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IRS 2027 ACA Pay or Play Penalties
The IRS recently announced ACA pay or plan penalty amounts for 2027. The penalties apply to all Applicable Large Employers (ALEs). For 2027, the “A” penalty is $3,780 and the “B” penalty is $5,670. As a reminder, these penalties are calculated monthly. The monthly penalty is equal to the annual penalty listed above divided by 12. The…
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New Jersey’s New Medicaid Employer Fee
Governor Sherrill signed A5324/S4533 on June 30th, 2026 as part of the FY27 budget package. The state is calling it an “employer healthcare assistance assessment,” and it’s expected to raise roughly $145 million annually. NJ employers with 50 or more employees, this one belongs on your radar now. How the Fee Works Employers with at least 50 workers…
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8 Reasons We Don’t Sell or Recommend Medicare Advantage Plans
You can’t drive down the highway, scroll social media, or watch TV without seeing advertisements about how great Medicare Advantage plans are — some even advertised as $0 premium plans with dental, vision, hearing, gym memberships, and more. With celebrities and athletes promoting them, they must be great, right? Well, our answer is generally no.…
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New to HR?
Don’t panic. You don’t need to know everything on your first day or even in your first year. HR professionals with decades of experience are still learning new things. Feeling overwhelmed by the vast and constantly changing landscape of employment law? Worried about the risks to your organization? Don’t panic. You’re in the same boat…
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Midyear Compliance Check: Key Deadlines for Employer-Sponsored Health Plans
As the year progresses, employers offering group health benefits should take time to review upcoming midyear compliance responsibilities. Several federal laws—including ERISA, COBRA, and the No Surprises Act—require specific reporting and participant disclosures during the spring and summer months. Staying ahead of these obligations helps avoid penalties and ensures employees receive important information on time.…
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Prescription Drug Data Collection (RxDC) Reporting Requirement
The No Surprises Act (NSA), enacted as part of the Consolidated Appropriations Act, 2021, includes transparency provisions requiring group health plans to report information on prescription drugs and health care spending to the Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (collectively, the “Departments”). This reporting requirement—referred to as the Prescription Drug Data Collection…
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New Jersey Expands Family Leave and Disability Insurance Laws
Starting July 17, 2026, New Jersey will significantly expand coverage under the New Jersey Family Leave Act (NJFLA). The temporary disability insurance (TDI) and family leave insurance (FLI) laws will also add job protections and clarify how benefits coordinate with earned sick leave. Below are the details. NJFLA Expansion The NJFLA will be expanded to…
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March 1 CMS Disclosure Deadline for Calendar Year Plans
Each year, group health plan sponsors are required to complete an online disclosure form with the Centers for Medicare & Medicaid Services (CMS), indicating whether the plan’s prescription drug coverage is creditable or non-creditable. This disclosure requirement applies when an employer-sponsored group health plan provides prescription drug coverage to individuals who are eligible for coverage under Medicare…
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AFFORDABLE CARE ACT (ACA) EMPLOYER SHARED RESPONSIBILITY UPDATES FOR 2026
The Affordable Care Act (ACA) requires applicable large employers (ALEs) to provide full-time employees (FTEs) with health coverage that is both affordable and of minimum value (MV). Employers that fail to meet these standards may face penalties under the “employer shared responsibility” (commonly called the “pay-or-play” rules). An ALE only becomes liable for penalties if one or more…
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Medicare Part D Notices: Due Before October 15, 2025
Each year, group health plan sponsors are required to disclose to individuals who are eligible for Medicare Part D and to the Centers for Medicare and Medicaid Services (CMS) whether the health plan’s prescription drug coverage is creditable. Plan sponsors must provide the annual disclosure notice to Medicare-eligible individuals before Oct. 15, 2025—the start date of…
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