The IRS has released details regarding how penalties for noncompliance with the employer shared responsibility provisions of the Affordable Care Act (ACA) will be communicated. In a November 2, 2017 update, the IRS introduced Letter 226J which outlines the responses employers may make and the process for making payments on assessed penalties. Although no penalties have been assessed to date, the fact that the IRS has now formalized this process is a tell-tale sign that penalty collection is on the way.
The text of IRS Letter 226J begins with a brief overview of the employer shared responsibility requirements and specifies that the employer in question had at least one full-time employee who collected a premium tax credit. It goes on to specify the reasons the employer may owe a penalty. These reasons could be either:
In either case, because the employee received a premium tax credit, the employer is now required to pay a penalty for failing to meet the requirements for medical coverage under the ACA.
Employers who agree with the letter will need to complete, sign and date a form that the IRS will enclose with the letter (Form 14764 which, as of this post, is not yet available for review). The form must be returned to the IRS, along with the first page of the ESRP letter. Employers who are enrolled in the Electronic Federal Tax Payment System (EFTPS) can pay the penalty electronically instead of via check or money order. Employers who fail to pay the full amount due will receive a “notice and demand” for the balance and a collection process will begin.
For employers who disagree with the letter, you are still required to send in Form 14764 and a copy of the first page of the ESRP letter. Employers must also include a signed statement that explains why they disagree with all or part of the ESRP. It is a good idea to include documentation to substantiate your case. The statement should include changes, if any, you want to make to the information that was reported on Forms 1094-C or 1095-C. Included with the ESRP will be an Employee Premium Tax Credit Listing. Employers who feel there are inconsistencies to this list that support their case should include corrections to the list when filing a rebuttal to the ESRP.
Here are some actions employers should take now to prepare themselves for an appropriate response to IRS Letter 226J:
The ACA continues to be the law of the land. Make sure that your business is prepared to meet all the challenges that may lie ahead. Complacency can be costly.
This communication is for informational purposes only; it is not legal, tax or accounting advice; and is not an offer to sell, buy or procure insurance.
This post may contain hyperlinks to websites operated by parties other than TriNet. Such hyperlinks are provided for reference only. TriNet does not control such web sites and is not responsible for their content. Inclusion of such hyperlinks on TriNet.com does not necessarily imply any endorsement of the material on such websites or association with their operators.