The IRS has lowered the affordability percentage again - from 9.12% to 8.39% for plan years beginning in 2024. Meaning, Applicable Large Employers (ALEs) will continue to shoulder a greater…
Elizabeth Raggio, JD
The 2023 affordability percentage that Applicable Large Employers (ALEs) use when determining whether their offer of coverage is affordable such that they are not subject to 4980H(b) penalty exposure is…
An Applicable Large Employer (ALE) that does not offer coverage meeting certain requirements under Code Section 4980H may have exposure to an employer shared responsibility payment (ESRP). The ESRP amounts…
Failure to file or furnish Forms 1094-C and 1095-C as required can result in civil penalties under Code Sections 6721 and 6722, which are indexed each tax year as shown…
The IRS recently finalized rules and guidance that change how an employee’s family determines premium tax credit (PTC) eligibility for Exchange coverage beginning January 1, 2023, fixing what is commonly…
January 12th, 2022
The DOL recently released guidance articulating its temporary enforcement policy for group and individual health plan service provider disclosures under ERISA, as required under Section 202 of…
March 5th, 2021
The IRS recently began issuing 226J letters proposing 4980H penalties against Applicable Large Employers (ALEs) for the 2018 tax year. As a reminder, the IRS bases these…
January 13th, 2021
If your District received a credit on your December 2020 invoice from TRS and were notified by TRS that this credit is the result of a Medical…
October 9, 2020
The IRS sends Letter 5699 when it suspects an employer is an Applicable Large Employer (ALE) and has not filed its Forms 1094-C and 1095-C reporting health…