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Get IRS Form 14764 2018-2024
Ide Your Contact Information Name Address (if you changed your address, make the changes below) City State Country Primary telephone number Best time to call Secondary telephone number Best time to call Zip code Indicate Your Agreement or Disagreement Agreement with proposed assessment I consent to the assessment and collection of the proposed assessment of the ESRP in the amount of $0.00 Signature Date Print name and title of the person who signed above Partial/Total disagreement.
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EXPANDED FAQ
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ACA Penalty 1: IRS Letter 226J—4980H A Penalties These penalty notices were related to section 4980H(a) of the ACA code, “A Penalties.” They apply when an employer fails to offer affordable, qualifying coverage to a sufficient number of full-time employees.
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A penalty of $2,970 (for 2024) per full-time employee minus the first 30 will be incurred if the employer fails to offer minimum essential coverage to 95 percent of its full-time employees and their dependents, and any full-time employee obtains coverage on the exchange.
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Letter 226-J is the initial letter issued to Applicable Large Employers (ALEs) to notify them that they may be liable for an Employer Shared Responsibility Payment (ESRP).
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Penalty for Unaffordable Coverage If, in 2023, a full-time employee is not offered an affordable plan with minimum value and chooses instead to enroll in a subsidized Marketplace plan, a penalty of $4,320 per full-time employee applies.
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The penalty is assessed monthly and is equal to the number of FTE employees (minus the first 30) multiplied by one-twelfth of $2,000.
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