Smart Benefits: IRS Announces 2020 ACA Affordability Threshold
Monday, July 29, 2019
Rob Calise, GoLocalProv Business/Health Expert
Under the Affordable Care Act’s (ACA) employer mandate, Applicable Large Employers (ALEs) – generally those who had 50 or more full-time employees, including full-time equivalents, in the prior year – may be subject to a penalty if they do not offer affordable coverage that provides minimum value to full-time employees and their dependents.
Affordability Threshold
For plan years beginning in 2020, the IRS has announced that coverage will generally be considered affordable if the employee’s required contribution for the lowest cost self-only health plan offered is 9.78% or less of his or her household income for the taxable year. The IRS has created three safe harbors that employers may use in place of the employee’s household income to determine affordability:
GET THE LATEST BREAKING NEWS HERE -- SIGN UP FOR GOLOCAL FREE DAILY EBLAST
W-2
Rate of Pay
Federal Poverty Level
ALEs may be subject to a penalty for (1) failure to offer coverage to all full-time employees and their dependents – the “part a” or “failure to offer” penalty; or (2) offering coverage that is not affordable or does not provide minimum value – the “part b” penalty.
Employer Mandate Penalties
ALEs may be subject to a penalty for (1) failing to offer minimum essential coverage (MEC) to all full-time employees and their dependents – the “part a” or “failure to offer” penalty; or (2) offering coverage that is not affordable or does not provide minimum value – the “part b” penalty.
Calculating the penalty for failure to offer MEC:
In 2020, it’s $2,590 per full-time employee, excluding the first 30 full-time employees
Before the penalty will apply, at least one full-time employee must enroll in exchange coverage and must receive a premium tax subsidy for that coverage
Part-time employees are not included in the penalty calculatio
Calculating the penalty for offering coverage that is unaffordable or does not provide minimum value:
In 2020, it’s $3,890 per full-time employee who receives a premium tax credit for exchange coverage
The total penalty cannot exceed the amount that the employer would have owed if it had been liable for the failure to offer penalty
Rob Calise is the Managing Director, Employee Benefits of The Hilb Group of New England, where he helps clients control the costs of employee benefits by focusing on consumer-driven strategies and on how to best utilize the tax savings tools the government provides. Rob serves as Chairman of the Board of United Benefit Advisors, and is a board member of the Blue Cross & Blue Shield of RI Broker Advisory Board, United HealthCare of New England Broker Advisory Board and Rhode Island Business Healthcare Advisors Council. He is also a member of the National Association of Health Underwriters (NAHU), American Health Insurance Association (AHIA) and the Employers Council on Flexible Compensation (ECFC), as well as various human resource associations. Rob is a graduate of Bryant University with a BS in Finance
Related Slideshow: 19 to Watch in 2019 - FULL LIST
View Larger +
Prev
Next
Angie Armenise
Chef and co-owner of Blackie’s Bulldog Tavern in Smithfield, Angie Armenise has it all going. Expansion to a new and larger location, a wonderfully loyal customer base and a big stack of awards -- and more to come in the new year. READ MORE
View Larger +
Prev
Next
Marcela Betancur
Marcela Betancur, the new head of Latino Policy Institute at Roger Williams University and will be the power behind Latinx think tank in 2019.
Betancur, a Central Falls native, most recently worked READ MORE
View Larger +
Prev
Next
Brian Goldner
No one will influence the psyche of Rhode Island more this year than Hasbro CEO Brian Goldner. After the loss of the PawSox to Worcester and the closing of Rhode Island’s beloved Benny's in 2017, Rhode Islanders are a bit raw.
He is poised to announce that Hasbro is...READ MORE
View Larger +
Prev
Next
Cortney Nicolato
New United Way of Rhode Island President and CEO Cortney Nicolato succeeded Anthony Maione in 2018 — and takes on her first full year at the helm of the social service organization in 2019.
She is a Rhode Islander turned Texan returned back to Rhode Island. The Pawtucket native is all about Rhode Island and is passionate about helping to improve issues of housing affordability and the quality of education in RI. She is the mother of two elementary school-aged children. READ MORE
View Larger +
Prev
Next
Sabina Matos
It is the rise of the Phoenix in Providence. On Monday, Sabina Matos won back the Presidency of the Providence City Council and returns to the top legislative position in the City of Providence.
As Providence goes so goes Rhode Island. Matos will be faced with taking on some of the most difficult issues in the state. READ MORE
View Larger +
Prev
Next
Jamie Bova
The Newport City Councilor At-Large lined up the votes to votes for Mayor after being elected to just her second term on the Newport City Council this past November.
Bova, an engineer who grew up in Middletown, attended URI, and moved to Newport in 2012, succeeds Harry Winthrop as the city faces major changes ahead for 2019, including the construction of a new hotel on Thames Street — and more hotel proposals in the pipeline — and READ MORE
View Larger +
Prev
Next
Jennifer Wood
The former private practice attorney turned top government aide turned non-profit director might have her biggest — and most public — battle on her hands in 2019.
RI Center for Justice Executive Director Jennifer Wood joined GoLocal News Editor on GoLocal LIVE where she spoke to the next steps after filing a federal class-action lawsuit in late November on behalf of all Rhode Island public school students to establish the right, under the U.S. Constitution, to an adequate education to prepare young people for full civic education.
READ MORE
View Larger +
Prev
Next
Catholic Church Sex Abuse Survivors
In 2018, Bishop Tobin with the Diocese of Providence landed on GoLocal's “18 to Watch” as the Catholic Church was — and continues to remain — at the center of lawsuits pertaining to the collapse of the St. Joseph pension fund.
He’ll remain squarely in the spotlight — and not for good — in 2019, when he has pledged to release a list of names of abusive priests “credibly accused” over the years in the Diocese, as pressure mounts nationally for how sexual abuse claims were handled around the country — READ MORE
View Larger +
Prev
Next
Matt Voskuil
One of Newport’s most iconic — and upscale — dining locations has a new look, a new chef — and people are taking note not just in Newport, but beyond.
Executive Chef and Director of Food and Beverage, Matt Voskuil at the newly opened Cara at the Chanler READ MORE
View Larger +
Prev
Next
David Torchiana
The most powerful person in healthcare in Rhode Island may soon be a man who rarely visits the state and few here know his name.
Dr. David Torchiana is the CEO of Partners HealthCare and he is poised to push through an acquisition of Rhode Island’s second largest hospital group, ending the local control over three of Rhode Island’s most important healthcare assets. And, the deal has the potential of putting in peril thousands of Rhode Island jobs through consolidation. READ MORE
View Larger +
Prev
Next
RI GOP Party Chair
Rhode Island Republican Party Chair Brandon Bell was defeated in his run for the General Assembly in 2018.
Republican Cranston Mayor Allan Fung lost in his second attempt at the Rhode Island Governor’s office, after a bruising primary that saw former opponent and House Minority Leader opt to endorse former Republican-turned-independent (and honorary chair for President Donald Trump’s campaign in Rhode Island) Joe Trillo. READ MORE
View Larger +
Prev
Next
Anthony Baro
Anthony Baro heads Newport-based PowerDocks — one of Rhode Island’s most interesting startups. It is a market-making green tech company that, in many ways, combines the best of Rhode Island.
The emerging maritime renewal energy company is having an impact in the U.S. and globally. READ MORE
View Larger +
Prev
Next
Blake Filippi
Blake Filippi is the new House Minority leader and is a fresh-faced leader for the GOP in Rhode Island. But, he faces a number of challenges. READ MORE
View Larger +
Prev
Next
Desmond Cambridge
Brown University sophomore basketball player Desmond Cambridge has been a human highlight film his first year and a half on College Hill. He won Ivy League Freshman of the Year and this year he is READ MORE
View Larger +
Prev
Next
Sarah Markey
South Kingstown School Board member Sarah Markey has been at the center of controversy since her election in November.
Markey, a top labor leader for the RI National Education Association, has drawn criticism by Democrats, Republicans and multiple municipal attorneys because READ MORE
View Larger +
Prev
Next
Peter Neronha
Peter Neronha, the new Attorney General, takes over for the controversial Peter Kilmartin. The former U.S. Attorney for Providence now faces a far busier assignment than his federal one. READ MORE
View Larger +
Prev
Next
Dylan Conley
Dylan Conley seems to be everywhere. Recently, GoLocal featured the attorney as one of Rhode Island's "Emerging Leaders."
He is the chairman of the Providence Board of Licenses and is in a hotbed READ MORE
View Larger +
Prev
Next
Mike McGovern
Chef Mike McGovern -- formerly the chef at Red Stripe -- is taking the helm at East Greenwich's Kai Bar -- and now 241 Main Sports Bar and Grill.
Kai Bar is a combination of small plates and big drinks, “Kai offers a rotating small plates menu from an award-winning Chef and Craft Cocktails READ MORE
View Larger +
Prev
Next
BIg Tourism Voids
Tourism is one of the most important sectors of the Rhode Island economy and two of the most important positions in the state are now vacant. READ MORE
Related Articles
Enjoy this post? Share it with others.