Legal & Regulatory

  • HHS names new head of federal HIX

    August 26, 2014

    The Department of Health and Human Services said Tuesday that Kevin Counihan, the head of Connecticut’s state-run exchange will join the Centers for Medicare and Medicaid Services as CEO of the Marketplace, also known as the federal government’s health care exchange.

  • Obama offers birth-control coverage compromise for employees of religious nonprofits

    August 22, 2014

    The Obama administration has announced a government workaround to allow employees of religious nonprofits access to birth-control coverage even if their employer has opted not to pay for such medicines.

  • Small business marketplaces leave room for improvement

    August 21, 2014

    Benefit advisers and employers say a host of challenges is not only to blame for stagnant SHOP enrollment, but must be overcome if SHOP is to enjoy any success.

  • IRS publishes guide to health coverage exemptions

    August 20, 2014

    The Internal Revenue Service has issued a new one-page publication with information about exemptions to the health coverage requirements of the Affordable Care Act.

  • Will employer-sponsored health insurance survive?

    August 18, 2014

    New estimates find the ACA will decrease the number of Americans obtaining health insurance coverage in the future. Can the employer-sponsored health care model survive under these conditions?

  • IRS provides guidance on covered entities for health insurance fees

    August 14, 2014

    The IRS has issued guidance on how the IRS and the Treasury Department will administer the definition of a “covered entity” for purposes of the health insurance fee under the Affordable Care Act.

  • New rates for 'affordable coverage' under ACA announced

    August 8, 2014

    The IRS has issued its first adjustment to the ACA definition of “affordability” for the 2015 plan year. Building a solid ACA compliance plan with your employer clients means understanding the act clearly provides for such changes.

  • Employer shared responsibility: The top three questions asked by small business owners

    August 7, 2014

    One of the most important issues on the mind of business owners is the Affordable Care Act and its employer shared responsibility provision. Paychex shares the top three ESR questions received from business owners and their responses.

  • Play or Pay in 2015 — so many requirements, so little time

    August 6, 2014

    Commentary; 2015 is getting close and the Employer Shared Responsibility Mandate (“Play or Pay”) under the Affordable Care Act (ACA) is almost here. So what does this mean for your organization?

  • California weighs vision care marketplace

    August 5, 2014

    California lawmakers are currently weighing a legislative proposal that would bring vision care options to qualified individuals and employers through an exchange.

  • IRS issues draft ACA reporting forms

    July 31, 2014

    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. They are designed to notify the government about whether individuals and employers are meeting their obligations concerning health coverage.

  • ACA reporting for employers and the IRS' new draft forms

    July 31, 2014

    The IRS’ new draft forms for employer reporting on health care coverage unveils a glimpse of the administrative onus in store for benefit advisers and their employer clients working to comply with the Affordable Care Act.

  • HHS releases medical loss ratio data

    July 25, 2014

    The Affordable Care Act’s medical loss ratio rule continues to force health insurers to pay refunds to consumers enrolled in individual and employer-sponsored health care coverage.

  • Feds release draft tax forms for employer compliance with ACA

    July 25, 2014

    The IRS released draft forms for employers to use to report health coverage offerings to employees, unveiling a glimpse of the administrative onus in store for benefit advisers and their employer clients working to comply with the health law.

  • Rocky road ahead for employers, politicians in ACA subsidy rulings

    July 24, 2014

    The White House this week breathed a sigh of relief – and conservatives simply sighed – when hours after a D.C. federal appeals court ruled that the Internal Revenue Service exceeded its authority in providing tax credit subsidies in 34 states, another federal appellate court ruled the opposite.

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