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This archive has been updated to reflect changes made by the IRS in the Form 1095C and instructions for 2019.
We receive questions from employers almost daily on how to comply with these complex reporting requirements in various common (and unusual) situations and scenarios. To help with those questions, we have created 25 different ACA reporting tips for employers to use as guides when completing their Forms 1094C/1095C. These tips address some of the most common ACA reporting issues employers face, including helpful hints, tips and samples of completed Forms 1094C/1095C.
The answer to the question "What's up with the ACA?" can change from month to month. See Part I for my thoughts on the ACA earlier this year. Here are some insights into what is happening with the Affordable Care Act (ACA) right now. As the Affordable Care Act continues to evolve, we strive to bring you the latest changes and the potential impact on your business.
As you may have seen in various media reports on Friday, December 14, 2018, a federal district court in Texas ruled that the entire Affordable Care Act (ACA) was unconstitutional. Does that mean employers can stop working on their 2018 1094C/1095C reports, ignore employer-shared responsibility penalty notices from the IRS, and start kicking adult children and individuals with pre-existing health conditions off their health plans? Not just yet.
As many employers work feverishly through open enrollment for the 2019 plan year, it’s important not to forget about every benefit professional’s other favorite year-end activity — 1094C/1095C reporting! The end of the individual mandate penalty in 2019 does not change an employer’s 1094C/1095C reporting obligations for 2018 when the individual mandate was still in effect. More importantly, the information reported on the 1094C/1095C forms relates primarily to the employer mandate (also known as the Employer Shared Responsibility Penalty or ESRP) which is not going away.
The ESRM is the Employer Shared Responsibility Mandate, introduced by the Affordable Care Act, and is now fully implemented. This article is for you if your company is newly subject to the ESRM or if you are new to the ESRM.
In the time since we published an article on the Cadillac Tax in November of 2017, the Cadillac Tax has been delayed again. This time, as part of the spending bill signed January 22, 2018, the Cadillac Tax has been delayed until 2022.
It’s that time of year — unfortunately. Many employers hoped that efforts to dismantle the Affordable Care Act (ACA) earlier this year would mean they would no longer have to worry about 1094C/1095C reporting. But the repeal efforts failed, the ACA remains the law of the land, and now it’s time to start working on the 2017 ACA reports.
The Affordable Care Act’s (ACA’s) employer shared responsibility penalties (a/k/a “play or pay” penalties) were initially supposed to be effective starting in 2014, but the Obama administration delayed the effective dates and has not actually attempted to collect these penalties. Many people questioned whether they ever would, especially given the change in administration after last fall’s election. But that is apparently about to change.
The Cadillac Tax is set to go into effect in 2020, after having been delayed by Congress a few years ago. What should employers do now? Estimate your exposure to the Cadillac Tax using reasonable assumptions, look for ways to minimize or delay the exposure, make incremental changes and prioritize large changes where feasible. This can put you in a good position for facing and responding to the Cadillac Tax.
Changes to the Affordable Care Act (ACA) could still happen but are becoming increasingly unlikely this year. Therefore, employers need to take charge of their health plans and ensure they address rising costs under the current framework. While there are plenty of possible strategies that exist, working with an advisor can ensure you find the best strategy that fits with your culture, is compliant, and does the best job to reduce or mitigate costs.
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