ACA

Reporting PCORI Fees to the IRS Due July 31, 2023

A Reminder on Reporting PCORI Fees to the IRS June 2023 Fully insured carriers and most self-insured health plan sponsors must pay annual Patient Centered Outcomes Research Institute (PCORI) fee...

Update - The Briadwood Decision and Coverage of Preventive Health Benefits

The Braidwood Decision and Coverage of Preventive Health Services Update - May 2023 On May 15, 2023, the Fifth Circuit Court of Appeals issued an administrative stay on the enforcement of the di...

§4980H (Employer Mandate) Requirements and Penalties

Reminder: The employer mandate under §4980H of the ACA remains in effect and requires compliance to avoid potential penalties for applicable large employers (ALEs).

The Braidwood Decision and Coverage of Preventive Health Services

The Braidwood Decision and Coverage of Preventive Health Services Date Issued: April 2023 Background The Affordable Care Act (ACA) amended the Public Health Service (PHS) Act to require non-g...

Webinar Replay: Braidwood Preventive Care Decision

Do Plans Still Have to Cover ACA Preventive Care? April 19, 2023 Following a recent U.S. District Court decision placing a national injunction on the enforcement of certain agency recommendation...

Webinar Replay: ACA Employer Reporting Corrections

Whoops! Correcting Employer Reporting Errors March 29, 2023 As employers finish filing IRS Forms 1094 and 1095 for the 2022 calendar year and discover that mistakes were made (e.g., mismatched n...

Most Employers Now Required to File Electronic IRS Information Returns Beginning in 2024

Most Employers Now Required to File Electronic Information Returns Beginning in 2024 On February 21, 2023, the IRS released Final Rules amending the existing requirements related to mandatory e-fil...

IRS Announces ACA Pay or Play Penalties for 2024

IRS Announces ACA Pay or Play Penalties for 2024 The IRS released 2024 penalty amounts on March 9, 2023. This notice is related to the ACA Employer Mandate Penalties. The IRS notice can be reviewed...

Webinar Replay: Applicable Large Employer (ALE) Refresher

Applicable Large Employer (ALE) Refresher Benefit Comply has been answering lots of questions during recent plan renewals and this employer reporting season related to how to determine applicable l...

California Dental Summary of Benefits and Coverage (SBC) Requirement

California Dental Summary of Benefits and Coverage (SBC) Requirement February 2023 A California law (SB 1008) was passed in 2018 and went into effect for plan years beginning on or after January...

Employer Quick Hit - Use of the Look-Back Measurement Method

Use of the Look-Back Measurement Method For purposes of reporting full-time employee counts on the Form 1094-C, as well as reporting full-time versus part-time status by month on Form 1095-Cs, appl...

Employer Reporting Quick Hit - Affordability Safe Harbors

Applicable large employers (50 or more FTEs) and employers offering self-funded group medical plans are in the midst of finalizing reporting via Forms 1094 and 1095 for the 2022 calendar year. The rep...