[firm] blog logo

IRS Issues Notice Providing Certain Transition Relief from the Individual Mandate Payment

As of January 1, 2014, the Act?ÇÖs ?Ç£individual mandate?Ç¥ requires individuals who are not otherwise exempt to either maintain MEC for themselves and their non-exempt family members, or pay a shared-responsibility payment with their federal tax returns (the ?Ç£Mandate Payment?Ç¥).?á MEC includes coverage under an eligible employer-sponsored plan (an ?Ç£Eligible Plan?Ç¥), such as a group health plan.?á An individual may be unable to enroll in coverage by January 1, 2014 under an Eligible Plan with a non-calendar plan year if the plan prohibits mid-year enrollments absent the occurrence of a designated change-in-status event.?á The IRS recently issued Notice 2013-42, which provides relief from the Mandate Payment for certain individuals who are eligible to enroll in an Eligible Plan with a non-calendar plan year that begins in 2013 and ends in 2014. A copy of IRS Notice 2013-42 is available here.

IRS Issues Notice Regarding Eligibility for Minimum Essential Coverage and the Premium Tax Credit

Under the Affordable Care Act (the ?Ç£Act?Ç¥), beginning in 2014, an individual may receive health insurance coverage through an ?Ç£affordable insurance exchange?Ç¥ that is subsidized by a premium tax credit under the Internal Revenue Code if the individual is (1) enrolled in a qualified health plan through an exchange and (2) not eligible for other minimum essential coverage (?Ç£MEC?Ç¥). ?áThe IRS recently issued Notice 2013-41, which provides guidance on whether, for purposes of the tax credit, an individual is considered ?Ç£eligible?Ç¥ for MEC under certain government-sponsored health programs or other coverage designated as MEC, including Medicare, Medicaid, and CHIP. A copy of IRS Notice 2013-41 is available?áhere.

July 2013