This is the annual hodge-podge of changes to the risk adjustment, reinsurance, and risk corridors programs, cost sharing parameters, cost-sharing reductions, and Healthcare.gov user fees, usually filling hundreds of Federal...more
On September 18, 2015, the Centers for Medicare and Medicaid Services (CMS) published a set of “Frequently Asked Questions Regarding the Federally-Facilitated Marketplace’s (FFM) 2016 Employer Notice Program.”...more
9/22/2015
/ Affordable Care Act ,
Appeals ,
Centers for Medicare & Medicaid Services (CMS) ,
Certifications ,
Department of Health and Human Services (HHS) ,
Employer Mandates ,
Federal Health Insurance Exchanges ,
Guidance Update ,
Health Insurance ,
Health Insurance Exchanges ,
Healthcare.gov ,
IRS ,
Public Health Insurance Marketplace ,
Reporting Requirements ,
Subsidies ,
Tax Credits ,
Tax Liability
Here’s the coming dilemma: let IRS assess employer mandate taxes based on errant Healthcare.gov subsidy certifications or appeal those errors to prevent those assessments. “Where’s the dilemma?” you say. Here: once you...more
Why should you care? Subsidy certification of even one applicant claiming to be a full-time employee not offered affordable, qualifying 2015 coverage can cause the IRS to assess a non-deductible tax against the applicant’s...more
For October 1 fiscal year employers, it’s budget season. Calendar year employers aren’t far behind. Those doubting their employer mandate compliance need to accrue reserves for non-deductible assessments that the IRS may...more
6/29/2015
/ Affordable Care Act ,
Annual Assessments ,
Budgets ,
Centers for Medicare & Medicaid Services (CMS) ,
Employer Mandates ,
Full-Time Employees ,
Health Insurance ,
Healthcare.gov ,
IRS ,
State Health Insurance Exchanges ,
Subsidies ,
Tax Assessment