History Month: A Time to Celebrate Women’s Health

WebMarch marks both Women’s History Month and the anniversary of the signing of the Affordable Care Act (ACA). As a proud women-owned company and the leading specialist in ACA reporting and compliance, BenefitScape is delighted to celebrate both. Since its enactment on March 23, 2010, the ACA has advanced health…

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Back to ACA Basics with Forms 1095-C and 1094-C

WebToday we'll be reviewing Forms 1095-C and 1094-C: Per the ACA Employer Mandate, Applicable Large Employers (ALEs) must offer Minimum Essential Coverage (MEC) to at least 95% of their full-time employees and their dependents that meets Minimum Value (MV) and is affordable for the employee. Otherwise, they are subject to Internal …

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Health Plan Surcharges Affect ACA Affordability and IRS Code

WebMore employers are considering imposing a premium surcharge on employees participating in the company's health plan who are not vaccinated for COVID-19. Whether set as rewards or penalties, wellness program incentives have become popular for encouraging behaviors believed to be healthy and reducing health plan costs. For many …

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With new federal ruling, will employers eliminate coverage for

WebIf a new ruling against the Affordable Care Act (ACA) is upheld, employers will have the choice to increase costs for some preventive services. The case, Braidwood v. Becerra, was overseen by U.S. District Court Judge Reed O’Connor and calls for the government to immediately stop enforcing Affordable Care Act (ACA) rules that require …

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IRS Reporting: ACA Codes

WebACA REPORTING: IRS CODES. There are two series of IRS CODES for ACA reporting & compliance. They relate to LINES 14 & 16 of FORM 1095-C, the individual employee form that ALEs, as health plan sponsors, must complete and distribute to all eligible employees. See here for the difference between FORM 1095-B & 1095-C.

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ACA Employer Mandate

WebThe ACA requires APPLICABLE LARGE EMPLOYERS [ALEs] to offer health insurance coverage to at least 95% of the eligible FULL-TIME EMPLOYEES (and dependents) within the employee population.. These legal obligations are known as the ACA EMPLOYER MANDATE or EMPLOYER SHARED RESPONSIBILITY PROVISIONS [ESRP].. The …

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Rhode Island Permanently Extends ACA Deadlines

WebACA filing for the 2022 tax year is fast approaching. Any employers with employees located in Rhode Island should note that the Rhode Island Division of Taxation recently changed the filing deadlines related to state individual mandate reporting requirements. As a reminder, since 2020, the Rhode Island individual mandate…

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Affordability Safe Harbors

WebAPPLICABLE LARGE EMPLOYERS [ALEs] are not required to use the same SAFE HARBOR method or all FULL-TIME EMPLOYEES.Different methods may be used for different business classifications as specified in the ACA regulations. But within each classification these SAFE HARBOR methods must be applied consistently.. ALEs …

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IRS Provides Additional Codes for ICHRAs Under Section 6056

WebMore good news for employees to obtain affordable Health Insurance. The Internal Revenue Service (IRS) provided two additional codes from Code Series 1 to be used on Form 1095 for ICHRA Reporting on line 14. This is used for reporting offers of individual coverage HRAs (ICHRAs) under Section 6056. These codes were previously …

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BENEFITSCAPE Offers Additional Services to Ceridian Users

WebBENEFITSCAPE is a certified Ceridian Dayforce Partner. This status reflects the value BenefitScape brings to ACA reporting and compliance for thousands of employers across all HCM platforms. And for Ceridian Dayforce users, it means BenefitScape can provide additional services too. “We understand the Ceridian system, we know …

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Don’t overlook coordinating ACA Form 1095 and W-2 tax filings

WebForm W-2 Box 12-Code DD is often a forgotten aspect of an employer’s health plan compliance reporting. Remember, under the ACA Employers are required to provide employees with two reports about their health plan offering in a Tax Year. The value of health coverage in Box 12 Code DD of the employee W-2. These Reports -1095 and …

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IRS Releases RP 2020-36 with Affordability Updates

WebThe IRS recently updated their indexing adjustments for certain provisions under IRC Section 36B in Revenue Procedure 2020-36.There are two important updates: The IRS announced the 2021 shared-responsibility affordability percentage RP 2020-36.

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