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Federal Updates
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Learn Why Some Consumers End Exchange Coverage
CMS releases reports that show that less than 2 months after selecting a plan on the Exchanges (during OE, which ended 1/312017), nearly 2 million people had not paid their insurance premium to effectuate and maintain their health coverage.
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CMS to Propose Major Changes to Federal SHOP Marketplaces
The Centers for Medicare and Medicaid Services (CMS) has announced its intention to propose major changes to how small employers in Small Business Health Options Program (SHOP) Marketplaces using HealthCare.gov would enroll in SHOP plans taking effec
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House Passes ACA ‘Repeal and Replace’ Bill; Senate to Begin Deliberations Soon
In a first step toward repealing and replacing the Affordable Care Act (ACA), the U.S. House of Representatives has passed the American Health Care Act. The bill will now be sent to the U.S. Senate. Until this legislation is passed by the U.S. Senate
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IRS Updates 2017 ‘Pay or Play’ Penalty and Affordability Amounts
The IRS has updated its existing Q&As on the Affordable Care Act's employer shared responsibility ("pay or play") requirements to reflect adjustments to the pay or play penalty and affordability amounts. Those adjustments are as follows...
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How to Appeal a Marketplace Notice
Health Insurance Marketplaces are now sending letters to notify certain employers that one or more of their employees has been determined eligible for advance premium tax credits and cost-sharing reductions and has enrolled in a Marketplace plan. Bec
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New Versions of SBC Template and Related Documents for Use On or After April 1
New versions of the Summary of Benefits and Coverage (SBC) template, instructions, uniform glossary, and related documents are required for use on or after April 1, 2017. Under the Affordable Care Act, group health plans and health insurance issuers
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5 Tips on Individual Shared Responsibility Payments
The Affordable Care Act's individual shared responsibility provision (also called the individual mandate) requires every individual to have minimum essential coverage (MEC) for each month, qualify for an exemption, or make a payment when filing his o
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IRS Issues Guidance on New Individual Mandate Hardship Exemption
Recently, the Internal Revenue Service (IRS) released guidance allowing certain individuals eligible for the Health Coverage Tax Credit (HCTC) to qualify for a new hardship exemption.
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ACA Information Reporting Deadlines Approaching
Employers subject to the Affordable Care Act's (ACA) information reporting requirements are reminded that the deadlines to file and furnish Forms 1094 and 1095 are quickly approaching. The reporting deadlines in 2017 are for reporting information on
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DOL Adjusts Labor Law Penalties for 2017
The DOL has published a final rule for the civil monetary penalties assessed for violations of a number of federal labor laws. The increases generally apply to civil penalties assessed after 1/13/17, whose violations occurred after 11/2/15.
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Federal Agencies Finalize Changes to SHOP Exchanges
A new final rule from the U.S. Department of Health and Human Services revises the enrollment processes in the Small Business Health Options Program (SHOP) Exchange for plan years beginning in 2018. Among other things, the final rule provides...
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Employers Face New January 31 W-2 Filing Deadline
The Protecting Americans from Tax Hikes (PATH) Act, enacted last December, includes a new requirement for employers. They are now required to file their copies of Form W-2, submitted to the Social Security Administration (SSA), by January 31.
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NAHU Newswire: Arizona’s ACA Woes Highlight Overall Problems With Healthcare Law
Arizona shows problems with both the design and implementation of the law, which opponents have cited to make the case for changes, including expanding health savings accounts and permitting insurers to sell coverage across state lines.
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NAHU - Washington Update for October 28, 2016
is special release compliments the standard Newswire release, providing a summary of reform specific legislative updates. Main Topics: NAHU Urges Congress to "Stop the HIT"; Window Shopping Begins Ahead of ACA's Fourth Open Enrollment; and more...
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NAHU Newswire: CMS Blocking More Insurers From “Seamless Conversion”
CMS “is temporarily blocking more health insurance companies from automatically moving customers who become eligible for Medicare into Medicare Advantage plans while officials review the controversial practice.”
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