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Healthcare Reform


The Internal Revenue Service (IRS) has released guidance on the application of market reforms to Health Reimbursement Arrangements (HRA) and employer payment plans, prevailing wage, the identification of employee contributions, Health Savings Account (HSA) rules’ application to Veterans Affairs (VA) benefits, the application of COBRA rules to Flexible Spending Account (FSA) carryover amounts, and final regulations on minimum value and premium tax credit eligibility. Click below to continue.

BREAKING NEWS: ACA employer reporting delayed
December 28, 2015

IRS Extends Due Dates for New 2015 Information Reporting Requirements


Two provisions of the Affordable Care Act that apply only to applicable large employers (ALEs) are now in effect: the employer shared responsibility provision and the employer information reporting provision for offers of minimum essential coverage. In addition, self-insured ALEs – that is, employers who sponsor self-insured group health plans – have additional provider information reporting requirements.

On Dec. 28, the IRS extended the due dates for new health care information reporting forms in 2016. Insurers, self-insuring employers, other coverage providers, and applicable large employers now have additional time to provide health coverage information for 2015 to individual taxpayers and the IRS. Providers and certain employers must now furnish individuals with either Form 1095-B or 1095-C by March 31, 2016.  The due dates for issuers filing these forms and the associated Form 1094 with the IRS are May 31, 2016 for paper filers and June 30, 2016 for electronic filers.

Link to the IRS ACA Information Center

PDF-icon2SM Click here to download the official document - Notice 2016-4






Originally published by the National Association of Health Underwriters on December 18, 2015.

The House of Representatives has now passed legislation that will delay the Cadillac/excise tax for two years. The provision was included in a $1.1 trillion omnibus government spending and tax-break package. It is now headed to the Senate and is expected to pass later today. President Obama is expected to sign it into law next week.

The Cadillac tax calls for a 40% excise tax on the amount of the aggregate monthly premium of each primary insured individual that exceeds the year's applicable dollar limit, which will be adjusted annually to the Consumer Price Index (CPI) plus 1% initially and then CPI. Given that the pace of medical inflation is well beyond that of general inflation, the tax is destined to outgrow itself in short order and many employers will be impacted by the cost of the tax and the enormous compliance burden that the tax creates. Mercer estimated that a third of employers would be subjected to the tax by 2018 when it was originally set to kick in, and that 60% of employers could be hit by 2022. Because of the projected wide reaching effect of the tax, many employers may be deterred from offering coverage.

The delay of the Cadillac/excise tax is effective for 2018 and 2019, meaning that without further legislative adjustment or repeal, the tax will now be scheduled to take effect beginning in January 2020. Language in the package also permanently makes the tax deductible to employers and calls for a study by the comptroller on appropriate age and gender adjustments in consultation with the National Association of Insurance Commissioners (NAIC).

According to the Nationa Law Review , posted on Wednesday, December 23, 2015, New York State Hospitality Industry employers face several significant changes to employee compensation, effective December 31.
These changes result from:
  1. The final stage of the three-step state minimum wage increase passed by the New York State Legislature,
  2. A new Hospitality Industry Wage Order enacted by the New York State Department of Labor, and
  3. As applicable, a new proposed Fast Food Industry Wage Order recommended by a “Wage Board” and adopted by the New York State Commissioner of Labor in an Order dated September 10, 2015.
Significant Changes to New York State Hospitality Industry Wage and Hour Laws Effective 12/31/15 - See more at:




December 15, 2015: Marketplace Open Enrollment First Deadline
Next Tuesday, December 15, 2015 is the last day for consumers to enroll in or change plans for new coverage to start on January 1, 2016. As the deadline approaches, the Centers for Medicare & Medicaid Services (CMS) expects heavier-than-normal traffic at the Marketplace Call Center and at HealthCare.gov. To help make sure that your clients are able to submit their applications on time, CMS offers the following suggestions to help you and your clients navigate the Health Insurance Marketplace:

PDF-icon2SM Click here to download the full pdf document