In April, government agencies ramped up their activities by issuing a final rule, updating guidance, and announcing increased Health Insurance Portability and Accountability Act of 1996 (HIPAA) enforcement. The Internal Revenue Service (IRS) updated its webpage that summarizes employer shared responsibilities payments and their calculation. The Department of Health and Human Services (HHS) Centers for […]
Read moreTag: self insured
PCORI Fee Due July 31
The Affordable Care Act (ACA) created the Patient-Centered Outcomes Research Institute to study clinical effectiveness and health outcomes. To finance the Institute’s work, a small annual fee — commonly called the PCORI fee — is charged on group health plans. Insurers are responsible for calculating and paying the fee for fully insured plans. Employers sponsoring […]
Read moreReminder – 2016 ACA Reporting Requirements
Minimum Essential Coverage (MEC) (Section 6055) and Large Employer (Section 6056) reporting are required by the Affordable Care Act (ACA) to help the Internal Revenue Service (IRS) administer compliance with the individual and employer mandates. The insurance carrier is responsible for MEC reporting on individuals covered under fully insured health plans. Employer clients are responsible for […]
Read more6055 Reporting, HRAs, and “Supplemental Coverage”
The Affordable Care Act (ACA) implemented section 6055 of the Internal Revenue Code, which requires IRS reporting from any entity that provides “minimum essential coverage” (MEC) to individuals. Employers who are applicable large employers (ALEs) have related reporting obligations under section 6056. Beginning in 2013, during the proposed rulemaking stage, the government was clear that […]
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