Appealing Marketplace Decisions & IRS

 Letters

Both the Health Insurance Marketplaces and the Internal Revenue Service (IRS) have 

begun sending letters to employers to enforce the Affordable Care Act’s employer shared 

responsibility provisions(also known as "pay or play"). Learn more about these letters 

below.

Health Insurance Marketplace Letters

Health Insurance Marketplaces must notify employers that one or more of their employees 

has been determined to be eligible for advance premium tax credits and cost-sharing 

reductions, and has enrolled in a Marketplace plan. Because these events may trigger 

penalties under pay or play, applicable large employers subject to these provisions—

generally those employers with at least 50 full-time employees, including full-time 

equivalent employees—may seek to appeal an employee's eligibility determination.

visit: http//www.firststepfirst.co.in