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The AI revolution is fueling exciting and far-reaching business transformation — but also a good deal of hype, misunderstanding and even risk. Unlike other tehnology revolutions, many of the most avid early adopters of AI are the least expert. This can lead to organizations into misapplications, missed opportunities or, far worse, costly pitfalls and even unsafe […]
AI & RegTech for Employee Benefits [Part 1/3] Read More »
New savings programs, shifting contribution rules, eligibility updates, and plan changes always pose challenges for retirement service providers. Why? Because so much critical data starts upstream in the employer’s HCM and payroll systems. When systems are connected but not coordinated… Breakdowns happen fast! The results? Exception spikes. Retroactive fixes. Manual reconciliation. Broken handoffs. Audit gaps.
Solving the headaches for Retirement Service Providers Read More »
What HCM & Payroll Teams Need to Know. The SECURE Act 2.0 continues to reshape the retirement landscape, and one of the most significant updates — the new Roth Catch-Up Rules for higher-earning employees — takes effect on January 1, 2026. Although the IRS has provided transition relief, organizations should not wait. Ensuring compliance requires
Preparing for SECURE Act 2.0: Strong Coordination Matters Read More »
By Alex Avaneszadeh | 5 Minute Read In June 2025, Congress passed what has been dubbed the “Big Beautiful Bill,” a sweeping federal rollback of pandemic-era Medicaid expansions and ACA subsidies. The legislation, heavily promoted by the administration as a return to fiscal discipline, has since sparked nationwide concern: over 20 million Americans are now
The ACA Penalty Trap in a Post-Medicaid World Read More »
Paid interns can impact ACA Compliance for ALEs by adding to their full-time employee count. If hired to work at least 30 hours per week, paid interns are considered full-time employees for the ACA purposes. Misclassification of short-term employees, such as summer interns, can result in a failure to meet the employer’s requirement under the
ACA FACT CHECK: SHOULD ALEs OFFER PAID INTERNS MEDICAL COVERAGE? Read More »
On December 23, 2024, President Biden signed new legislation affecting ACA reporting, namely, the Paperwork Burden Reduction Act [PBRA]. This act eases the burden on Applicable Large Employers [ALEs] to furnish their employees with a FORM 1095-B [self-insured employers] and/or FORM 1095-C [both self-insured and fully insured employers]. These are the forms reporting on offers
ACA FACT CHECK: WHAT ARE THE EASED NEW DEMANDS ON FORM 1095 REPORTING? Read More »
If you read only one ACA Compliance & Reporting guide this year, make sure it’s this one! There are plenty of ACA guides out there. A lot contain errors, some are plain wrong, and more and more are loosely AI-generated. Most are confusing, to say the least. As if ACA governance, risk management & compliance
ACA TY24: IRS Changes, Tips, & Common Errors Read More »
The IRS ACA reporting DEADLINES for TY24 [filing in 2025] are as follows: MARCH 3, 2025: Deadline to furnish IRS FORMs 1095-B & C to individual eligible employees. MARCH 31, 2025: Deadline to e-file FORMs 1095-B & C and employer Form 1094-C plus all other required ACA documentation to the IRS. » NOTE: NO MORE
ACA TY24: IRS Deadlines & Penalties Read More »
The annual Dayforce Discover event starts in Vegas on Monday, November 11. BENEFITSCAPE will be participating this year as a Dayforce Consulting Partner for Benefits & Compliance. HCMs DELIVER BEST-IN-CLASS BEN ADMIN. Dayforce’s deep BENEFITSCAPE partnership reflects the industry-leading work BENEFITSCAPE has done pioneering ACA COMPLIANCE and other benefits administration for employers on the major HCMs.
Dayforce Strengthens BENEFITSCAPE Partnership Read More »
The IRS has published the TY2024 ACA Compliance & Reporting templates for employee FORM 1095-B and FORM 1095-C. The TY24 deadlines for distributing these forms to employees and for filing to the IRS are as follows: Forms 1095 Distribution Deadline: March 3, 2025 FORMS 1095 IRS E-Filing Deadline: March 31, 2025 FORMS 1095 & STATE-MANDATED
IRS Publishes Forms 1095-B & C for TY24 Read More »
This three-part series on AI & REGTECH has been created by the data scientists and benefits specialists at BENEFITSCAPE to provide a high-level framework for understanding how AI can support ben admin and compliance. In this final post, we sum up the key takeaways for employers from Parts 1 & 2. 1. AI comes with
AI & Regtech: The 7 Key Takeaways Read More »
By BENEFITSCAPE CHAIRMAN Ken Phillips INTRODUCTION Alongside Human Capital Management [HCM] systems, employers typically use specialized ben admin software and services to manage health & welfare benefits. These best-in-class employee ben admin solutions have robust specialized functionality and deep integration with both the benefits supply chain and compliance reporting. HCMs have found it hard to
HCMs Deliver Best-in-Class Ben Admin Read More »
By BENEFITSCAPE CHAIRMAN Ken Phillips ________________________________________________________________ The IRS has invited feedback on the ACA reporting and compliance process — more specifically, on the efficiency and utility of FORMS 1094-C and 1095-C. BENEFITSCAPE’s response is a very practical one. Our focus has always been on developing specialist ACA technology — in conjunction with best-in-class managed services
A Response To IRS Call for ACA Feedback Read More »
Without much fanfare, a radical data science revolution is taking place inside the Internal Revenue Service [IRS]. And all corporate employers should take note — and take steps not to get caught out by it. From 2010 to 2021, the IRS experienced budget cuts in real terms of 22%, leaving it with outdated technology and a
Regtech Transforming IRS Powers Read More »
There are two series of IRS CODES for ACA reporting & compliance. These codes relate to LINES 14 & 16 of IRS FORM 1095-C, the individual employee form that as health plan sponsors APPLICABLE LARGE EMPLOYERS [ALEs] must complete and distribute to all eligible employees. See here for the difference between FORMS 1095-B & 1095-C. Series 1 Codes:
ACA Reporting: IRS Codes Explained Read More »
As we enter the final straight for TY23 filings, the IRS continues to process a backlog of 226J penalty letters for ACA non-compliance in previous tax years. WHAT IS AN IRS 226J PENALTY LETTER? The IRS issues 226J notices when Applicable Large Employers [ALEs] fail to comply with the Employer’s Shared Responsibility Provision [Employer Mandate]
Survival Kit: 226J Penalty Letters Read More »
As IRS filing deadlines approach in the New Year, BENEFITSCAPE takes a look at the hefty penalties for employers missing TY23 ACA deadlines. And we also issue three warnings about some misleading ACA information online. WARNING 1: Some online AI-generated guides to ACA reporting & compliance confuse IRS penalties for late or incorrectly furnished filings [IR
ACA TY23: A Timely Look at ACA Deadline Penalties Read More »
In 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. That is significantly down from this year’s 9.12%
What does IRS affordability change mean for TY24 ACA compliance? Read More »
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