Electronic Filing of the Report of Health Insurance Provider Information, 89020-89022 [2016-29489]
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89020
Federal Register / Vol. 81, No. 237 / Friday, December 9, 2016 / Proposed Rules
DEPARTMENT OF THE TREASURY
Internal Revenue Service
26 CFR Part 57
[REG–123829–16]
RIN 1545–BN57
Electronic Filing of the Report of
Health Insurance Provider Information
Internal Revenue Service (IRS),
Treasury.
ACTION: Notice of proposed rulemaking.
AGENCY:
This document proposes to
amend the Health Insurance Providers
Fee regulations to require certain
covered entities engaged in the business
of providing health insurance for United
States health risks to electronically file
Form 8963, ‘‘Report of Health Insurance
Provider Information.’’ These proposed
regulations affect those entities.
DATES: Written or electronic comments
and requests for a public hearing must
be received by March 9, 2017.
ADDRESSES: Send submissions to:
CC:PA:LPD:PR (REG–123829–16), Room
5205, Internal Revenue Service, P.O.
Box 7604, Ben Franklin Station,
Washington, DC 20044. Submissions
may be hand delivered Monday through
Friday between the hours of 8 a.m. and
4 p.m. to CC:PA:LPD:PR (REG–123829–
16), Courier’s Desk, Internal Revenue
Service, 1111 Constitution Avenue NW.,
Washington, DC, or sent electronically
via the Federal eRulemaking Portal at
https://www.regulations.gov (indicate
IRS REG–123829–16).
FOR FURTHER INFORMATION CONTACT:
Concerning the proposed regulations,
David Bergman, (202) 317–6844;
concerning submissions of comments or
to request a public hearing, Regina
Johnson, (202) 317–6901 (not toll-free
numbers).
SUPPLEMENTARY INFORMATION:
mstockstill on DSK3G9T082PROD with PROPOSALS
SUMMARY:
Background
This document proposes to amend the
Health Insurance Providers Fee
Regulations (26 CFR part 57) under
section 9010 of the Patient Protection
and Affordable Care Act (PPACA),
Public Law 111–148 (124 Stat. 119
(2010)), as amended by section 10905 of
PPACA, and as further amended by
section 1406 of the Health Care and
Education Reconciliation Act of 2010,
Public Law 111–152 (124 Stat. 1029
(2010)) (collectively, the Affordable Care
Act or ACA). All references in this
preamble to section 9010 are references
to the ACA.
Section 9010(a) imposes an annual fee
on each covered entity engaged in the
VerDate Sep<11>2014
16:22 Dec 08, 2016
Jkt 241001
business of providing health insurance.
A covered entity, defined under section
9010(c), is any entity that provides
health insurance for any United States
health risk during each year, subject to
certain exclusions. The total aggregate
amount of the fee for all covered entities
is determined by statute and is called
the applicable amount. See section
9010(e). Each covered entity’s annual
fee is equal to an amount that bears the
same ratio to the applicable amount as
the covered entity’s portion of net
premiums written with respect to health
insurance for United States health risks
that are taken into account compared to
the aggregate amount of net premiums
written for all covered entities that are
taken into account. Section 9010(b)(2)
clarifies which net premiums are taken
into account for purposes of calculating
the fee. A covered entity (including a
controlled group) with no more than
$25 million in net premiums written
does not have any premiums taken into
account and is not liable for a fee.
Section 9010(b)(3) requires the
Secretary to calculate the amount of
each covered entity’s fee on a calendar
year basis. To facilitate these
calculations, section 9010(g)(1) requires
that each covered entity must report to
the Secretary the covered entity’s net
premiums written for health insurance
for any United States health risk for the
preceding calendar year by the date
prescribed by the Secretary. Section
9010(g)(1) also provides the Secretary
with authority to prescribe the manner
in which a covered entity reports its net
premiums written. The reporting
requirement applies regardless of
whether a covered entity will be liable
for a fee. Section 9010(g)(2) imposes a
penalty on a covered entity for any
failure to report the required
information by the date prescribed by
the Secretary (determined with regard to
any extension of time for filing), unless
such failure is due to reasonable cause.
Section 9010(g)(3) imposes an accuracyrelated penalty for understating the
covered entity’s net premiums written
for health insurance for any United
States health risk for any calendar year.
Section 57.3 of the Health Insurance
Providers Fee regulations implements
section 9010(g) and provides the rules
for covered entities to report net
premiums written for health insurance
of United States health risks to the IRS.
Under that section, information is
reported to the IRS on Form 8963,
‘‘Report of Health Insurance Provider
Information,’’ which must be filed in
accordance with the form instructions
by April 15 of the year following the
calendar year for which data is being
reported. That section further provides
PO 00000
Frm 00010
Fmt 4702
Sfmt 4702
that rules for the manner of reporting
may be provided in guidance in the
Internal Revenue Bulletin. The IRS uses
the information reported on Form 8963
as part of the determination of each
covered entity’s annual fee under
section 9010. Neither the statute nor the
regulations currently specify whether
Form 8963 must be submitted
electronically or on paper. Covered
entities currently have the option of
filing the form in either manner.
Section 57.5 requires the IRS to send
each covered entity notice of a
preliminary fee calculation for that fee
year (the calendar year in which the fee
must be paid, beginning with 2014), and
provides the content of that notice.
Section 57.5 further provides that the
timing of the notice will be provided in
guidance published in the Internal
Revenue Bulletin. Notice 2013–76
(2013–51 IRB 769) provides that the IRS
will mail each covered entity its notice
of preliminary fee calculation by June
15 of each fee year. Section 57.6
requires that a covered entity correct
any errors identified after receiving the
preliminary fee calculation by filing a
corrected Form 8963. Notice 2013–76
provides that a corrected Form 8963
must be filed by July 15 of the fee year.
The corrected Form 8963 replaces the
original Form 8963 for all purposes,
including the determination of whether
an accuracy-related penalty applies. The
covered entity remains liable for any
failure to report penalty if it failed to
timely submit the original Form 8963.
As with the original report, the
corrected Form 8963 may currently be
submitted either electronically on
paper.
Under § 57.7(b), the IRS must send
each covered entity its final fee
calculation no later than August 31. The
IRS validates the data on Form 8963 in
performing the final calculation, and,
pursuant to section 9010(b)(3), the IRS
is authorized to use any other source of
information to determine each covered
entity’s net premiums written for health
insurance of United States health risks.
The covered entity must pay the fee by
September 30 of the fee year, as
provided by section 9010(a)(2). The fee
must be paid by electronic funds
transfer. See §§ 57.7(d); 57.6302–1.
The Consolidated Appropriations Act
of 2016 imposes a moratorium on the
fee for the 2017 calendar year. Public
Law 114–113, section 201. Thus,
covered entities are not required to pay
the fee or file Form 8963 for the 2017
fee year.
Explanation of Provisions
The IRS has now had three years of
experience administering the Health
E:\FR\FM\09DEP1.SGM
09DEP1
mstockstill on DSK3G9T082PROD with PROPOSALS
Federal Register / Vol. 81, No. 237 / Friday, December 9, 2016 / Proposed Rules
Insurance Providers Fee. Based on this
experience, the IRS concludes that the
fee could be more efficiently
administered if certain covered entities
were required to file Forms 8963 and
corrected Forms 8963 electronically.
The calculation of the fee is complex,
and the statute requires that it be paid
by the covered entity by September 30.
The calculation of any one covered
entity’s fee depends upon the data
reported on Form 8963 by all covered
entities—an adjustment to one covered
entity’s fee affects other covered
entities’ fees. Covered entities need time
after the end of the year to compile the
information that needs to be reported.
Accordingly, there is a short window of
time for (1) the IRS to compile and
analyze the reported information and
send out preliminary letters, (2) covered
entities to respond with any corrections,
(3) the IRS to compile and analyze the
amended reporting and issue final fee
letters, and (4) covered entities to pay
the fee.
Paper reporting slows this process
because paper forms take time to travel
through the mail. Additionally, once the
paper Form 8963 (or corrected Form
8963) reaches IRS personnel, the
information on the paper form must be
transcribed into IRS computers to
calculate the fee. Transcription of paper
forms is costly and time-consuming.
And, because of the nature of the fee, no
entity’s proposed or final assessment
can be determined until all the reporting
of all payers has been taken into
account.
The IRS uses electronic filing in
several other contexts to streamline the
collection of large volumes of paper
forms and to efficiently use the
information provided. Electronic filing
of Forms 8963 and corrected Forms
8963 would benefit the administration
of the fee by significantly reducing
delays and the resources needed to
calculate the preliminary and final fee
amounts. Electronic filing will also
benefit fee payers by facilitating the
process for computing the fee for all
covered entities.
Accordingly, pursuant to section
9010(g)(1), which provides authority to
prescribe the manner for reporting, the
proposed regulations amend § 57.3(a)(2)
to provide that a covered entity
(including a controlled group) reporting
more than $25 million in net premiums
written on a Form 8963 or corrected
Form 8963 must electronically file these
forms after December 31, 2017. Forms
8963 reporting $25 million or less in net
premiums written are not required to be
electronically filed. This is because a
covered entity (including a controlled
group) reporting no more than $25
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16:22 Dec 08, 2016
Jkt 241001
million in net premiums written is not
liable for a fee and therefore the time
constraints applicable to computation of
the fee are not applicable with respect
to these entities. See § 57.4(a)(4). The
proposed regulation also provides that if
a Form 8963 or corrected Form 8963 is
required to be filed electronically, any
subsequently filed Form 8963 filed for
the same fee year must also be filed
electronically, even if such
subsequently filed Form 8963 reports
$25 million or less in net premiums
written. In addition, the proposed
regulation provides that failure to
electronically file will be treated as a
failure to file for purposes of § 57.3(b).
Proposed Effective/Applicability Date
These amendments are proposed to
apply to any covered entity reporting
more than $25 million in net premiums
written on any Form 8963 filed after
December 31, 2017.
Special Analyses
Certain IRS regulations, including this
one, are exempt from the requirements
of Executive Order 12866, as
supplemented and reaffirmed by
Executive Order 13563. Therefore, a
regulatory impact assessment is not
required. It is hereby certified that the
electronic filing requirement would not
have a significant economic impact on
a substantial number of small entities
pursuant to the Regulatory Flexibility
Act (5 U.S.C. chapter 6). This
certification is based on the fact that the
rule is expected to affect primarily
larger entities because the electronic
filing requirement is not met unless the
filer must report more than $25 million
in net premiums. Accordingly, a
regulatory flexibility analysis is not
required.
Pursuant to section 7805(f) of the
Internal Revenue Code, this notice of
proposed rulemaking has been
submitted to the Chief Counsel for
Advocacy of the Small Business
Administration for comment on the
impact on small business.
Comments and Public Hearing
Before these proposed regulations are
adopted as final regulations,
consideration will be given to any
written or electronic comments that are
submitted timely to the IRS as
prescribed in this preamble under the
ADDRESSES heading. The Treasury
Department and the IRS request
comments on all aspects of the proposed
rules. All comments will be available for
public inspection and copying at
www.regulations.gov or upon request. A
public hearing will be scheduled if
requested in writing by any person that
PO 00000
Frm 00011
Fmt 4702
Sfmt 4702
89021
timely submits written comments. If a
public hearing is scheduled, notice of
the date, time, and place for the public
hearing will be published in the Federal
Register.
Drafting Information
The principal author of the proposed
regulations is David Bergman of the
Office of the Associate Chief Counsel
(Procedure and Administration).
List of Subjects in 26 CFR Part 57
Health Insurance, Reporting and
recordkeeping requirements.
Proposed Amendments to the
Regulations
Accordingly, 26 CFR part 57 is
proposed to be amended to read as
follows:
PART 57—HEALTH INSURANCE
PROVIDERS FEE
Paragraph 1. The authority citation
for 26 CFR part 57 continues to read in
part as follows:
Authority: 26 U.S.C. 7805 * * *
Par. 2. Section 57.3 is amended by
revising paragraph (a)(2) to read as
follows:
§ 57.3 Reporting requirements and
associated penalties.
*
*
*
(a) * * *
*
*
(2) Manner of reporting—(i) In
general. The IRS may provide rules in
guidance published in the Internal
Revenue Bulletin for the manner of
reporting by a covered entity under this
section, including rules for reporting by
a designated entity on behalf of a
controlled group that is treated as a
single covered entity.
(ii) Electronic filing required. Any
Form 8963 (including corrected forms)
filed pursuant to paragraph (a)(1) of this
section reporting more than $25 million
in net premiums written must be filed
electronically in accordance with the
instructions to the form. If a Form 8963
or corrected Form 8963 is required to be
filed electronically under this paragraph
(a)(2)(ii), any subsequently filed Form
8963 filed for the same fee year must
also be filed electronically. For purposes
of paragraph (b) of this section, any
Form 8963 required to be filed
electronically under this section will
not be considered filed unless it is filed
electronically.
*
*
*
*
*
Par. 3. Section 57.10 is amended by
revising paragraph (a) and adding
paragraph (c) to read as follows:
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89022
§ 57.10
Federal Register / Vol. 81, No. 237 / Friday, December 9, 2016 / Proposed Rules
Effective/applicability date.
John Dalrymple,
Deputy Commissioner for Services and
Enforcement.
[FR Doc. 2016–29489 Filed 12–8–16; 8:45 am]
BILLING CODE P
DEPARTMENT OF THE TREASURY
Internal Revenue Service
26 CFR Part 301
[REG–133353–16]
Background and Explanation of
Provisions
RIN 1545–BN63
Disclosures of Return Information
Reflected on Returns to Officers and
Employees of the Department of
Commerce for Certain Statistical
Purposes and Related Activities
Internal Revenue Service (IRS),
Treasury.
ACTION: Notice of proposed rulemaking
by cross-reference to temporary
regulation.
AGENCY:
In the Rules and Regulations
section of this issue of the Federal
Register the IRS is issuing temporary
regulations authorizing the disclosure of
specified return information to the
Bureau of the Census (Bureau) for
purposes of structuring the censuses
and national economic accounts and
conducting related statistical activities
authorized by title 13. The temporary
regulations are made pursuant to a
request from the Secretary of Commerce.
The temporary regulations also provide
clarifying language for an item of return
information and remove duplicative
paragraphs contained in the existing
final regulations. These regulations
require no action by taxpayers and have
no effect on their tax liabilities. Thus,
no taxpayers are likely to be affected by
the disclosures authorized by this
guidance. The text of the temporary
regulations published in the Rules and
Regulations section of the Federal
Register serves as the text of these
proposed regulations.
DATES: Written and electronic comments
and requests for a public hearing must
be received by March 9, 2017.
Applicability Date: For dates of
applicability, see § 301.6103(j)(1)–1(e).
mstockstill on DSK3G9T082PROD with PROPOSALS
SUMMARY:
VerDate Sep<11>2014
16:22 Dec 08, 2016
Send submissions to
CC:PA:LPD:PR (REG–133533–16), Room
5203, Internal Revenue Service, Post
Office Box 7604, Ben Franklin Station,
Washington, DC 20044. Submissions
may be hand-delivered Monday through
Friday between the hours of 8 a.m. and
4 p.m. to CC:PA:LPD:PR (REG–133533–
16), Courier’s Desk, Internal Revenue
Service, 1111 Constitutional Avenue
NW., Washington, DC 20224, or sent
electronically, via the Federal
eRulemaking Portal at
www.regulations.gov (IRS REG–133533–
16).
FOR FURTHER INFORMATION CONTACT:
Concerning the proposed regulations,
William Rowe, (202) 317–6834;
concerning submissions of comments,
Regina Johnson, (202) 317–5177 (not
toll-free numbers).
SUPPLEMENTARY INFORMATION:
ADDRESSES:
(a) Except as provided paragraphs (b)
and (c) of this section, §§ 57.1 through
57.9 apply to any fee that is due on or
after September 30, 2014.
*
*
*
*
*
(c) Section 57.3(a)(2)(ii) applies to
Forms 8963, including corrected Forms
8963, filed after December 31, 2017.
Jkt 241001
This document contains proposed
amendments to 26 CFR part 301 relating
to section 6103(j)(1)(A) of the Internal
Revenue Code (Code). Section
6103(j)(1)(A) authorizes the Secretary of
the Treasury to furnish, upon written
request by the Secretary of Commerce,
such returns or return information as
the Secretary of Treasury may prescribe
by regulation to officers and employees
of the Bureau for the purpose of, but
only to the extent necessary in, the
structuring of censuses and national
economic accounts and conducting
related statistical activities authorized
by law. Section 301.6103(j)(1)–1 of the
regulations further defines such
purposes by reference to 13 U.S.C.
chapter 5 and provides an itemized
description of the return information
authorized to be disclosed for such
purposes. This document contains
proposed regulations authorizing the
disclosure of additional items of return
information requested by the Secretary
of Commerce. These proposed
regulations also provide clarifying
language for an item of return
information and remove duplicative
paragraphs contained in the existing
regulations. Temporary regulations in
the Rules and Regulations section of this
issue of the Federal Register amend 26
CFR part 301. The text of those
temporary regulations serves as the text
of these proposed regulations. The
preamble to the temporary regulations
explains the temporary regulations and
these proposed regulations.
Certain IRS regulations, including this
one, are exempt from the requirements
Frm 00012
Fmt 4702
Comments and Requests for Public
Hearing
Before these proposed regulations are
adopted as final regulations,
consideration will be given to any
comments that are submitted timely to
the IRS as prescribed in this preamble
under the ADDRESSES heading. The IRS
and Treasury Department request
comments on all aspects of the proposed
regulations. All comments that are
submitted will be available for public
inspection and copying at
www.regulations.gov or upon request. A
public hearing may be scheduled if
requested in writing by any person that
timely submits written or electronic
comments. If a public hearing is
scheduled, notice of the date, time, and
place for the public hearing will be
published in the Federal Register.
Drafting Information
The principal author of these
proposed regulations is William Rowe,
Office of the Associate Chief Counsel
(Procedure & Administration).
List of Subjects in 26 CFR Part 301
Employment taxes, Estate taxes,
Excise taxes, Gift taxes, Income taxes,
Penalties, Reporting and recordkeeping
requirements.
Proposed Amendments to the
Regulations
Accordingly, 26 CFR part 301 is
amended as follows:
PART 301—PROCEDURE AND
ADMINISTRATION
Paragraph 1. The authority citation
for part 301 continues to read in part as
follows:
■
Authority: 26 U.S.C. 7805 * * *
Par. 2. Section 301.6103(j)(1)–1 is
amended by adding paragraphs
(b)(2)(iii)(K) through (M), (b)(3)(xxxi)
through (xxxv), and (b)(6)(i)(C) through
■
Special Analyses
PO 00000
of Executive Order 12866, as
supplemented and reaffirmed by
Executive Order 13563. Therefore, a
regulatory assessment is not required. It
is hereby certified that these regulations
will not have a significant economic
impact on a substantial number of small
entities because the regulations do not
impose a collection of information on
small entities. Accordingly, a regulatory
flexibility analysis is not required under
the Regulatory Flexibility Act (5 U.S.C.
chapter 6). Pursuant to section 7805(f) of
the Internal Revenue Code, this
regulation has been submitted to the
Chief Counsel for Advocacy of the Small
Business Administration for comment
on its impact on small businesses.
Sfmt 4702
E:\FR\FM\09DEP1.SGM
09DEP1
Agencies
[Federal Register Volume 81, Number 237 (Friday, December 9, 2016)]
[Proposed Rules]
[Pages 89020-89022]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-29489]
[[Page 89020]]
-----------------------------------------------------------------------
DEPARTMENT OF THE TREASURY
Internal Revenue Service
26 CFR Part 57
[REG-123829-16]
RIN 1545-BN57
Electronic Filing of the Report of Health Insurance Provider
Information
AGENCY: Internal Revenue Service (IRS), Treasury.
ACTION: Notice of proposed rulemaking.
-----------------------------------------------------------------------
SUMMARY: This document proposes to amend the Health Insurance Providers
Fee regulations to require certain covered entities engaged in the
business of providing health insurance for United States health risks
to electronically file Form 8963, ``Report of Health Insurance Provider
Information.'' These proposed regulations affect those entities.
DATES: Written or electronic comments and requests for a public hearing
must be received by March 9, 2017.
ADDRESSES: Send submissions to: CC:PA:LPD:PR (REG-123829-16), Room
5205, Internal Revenue Service, P.O. Box 7604, Ben Franklin Station,
Washington, DC 20044. Submissions may be hand delivered Monday through
Friday between the hours of 8 a.m. and 4 p.m. to CC:PA:LPD:PR (REG-
123829-16), Courier's Desk, Internal Revenue Service, 1111 Constitution
Avenue NW., Washington, DC, or sent electronically via the Federal
eRulemaking Portal at https://www.regulations.gov (indicate IRS REG-
123829-16).
FOR FURTHER INFORMATION CONTACT: Concerning the proposed regulations,
David Bergman, (202) 317-6844; concerning submissions of comments or to
request a public hearing, Regina Johnson, (202) 317-6901 (not toll-free
numbers).
SUPPLEMENTARY INFORMATION:
Background
This document proposes to amend the Health Insurance Providers Fee
Regulations (26 CFR part 57) under section 9010 of the Patient
Protection and Affordable Care Act (PPACA), Public Law 111-148 (124
Stat. 119 (2010)), as amended by section 10905 of PPACA, and as further
amended by section 1406 of the Health Care and Education Reconciliation
Act of 2010, Public Law 111-152 (124 Stat. 1029 (2010)) (collectively,
the Affordable Care Act or ACA). All references in this preamble to
section 9010 are references to the ACA.
Section 9010(a) imposes an annual fee on each covered entity
engaged in the business of providing health insurance. A covered
entity, defined under section 9010(c), is any entity that provides
health insurance for any United States health risk during each year,
subject to certain exclusions. The total aggregate amount of the fee
for all covered entities is determined by statute and is called the
applicable amount. See section 9010(e). Each covered entity's annual
fee is equal to an amount that bears the same ratio to the applicable
amount as the covered entity's portion of net premiums written with
respect to health insurance for United States health risks that are
taken into account compared to the aggregate amount of net premiums
written for all covered entities that are taken into account. Section
9010(b)(2) clarifies which net premiums are taken into account for
purposes of calculating the fee. A covered entity (including a
controlled group) with no more than $25 million in net premiums written
does not have any premiums taken into account and is not liable for a
fee.
Section 9010(b)(3) requires the Secretary to calculate the amount
of each covered entity's fee on a calendar year basis. To facilitate
these calculations, section 9010(g)(1) requires that each covered
entity must report to the Secretary the covered entity's net premiums
written for health insurance for any United States health risk for the
preceding calendar year by the date prescribed by the Secretary.
Section 9010(g)(1) also provides the Secretary with authority to
prescribe the manner in which a covered entity reports its net premiums
written. The reporting requirement applies regardless of whether a
covered entity will be liable for a fee. Section 9010(g)(2) imposes a
penalty on a covered entity for any failure to report the required
information by the date prescribed by the Secretary (determined with
regard to any extension of time for filing), unless such failure is due
to reasonable cause. Section 9010(g)(3) imposes an accuracy-related
penalty for understating the covered entity's net premiums written for
health insurance for any United States health risk for any calendar
year.
Section 57.3 of the Health Insurance Providers Fee regulations
implements section 9010(g) and provides the rules for covered entities
to report net premiums written for health insurance of United States
health risks to the IRS. Under that section, information is reported to
the IRS on Form 8963, ``Report of Health Insurance Provider
Information,'' which must be filed in accordance with the form
instructions by April 15 of the year following the calendar year for
which data is being reported. That section further provides that rules
for the manner of reporting may be provided in guidance in the Internal
Revenue Bulletin. The IRS uses the information reported on Form 8963 as
part of the determination of each covered entity's annual fee under
section 9010. Neither the statute nor the regulations currently specify
whether Form 8963 must be submitted electronically or on paper. Covered
entities currently have the option of filing the form in either manner.
Section 57.5 requires the IRS to send each covered entity notice of
a preliminary fee calculation for that fee year (the calendar year in
which the fee must be paid, beginning with 2014), and provides the
content of that notice. Section 57.5 further provides that the timing
of the notice will be provided in guidance published in the Internal
Revenue Bulletin. Notice 2013-76 (2013-51 IRB 769) provides that the
IRS will mail each covered entity its notice of preliminary fee
calculation by June 15 of each fee year. Section 57.6 requires that a
covered entity correct any errors identified after receiving the
preliminary fee calculation by filing a corrected Form 8963. Notice
2013-76 provides that a corrected Form 8963 must be filed by July 15 of
the fee year. The corrected Form 8963 replaces the original Form 8963
for all purposes, including the determination of whether an accuracy-
related penalty applies. The covered entity remains liable for any
failure to report penalty if it failed to timely submit the original
Form 8963. As with the original report, the corrected Form 8963 may
currently be submitted either electronically on paper.
Under Sec. 57.7(b), the IRS must send each covered entity its
final fee calculation no later than August 31. The IRS validates the
data on Form 8963 in performing the final calculation, and, pursuant to
section 9010(b)(3), the IRS is authorized to use any other source of
information to determine each covered entity's net premiums written for
health insurance of United States health risks. The covered entity must
pay the fee by September 30 of the fee year, as provided by section
9010(a)(2). The fee must be paid by electronic funds transfer. See
Sec. Sec. 57.7(d); 57.6302-1.
The Consolidated Appropriations Act of 2016 imposes a moratorium on
the fee for the 2017 calendar year. Public Law 114-113, section 201.
Thus, covered entities are not required to pay the fee or file Form
8963 for the 2017 fee year.
Explanation of Provisions
The IRS has now had three years of experience administering the
Health
[[Page 89021]]
Insurance Providers Fee. Based on this experience, the IRS concludes
that the fee could be more efficiently administered if certain covered
entities were required to file Forms 8963 and corrected Forms 8963
electronically.
The calculation of the fee is complex, and the statute requires
that it be paid by the covered entity by September 30. The calculation
of any one covered entity's fee depends upon the data reported on Form
8963 by all covered entities--an adjustment to one covered entity's fee
affects other covered entities' fees. Covered entities need time after
the end of the year to compile the information that needs to be
reported. Accordingly, there is a short window of time for (1) the IRS
to compile and analyze the reported information and send out
preliminary letters, (2) covered entities to respond with any
corrections, (3) the IRS to compile and analyze the amended reporting
and issue final fee letters, and (4) covered entities to pay the fee.
Paper reporting slows this process because paper forms take time to
travel through the mail. Additionally, once the paper Form 8963 (or
corrected Form 8963) reaches IRS personnel, the information on the
paper form must be transcribed into IRS computers to calculate the fee.
Transcription of paper forms is costly and time-consuming. And, because
of the nature of the fee, no entity's proposed or final assessment can
be determined until all the reporting of all payers has been taken into
account.
The IRS uses electronic filing in several other contexts to
streamline the collection of large volumes of paper forms and to
efficiently use the information provided. Electronic filing of Forms
8963 and corrected Forms 8963 would benefit the administration of the
fee by significantly reducing delays and the resources needed to
calculate the preliminary and final fee amounts. Electronic filing will
also benefit fee payers by facilitating the process for computing the
fee for all covered entities.
Accordingly, pursuant to section 9010(g)(1), which provides
authority to prescribe the manner for reporting, the proposed
regulations amend Sec. 57.3(a)(2) to provide that a covered entity
(including a controlled group) reporting more than $25 million in net
premiums written on a Form 8963 or corrected Form 8963 must
electronically file these forms after December 31, 2017. Forms 8963
reporting $25 million or less in net premiums written are not required
to be electronically filed. This is because a covered entity (including
a controlled group) reporting no more than $25 million in net premiums
written is not liable for a fee and therefore the time constraints
applicable to computation of the fee are not applicable with respect to
these entities. See Sec. 57.4(a)(4). The proposed regulation also
provides that if a Form 8963 or corrected Form 8963 is required to be
filed electronically, any subsequently filed Form 8963 filed for the
same fee year must also be filed electronically, even if such
subsequently filed Form 8963 reports $25 million or less in net
premiums written. In addition, the proposed regulation provides that
failure to electronically file will be treated as a failure to file for
purposes of Sec. 57.3(b).
Proposed Effective/Applicability Date
These amendments are proposed to apply to any covered entity
reporting more than $25 million in net premiums written on any Form
8963 filed after December 31, 2017.
Special Analyses
Certain IRS regulations, including this one, are exempt from the
requirements of Executive Order 12866, as supplemented and reaffirmed
by Executive Order 13563. Therefore, a regulatory impact assessment is
not required. It is hereby certified that the electronic filing
requirement would not have a significant economic impact on a
substantial number of small entities pursuant to the Regulatory
Flexibility Act (5 U.S.C. chapter 6). This certification is based on
the fact that the rule is expected to affect primarily larger entities
because the electronic filing requirement is not met unless the filer
must report more than $25 million in net premiums. Accordingly, a
regulatory flexibility analysis is not required.
Pursuant to section 7805(f) of the Internal Revenue Code, this
notice of proposed rulemaking has been submitted to the Chief Counsel
for Advocacy of the Small Business Administration for comment on the
impact on small business.
Comments and Public Hearing
Before these proposed regulations are adopted as final regulations,
consideration will be given to any written or electronic comments that
are submitted timely to the IRS as prescribed in this preamble under
the ADDRESSES heading. The Treasury Department and the IRS request
comments on all aspects of the proposed rules. All comments will be
available for public inspection and copying at www.regulations.gov or
upon request. A public hearing will be scheduled if requested in
writing by any person that timely submits written comments. If a public
hearing is scheduled, notice of the date, time, and place for the
public hearing will be published in the Federal Register.
Drafting Information
The principal author of the proposed regulations is David Bergman
of the Office of the Associate Chief Counsel (Procedure and
Administration).
List of Subjects in 26 CFR Part 57
Health Insurance, Reporting and recordkeeping requirements.
Proposed Amendments to the Regulations
Accordingly, 26 CFR part 57 is proposed to be amended to read as
follows:
PART 57--HEALTH INSURANCE PROVIDERS FEE
Paragraph 1. The authority citation for 26 CFR part 57 continues to
read in part as follows:
Authority: 26 U.S.C. 7805 * * *
Par. 2. Section 57.3 is amended by revising paragraph (a)(2) to
read as follows:
Sec. 57.3 Reporting requirements and associated penalties.
* * * * *
(a) * * *
(2) Manner of reporting--(i) In general. The IRS may provide rules
in guidance published in the Internal Revenue Bulletin for the manner
of reporting by a covered entity under this section, including rules
for reporting by a designated entity on behalf of a controlled group
that is treated as a single covered entity.
(ii) Electronic filing required. Any Form 8963 (including corrected
forms) filed pursuant to paragraph (a)(1) of this section reporting
more than $25 million in net premiums written must be filed
electronically in accordance with the instructions to the form. If a
Form 8963 or corrected Form 8963 is required to be filed electronically
under this paragraph (a)(2)(ii), any subsequently filed Form 8963 filed
for the same fee year must also be filed electronically. For purposes
of paragraph (b) of this section, any Form 8963 required to be filed
electronically under this section will not be considered filed unless
it is filed electronically.
* * * * *
Par. 3. Section 57.10 is amended by revising paragraph (a) and
adding paragraph (c) to read as follows:
[[Page 89022]]
Sec. 57.10 Effective/applicability date.
(a) Except as provided paragraphs (b) and (c) of this section,
Sec. Sec. 57.1 through 57.9 apply to any fee that is due on or after
September 30, 2014.
* * * * *
(c) Section 57.3(a)(2)(ii) applies to Forms 8963, including
corrected Forms 8963, filed after December 31, 2017.
John Dalrymple,
Deputy Commissioner for Services and Enforcement.
[FR Doc. 2016-29489 Filed 12-8-16; 8:45 am]
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