When employers think about Paid Family and Medical Leave (PFML), they typically and understandably start with the benefit policies themselves and compliance requirements — not about the hidden data requirements! But data is where the real complexity begins. As employers expand their paid leave offerings and more states introduce PFML programs, many organizations find themselves […]
PFML Complexities Demand Better Connected Data Read More »
On May 15, the Centers for Medicare & Medicaid Services [CMS] issued the HHS Notice of Benefit and Payment Parameters for 2027, introducing a broad set of changes to the federal ACA Health Insuracne Marketplace. These changes lower marketplace user fees; eliminate the requirement for marketplace insurers to offer standardized plan options; and grant states
Increased Federal Scrutiny for ACA Eligibility Read More »
State-mandated benefit programs, including Paid Family and Medical Leave [PFML], place a growing compliance burden on employers and their HCM systems — from tracking eligibility and monitoring protected leave status to avoiding assumed retaliation for employee terminations. Two recent Massachusetts PFML updates — a new private plan exemption procedure and a significant jury verdict in
Updates: Massachusetts PFML Highlights Compliance Challenges Read More »
As an active participant in LIMRA’s LDEx standards and technology committee, BENEFITSCAPE is helping shape the future of how data moves across the complex benefits ecosystem. To this end, BENEFITSCAPE Chief Technologist Max Ignatov will be taking part in a key panel discussion at the upcoming LIMRA Workplace Benefits Conference in Tampa, Fl [May 4-6].
BENEFITSCAPE Helping Drive the LDEx Revolution 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 Demands for 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 »
When passed, the Affordable Care Act [ACA] required individuals to purchase & maintain qualifying health insurance coverage – or face a federal penalty. By reducing these penalties to zero in 2019, the federal Tax Cuts & Jobs Act [TCJA] effectively repealed the ACA individual mandate [as distinct from the ACA employer mandate]. Eleven US states
ACA TY24: State Mandates Guide & Checklist Read More »
You met the IRS reporting deadline. But now it’s time to correct any filing errors. All Applicable Large Employers [ALEs] get one of 6 IRS responses to their Form 1094-C and Form 1095-C ACA submissions. These responses, sent via the IRS AIR e-filing system, do not signal a company’s final ACA compliance status. They are
ACA Filing Errors: What To Do Next Read More »
The IRS ACA reporting DEADLINES for TY23 [filing in 2024] are as follows: MARCH 1, 2024: Deadline to furnish IRS FORMs 1095-C to individual eligible employees. [This date takes in account that 2024 is a leap year.] APRIL 1, 2024: Deadline to e-file FORMs 1095-C & 1094-C plus all other required ACA documentation to the
ACA Deadlines Almost Here 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 you scramble to complete your TY2022 ACA Reporting, it’s hard to think about TY2023 reporting, but now’s the time to start planning for a smooth TY2023 season! Whether you are searching for new partner to help with your fully outsourced solution for ACA compliance and reporting or if you need help filling specific process
Procrastination is Tempting Read More »
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