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May 28, 2025 By Mark

Legislative Watch: Could Future Changes Affect ALE Status?

Legislative Watch Could Future Changes Affect ALE Status

Legislative Watch: Could Future Changes Affect ALE Status?

Navigating the complexities of ACA compliance is an ongoing challenge for many businesses, particularly for employers designated as Applicable Large Employers (ALEs). As the Affordable Care Act (ACA) evolves, it’s important for these organizations to stay informed about potential legislative changes that could affect their ALE status and ACA obligations. In this blog post, we’ll examine how ACA-Track, a comprehensive ACA compliance solution, can assist ALEs in adapting to future regulatory changes, ensuring continued compliance, and avoiding penalties.

What Does ALE Status Mean for Employers?

Under the ACA, an Applicable Large Employer (ALE) is defined as a company with 50 or more full-time employees, including full-time equivalent (FTE) employees. ALEs are subject to the employer shared responsibility provisions, which require them to offer affordable, minimum-value health coverage to their full-time employees and their dependents. Failing to meet these requirements can result in hefty penalties.

To determine whether an organization qualifies as an ALE, the company must assess its workforce size in the preceding calendar year. For example, if an organization has 50 or more full-time employees and FTEs in the previous year, it is considered an ALE for the current year.

Why is ALE Status So Crucial for ACA Compliance?

ALE status plays a pivotal role in determining the employer’s responsibilities under the ACA. Here’s why:

  1. Health Coverage Requirements: ALEs must offer health coverage to their full-time employees (those working 30 or more hours a week on average) and their dependents. If they fail to do so, they could face a penalty if even one of their employees receives a premium tax credit from the Health Insurance Marketplace.

  2. Reporting Obligations: ALEs are required to report to the IRS on Form 1094-C and Form 1095-C, which detail the health coverage they offer to employees. Non-compliance can result in fines and penalties.

  3. Employer Shared Responsibility Payment: If an ALE does not provide the required health insurance or provides coverage that is not affordable or doesn’t meet the ACA’s minimum value standard, the company must pay an Employer Shared Responsibility Payment. This penalty can be steep, costing up to $2,000 per employee (excluding the first 30 employees).

Given the significant financial implications of ALE status and ACA non-compliance, ALEs need to ensure they’re accurately tracking employee hours, offering appropriate health coverage, and submitting timely and accurate ACA reports. That’s where ACA-Track comes in.

How ACA-Track Helps ALEs Stay Compliant

ACA-Track offers a robust, user-friendly solution that makes ACA compliance manageable for ALEs. Here’s how it works:

  • Employee Hour Tracking: ACA-Track ensures that employers can accurately track hours worked by all employees, including full-time, part-time, and variable-hour employees. This is critical for ALEs to determine which employees are eligible for coverage. If an employer does not track hours worked, they risk incurring penalties if an employee seeks coverage through the Health Insurance Marketplace.

  • Automatic Alerts: ACA-Track automatically monitors employee eligibility thresholds and sends advance alerts when these thresholds are exceeded. This is particularly important for tracking employees who may become eligible for coverage during a measurement period.

  • Comprehensive Reporting: ACA-Track makes ACA reporting simple. It generates the required IRS Forms 1094-C and 1095-C, ensuring employers meet all filing deadlines. The platform also maintains a centralized location for all ACA compliance data, making it easy to retrieve in the event of an IRS audit or state healthcare exchange request.

  • Flexible Configuration: The platform offers flexible configuration settings that can be adjusted as needed, including measurement periods, affordability percentages, and new hire tracking. This adaptability ensures that businesses can comply with the ACA’s ever-evolving rules.

  • Secure Data Management: ACA-Track prioritizes data security with encryption for personal identifying information and secure transmission protocols. This level of protection helps ALEs safeguard sensitive employee information and comply with data privacy laws.

Legislative Changes: How Could They Impact ALE Status?

While the ACA has remained largely unchanged since its inception, the political landscape is always shifting, and future changes could alter the way ALE status is determined or modify the employer responsibility requirements. Potential changes include:

  1. Changes to Employer Size Requirements: There has been ongoing debate about altering the threshold for ALE status. If the threshold were lowered (e.g., from 50 full-time employees to 40 or fewer), more employers would be subject to ACA reporting and the employer shared responsibility payment. ALEs would need to stay vigilant to any legislative changes that impact workforce size and re-evaluate their compliance strategies accordingly.

  2. Adjustment of Affordability and Minimum Value Requirements: Another area that may see changes is the definition of “affordable” health coverage under the ACA. Currently, health coverage is considered affordable if the employee’s contribution toward the premium is no more than 9.83% of their annual household income. Changes to this threshold or minimum value standards could affect the penalties an ALE faces for non-compliance, requiring quick adjustments in how they structure their employee benefits.

  3. State-Specific Requirements: While the ACA is a federal law, individual states may implement their own mandates and penalties, potentially affecting ALE status. For instance, states like California and Massachusetts have introduced their own health insurance mandates. Employers operating in multiple states may need to stay up-to-date with both federal and state regulations to ensure full compliance.

Why Staying on Top of ACA Regulations is Crucial for ALEs

Failing to track employee hours, offer affordable health coverage, or submit ACA-required forms on time can result in severe financial consequences for an ALE. Penalties for late or incorrect ACA filings, as well as the Employer Shared Responsibility Payment for non-compliance, can quickly add up. With potential changes to ACA regulations on the horizon, ALEs cannot afford to be complacent.

The best strategy for ALEs is to remain proactive, utilizing comprehensive ACA tracking and reporting tools like ACA-Track to monitor employee eligibility, ensure accurate reporting, and stay on top of regulatory changes. By leveraging a platform like ACA-Track, ALEs can streamline their ACA compliance processes, reduce the risk of penalties, and remain confident in their ability to adapt to future changes in the law.

How ACA-Track Can Help You Prepare for Future Changes

As legislation surrounding the ACA continues to evolve, staying ahead of compliance requirements is key for ALEs. ACA-Track offers the tools and support necessary to navigate these changes with ease:

  • Dedicated Client Success Advisor: ACA-Track offers personalized guidance from a dedicated Client Success Advisor who can help you understand how changes in the law may impact your ACA compliance responsibilities.

  • Adaptable Software: ACA-Track is designed to evolve with your needs. As ACA regulations change, the platform will adapt to reflect new requirements, keeping you compliant no matter what the future holds.

  • Comprehensive Support: From tracking employee hours to generating reports and fixing ACA reporting errors, ACA-Track supports you every step of the way, ensuring you are always in compliance with the latest regulations.

In conclusion, as the ACA continues to evolve, it’s important for ALEs to stay informed about potential legislative changes that could impact their status and responsibilities. With ACA-Track’s comprehensive tracking, reporting, and support services, you can ensure that your organization remains compliant, avoiding penalties and preparing for whatever the future holds. To learn more, visit ACA-Track.


Filed Under: ACA Compliance

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Information provided by PSST, LLC concerning the Affordable Care Act is not legal advice and should not be treated as such. If you have questions about how the Affordable Care Act will affect you as an employer, please consult legal counsel.

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