HCR Definitions of Large Employer and Small Employer

The Affordable Care Act (ACA) imposes different requirements on employers based on whether they qualify as a “large employer” or a “small employer.” However, the health care reform law doesn’t use a consistent definition for these terms. As a result, an employer may be considered a small employer for one rule but a large employer for another. Click here for more information.

Federal Budget Delays ACA’s Cadillac Tax & Suspends Two Other Taxes

The new federal budget for 2016 delays implementation of the ACA’s Cadillac tax on high-cost group health coverage for two years, until 2020. Click here for more information.

Pay or Play Calculator

The Internal Revenue Service (IRS) has released 2016 draft forms for reporting under Internal Revenue Code (Code) Sections 6055 and 6056.
Forms 1094-B and 1095-B (released on June 22, 2016) are to be used by entities reporting under Section 6055, including self-insured plan sponsors that are not applicable large employers (ALEs). Draft instructions for these forms were released on Aug. 10, 2016.
Forms 1094-C and 1095-C (released on July 7, 2016) are to be used by ALEs to report under Section 6056, as well as for combined Section 6055 and 6056 reporting by ALEs who sponsor self-insured plans. Draft instructions for these forms were also released on Aug. 1, 2016.
Minor changes were made to Forms 1094-C and 1095-C, including the addition of two new “Offer of Coverage” codes. Click here for more information.

ACA Changes Overview

The Affordable Care Act (ACA) has brought significant changes to the health care industry.  Click here to read the article that summarizes some of the main trends that have resulted from the ACA over the past few years.

ACA Patients Bill of Rights

The purpose of the ACA’s Patients’ Bill of Rights is to help Americans with pre-existing conditions gain and keep coverage, as well as to protect all Americans’ choice of doctors and end lifetime limits on the care consumers may receive. Click here for more information.