On August 19, 2020, the IRS updated its Pay or Play Frequently Asked Questions to include the annual adjusted penalty amounts for the 2021 calendar year. When the Affordable Care Act was first implemented, there were two penalties for the Pay or Play, 4980H(a) penalty and the 4980H(b) penalty for Applicable Large Employers, also referred…
Beginning in 2020, California imposes a state individual mandate that requires individuals in California to maintain health coverage or pay a penalty. The California law largely mirrors the federal individual mandate requirement under the Affordable Care Act (ACA) that was effectively eliminated, beginning in 2019. California’s individual mandate requires most individuals in the state (and…
Did you know that in 2017 the Open Enrollment period is November 1, 2016 through January 31, 2017? Did you know that if you do not have qualified medical coverage, meeting the minimum essential benefits, that you may face a penalty for not having health insurance coverage, according to the ACA? (Note: there are a…
President Obama has signed into law the Protecting Affordable Coverage for Employees (PACE) Act. On September 28, 2015, the House of Representatives passed H.R. 1624 through voice vote and on October 1, the Senate passed the legislation through unanimous consent. How Will PACE Act Affect the Affordable Care Act (ACA)? Small group is currently…
The Affordable Care Act added Section 6055 and 6056 which requires Applicable Large Employers (ALEs) to file returns with the IRS and provide statements to their full-time employees regarding the health insurance coverage offered by the employer. For calendar year 2015, ALE must file the Section 6055 and 6056 returns on or before February 29…
Under the Patient Protection and Affordable Care Act, the employer-provided coverage must be “Affordable,” so that Applicable Large Employers avoid penalties under the “Pay or Play” rules. Affordability will be determined by whether the coverage offered costs an employer more than 9.5% of their annual household income. Since there is no practical way for an…
Over the Memorial Day holiday weekend, the Department of Labor published new FMLA forms. The new forms are good through May 2018. Download the new forms: WH-380-E, Certification of Health Care Provider for Employee’s Serious Health Condition. WH-380-F, Certification of Health Care Provider for Family Member’s Serious Health Condition. WH-381, Notice of Eligibility and Rights & Responsibilities. WH-382, Designation Notice.…
When an employer offers a group health insurance plan, such as medical, dental, or vision insurance, the employee and covered dependents (“Qualified Beneficiaries”) are provided an opportunity to continue their current plan at the individual/family’s expense when they have a qualifying event. Qualified events may include termination or reduction of hours of the covered employee’s…
COBRA is a federal law that requires employers of 20 or more employees with group health plans to offer employees, their spouse and dependents a temporary period of continued health care coverage if they lose coverage through the employer’s group health plan. Employers who have not continuously had 20 employees are covered if they had…
Health care accounts are not all created equal. That’s why you need an experienced, trusted adviser to help you understand health care accounts. MNJ Insurance Solutions is here to help you understand the complex, and sometimes confusing, health care accounts and their acronyms, like HSAs, HRAs, and FSAs, so you can make an informed decision…
