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Continuing on with my coverage of the Supreme Court's ruling on the Patient Protection and Affordable Care Act (the "Act") (read my previous posts here, here, and here), there is some updated information information available for employers. Under the Act, some franchisees will qualify as small employers for certain exemptions, but many (including multi-unit owners) will not. As a result, franchisors and franchisees need to educate themselves regarding the Act and what it will require them to do in both the short term and the long term.
The Patient Protection and Affordable Care Act requires employers to report the cost of coverage under an employer-sponsored group health or medical plan. This requirement was optional for all employers in 2011. For 2012 (meaning Forms W-2 for calendar year 2012 generally furnished to employees in 2013), the reporting requirement is now mandatory for sponsors of group health or medical plans, except for certain qualified small employers.
The Internal Revenue Service recently updated its online “Frequently Asked Questions” to clarify certain issues. These include: the type of employers subject to the reporting requirements; whether reporting is mandatory or optional for a particular type of coverage; whether the employee portion of applicable premiums needs to be reported; and where on Form W-2 the premium costs should be reported. For example, dental and vision plans not integrated into another group medical or health plan are among the types of coverage within the optional reporting category.
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