Health plan sponsors and health insurers will need to report prescription drug and other health plan costs (RxDC reporting) for 2022 by June 1, 2023. Unlike the RxDC reporting requirements for 2020 and 2021, this deadline is...more
Since the inception of the annual reporting requirements under the Affordable Care Act for Forms 1094 and 1095, the IRS has been annually extending the deadline for employers to distribute those reports to individuals. In...more
In a new set of Frequently Asked Questions, the U.S. Departments of Labor, Health and Human Services, and the Treasury provide significant relief to health plan sponsors and insurers seeking to report on expenditures for...more
Summary -
The Consolidated Appropriations Act, 2021 (CAA) requires group health plans and health insurers to submit information regarding the costs of prescription drug costs and other health care services each year to the...more
Once again, the IRS has extended the deadline for furnishing Forms 1095-B and 1095-C to individuals. Reporting penalties will not apply to those who meet the applicable deadlines and complete the forms in good faith....more
12/5/2019
/ Affordable Care Act ,
Deregulation ,
Employee Benefits ,
Employer Mandates ,
Filing Deadlines ,
Form 1094 ,
Form 1095 ,
Health Insurance ,
Healthcare Reform ,
Individual Mandate ,
IRS ,
Penalties ,
Popular ,
Reporting Requirements ,
Tax Planning ,
Trump Administration
For the third consecutive year, the IRS has extended by 30 days the deadline for health plan sponsors to furnish Forms 1095-B and 1095-C to individuals....more
As it did last year, the IRS has extended the deadline for furnishing Forms 1095-B and 1095-C to individuals by 30 days. This reprieve will allow employers, health insurers, and other plan sponsors to distribute the forms on...more
12/27/2017
/ Affordable Care Act ,
Employee Benefits ,
Employer Mandates ,
Form 1094 ,
Form 1095 ,
Health Insurance ,
Healthcare Reform ,
Individual Mandate ,
IRS ,
Reporting Requirements ,
Tax Liability ,
Tax Returns ,
Trump Administration
Changes are imminent for the Affordable Care Act and a range of other laws and regulations affecting the health care industry. Ballard Spahr attorneys established a Health Care Reform Initiative in 2008 to monitor and analyze...more
1/20/2017
/ AARP ,
Abortion ,
Affordable Care Act ,
Age Discrimination ,
Americans with Disabilities Act (ADA) ,
Birth Control ,
Claim Procedures ,
COBRA ,
Department of Health and Human Services (HHS) ,
Department of Labor (DOL) ,
Disability Benefits ,
Disability Discrimination ,
Discrimination ,
Employee Benefits ,
Employer Mandates ,
Equal Employment Opportunity Commission (EEOC) ,
Form 1094 ,
Form 1095 ,
Gender Discrimination ,
Health Insurance ,
Health Plan Sponsors ,
Healthcare ,
Healthcare Reform ,
HRA ,
IRS ,
National Origin Discrimination ,
Public Health Insurance Marketplace ,
Religious Exemption ,
Religious Freedom Restoration Act (RFRA) ,
Reporting Requirements ,
Section 1557 ,
Sex Discrimination ,
Title IX ,
Trump Administration ,
Wellness Programs ,
Women's Preventable Healthcare Mandates
The IRS has extended the deadline for furnishing 2016 Forms 1095-C and 1095-B to individuals by 30 days to March 2, 2017. The reprieve offers welcome relief to employers, health insurers, and other plan sponsors who would...more
11/21/2016
/ Affordable Care Act ,
Deadlines ,
Employee Benefits ,
Employer Mandates ,
Form 1094 ,
Form 1095 ,
Health Insurance ,
Healthcare ,
IRS ,
Reporting Requirements ,
Time Extensions
As we start looking forward to 2017, and as many employers head into annual enrollment periods this fall, employers need to be aware of recent changes in the law that have a significant impact on health benefit plans. This...more
9/28/2016
/ Affordable Care Act ,
Americans with Disabilities Act (ADA) ,
Department of Health and Human Services (HHS) ,
Employee Benefits ,
Employer Mandates ,
Form 1094 ,
Form 1095 ,
Genetic Discrimination ,
GINA ,
Health Insurance ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare ,
Healthcare Reform ,
HIPAA Audits ,
IRS ,
Non-Discrimination Rules ,
Opt-Outs ,
Reporting Requirements ,
Wellness Programs
The IRS has issued proposed regulations on the individual mandate reporting requirements under section 6055 of the Internal Revenue Code. To a significant degree, the new regulations reflect guidance previously published by...more
8/4/2016
/ Affordable Care Act ,
Employee Benefits ,
Employer Group Health Plans ,
Health Insurance ,
Healthcare ,
Individual Mandate ,
Internal Revenue Code (IRC) ,
IRS ,
Minimum Essential Coverage ,
Reporting Requirements ,
Section 6055 ,
Section 6056
ERISA does not allow a state to compel a self-insured group health plan to compile and report medical claims data for inclusion in a state-wide all-payer health care database, the U.S. Supreme Court has ruled in a landmark...more
Recognizing that many employers and others may need additional time to prepare reports under new Affordable Care Act requirements, the IRS has announced an automatic extension of the deadline for delivering these reports. As...more
The IRS has finalized the 2015 forms and instructions for reporting under the individual and employer mandates and issued additional guidance on these new reporting requirements. The following forms are now available...more
10/1/2015
/ Affordable Care Act ,
COBRA ,
Compliance ,
Employer Mandates ,
Form 1094 ,
Form 1095 ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
HRA ,
Internal Revenue Code (IRC) ,
IRS ,
Reimbursements ,
Reporting Requirements ,
Required Forms ,
TRICARE ,
Veterans Administration
The IRS has completed drafts of the 2015 forms and instructions for employers, insurers, and other health plan sponsors to use to meet their reporting obligations for the employer and individual mandates under the Affordable...more
The Internal Revenue Service has finalized the forms and instructions for reporting information necessary for enforcement of the individual and employer mandates under sections 6055 and 6056 of the Internal Revenue Code. The...more
Employers and other health plan sponsors may be focused on preparing for the commencement of the employer mandate under the Affordable Care Act on January 1, 2015, but a number of other deadlines and developments are emerging...more
Following up on regulations and forms published earlier this year, the IRS has issued instructions and other guidance on the shared responsibility reporting requirements under the Affordable Care Act....more
The Internal Revenue Service recently released draft versions of the forms that will be used to meet the shared responsibility reporting requirements under the Affordable Care Act (ACA). These draft forms have been released...more