Category Archives: Health Benefit Claims

How the Health Care Law Affects You

Chart: How the Health Care Law Affects You While Congress appears to be working towards a repeal (and eventual replacement of) the ACA (Obamacare), it is still law. As such, we’ll have to deal with it, for now, and until a full repeal is effective. So, as you prepare to file your 2016 tax return,…

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Medicare Prescription Drug Coverage Notices Due October 15th

Medicare Creditable Coverage notices are due out by October 15th The Medicare Modernization Act (MMA) requires businesses (whose policies include prescription drug coverage) to notify Medicare-eligible policyholders whether their prescription drug coverage is creditable coverage, which means that the coverage is expected to pay, on average, as much as the standard Medicare prescription drug coverage. For…

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ACA & Employers

The Affordable Care Act How the Size of Your Workforce Affects Your Responsibilities Two parts of the Affordable Care Act apply only to applicable large employers. These are the employer shared responsibility provisions and the employer information reporting provisions for offers of minimum essential coverage.   Whether an employer is an ALE is determined…

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Understanding the ACA

IRS Resources Help Individuals Understand the ACA The IRS knows that you want to understand how the health care law  affects you. IRS Health Care Tax Tips When questions come up, IRS.gov/aca is a great place for you to begin finding the answers you need – when you need them. At IRS.gov/aca, you’ll find…

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The SHOP Healthcare Marketplace

The SHOP Marketplace – No Time Like the Present Small employers with 1-50 employees can apply and enroll in health insurance through the Small Business Health Options Program (SHOP) Marketplace at any time. There’s no limited enrollment period in the SHOP Marketplace – it’s open year round. Whether you apply online or use an agent…

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ACA Nondiscrimination Rule Finalized

  // // HHS finalizes rule to improve health equity under the Affordable Care Act On May 13, 2016, the HHS Office for Civil Rights issued the final rule implementing of Section 1557. The Final Rule prohibits discrimination based on race, color, national origin, sex, age or disability; enhances language assistance for individuals with limited…

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What You Should Know About the Zika Virus

A Message from the White House You’ve probably heard news reports about Zika, a virus that’s been spreading across South and Central America as well as the Caribbean. Zika is primarily transmitted by mosquitoes. In past outbreaks, the vast majority of people who contracted Zika didn’t experience symptoms. For those with symptoms, they were relatively…

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SHOP Insurance Deadline for May Coverage

The SHOP Deadline for May Coverage is May 15 Complete a SHOP Marketplace application by May 15 for small group coverage starting June 1. If you submit your initial group enrollment and make your initial payment by May 15, your coverage can be in place as early as June 1. The SHOP Marketplace is open…

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The Individual Shared Responsibility Payment

Calculating an Individual Shared Responsibility Payment IRS Health Care Tax Tip 2016-40, April 5, 2016 The Affordable Care Act requires you and each member of your family to have minimum essential coverage, qualify for an insurance coverage exemption, or make an individual shared responsibility payment for months without coverage or an exemption when you file…

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Medical Expense Deduction

Claiming a Tax Deduction for Medical and Dental Expenses Your medical expenses may save you money at tax time, but a few key rules apply. Here are some tax tips to help you determine if you can deduct medical and dental expenses on your tax return: Itemize. You can only claim your medical expenses that…

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