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Individual Mandate & Premium Tax Credits in the Affordable Care Act - Provisions & IRS Oversight (Hardcover)
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Individual Mandate & Premium Tax Credits in the Affordable Care Act - Provisions & IRS Oversight (Hardcover)
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Since 2014, the Patient Protection and Affordable Care Act (PPACA)
has required most individuals to maintain health insurance coverage
or potentially to pay a penalty for noncompliance. Specifically,
most individuals are required to maintain minimum essential
coverage for themselves and their dependents. Minimum essential
coverage is a term defined in the ACA and its implementing
regulations and includes most private and public coverage (e.g.,
employer-sponsored coverage, individual coverage, Medicare, and
Medicaid, among others). Some individuals are exempt from the
mandate and the penalty, and others may receive financial
assistance to help them pay for the cost of health insurance
coverage and the costs associated with using health care services.
This book describes the individual mandate as established under the
Patient Protection and Affordable Care Act. It also discusses the
ACA reporting requirements designed, in part, to assist individuals
in providing evidence of having met the mandate; describes the
eligibility criteria applicable to the premium tax credits and
cost-sharing subsidies, and the calculation method for the credit
and subsidy amounts; highlights selected issues addressed in the
final regulation and guidance on premium credits and indicates the
status of implementation, where relevant data is available;
examines IRS's implementation of these PPACA requirements; and IRS
efforts to collaborate with key external stakeholders.
General
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