Information Reporting of Health Insurance Coverage and Other Issues, 68939-68948 [2021-25785]
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Federal Register / Vol. 86, No. 231 / Monday, December 6, 2021 / Proposed Rules
(3) Would not have a significant
economic impact, positive or negative,
on a substantial number of small entities
under the criteria of the Regulatory
Flexibility Act.
List of Subjects in 14 CFR Part 39
Air transportation, Aircraft, Aviation
safety, Incorporation by reference,
Safety.
The Proposed Amendment
Accordingly, under the authority
delegated to me by the Administrator,
the FAA proposes to amend 14 CFR part
39 as follows:
PART 39—AIRWORTHINESS
DIRECTIVES
1. The authority citation for part 39
continues to read as follows:
■
Authority: 49 U.S.C. 106(g), 40113, 44701.
§ 39.13
[Amended]
2. The FAA amends § 39.13 by adding
the following new airworthiness
directive:
■
Schempp-Hirth Flugzeugbau GmbH: Docket
No. FAA–2021–1019; Project Identifier
2020–CE–006–AD.
(a) Comments Due Date
The FAA must receive comments on this
airworthiness directive (AD) by January 20,
2022.
(b) Affected ADs
None.
(c) Applicability
This AD applies to Schempp-Hirth
Flugzeugbau GmbH Model Ventus-2a and
Ventus-2b gliders, all serial numbers,
certificated in any category.
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(d) Subject
Joint Aircraft System Component (JASC)
Code 2700, Flight Control System.
(e) Unsafe Condition
This AD was prompted by mandatory
continuing airworthiness information (MCAI)
originated by an aviation authority of another
country to identify and address an unsafe
condition on an aviation product. The MCAI
describes the unsafe condition as severe
corrosion on the inboard flaperon actuation
push rods and ball bearing connecting the
flaperon push rod to the bell crank inside the
wing. The FAA is issuing this AD to prevent
hard steering and increased play. The unsafe
condition, if not addressed, could result in
reduced control of the glider.
(f) Compliance
Comply with this AD within the
compliance times specified, unless already
done.
head, and bell crank of the flaperon control
of the wings for corrosion and other damage
in accordance with Action 1 in SchemppHirth Flugzeugbau GmbH Working
Instructions for Technical Note No. 349–42/
825–57, Revision 2, dated February 24, 2020,
and before further flight, repair or replace the
affected part, as applicable, in accordance
with Action 2 in Schempp-Hirth
Flugzeugbau GmbH Working Instructions for
Technical Note No. 349–42/825–57, Revision
2, dated February 24, 2020.
(h) Alternative Methods of Compliance
(AMOCs)
(1) The Manager, International Validation
Branch, FAA, has the authority to approve
AMOCs for this AD, if requested using the
procedures found in 14 CFR 39.19. In
accordance with 14 CFR 39.19, send your
request to your principal inspector or local
Flight Standards District Office, as
appropriate. If sending information directly
to the manager of the International Validation
Branch, send it to the attention of the person
identified in paragraph (i)(1) of this AD and
email to: 9-AVS-AIR-730-AMOC@faa.gov.
(2) Before using any approved AMOC,
notify your appropriate principal inspector,
or lacking a principal inspector, the manager
of the local flight standards district office/
certificate holding district office.
(i) Related Information
(1) For more information about this AD,
contact Jim Rutherford, Aviation Safety
Engineer, General Aviation & Rotorcraft
Section, International Validation Branch,
FAA, 901 Locust, Room 301, Kansas City,
MO 64106; phone: (816) 329–4165; fax: (816)
329–4090; email: jim.rutherford@faa.gov.
(2) Refer to European Union Aviation
Safety Agency (EASA) AD 2020–0063, dated
March 18, 2020, for more information. You
may examine the EASA AD in the AD docket
at https://www.regulations.gov by searching
for and locating Docket No. FAA–2021–1019.
(3) For service information identified in
this AD, contact Schempp-Hirth Flugzeugbau
GmbH, Krebenstrasse 25, 73230 Kirchheim/
Teck, Germany; telephone: +49 7021 7298–0;
fax: +49 7021 7298–199; email: info@
schempp-hirth.com; website: https://
www.schempp-hirth.com. You may view this
referenced service information at the FAA,
Airworthiness Products Section, Operational
Safety Branch, 901 Locust, Kansas City, MO
64106. For information on the availability of
this material at the FAA, call (816) 329–4148.
Issued on November 24, 2021.
Lance T. Gant,
Director, Compliance & Airworthiness
Division, Aircraft Certification Service.
[FR Doc. 2021–26326 Filed 12–3–21; 8:45 am]
BILLING CODE 4910–13–P
(g) Inspections and Corrective Actions
Within 90 days after the effective date of
this AD and thereafter at intervals not to
exceed 12 months, inspect the pushrod, joint
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68939
DEPARTMENT OF THE TREASURY
Internal Revenue Service
26 CFR Parts 1 and 301
[REG–109128–21]
RIN 1545–BQ11
Information Reporting of Health
Insurance Coverage and Other Issues
Internal Revenue Service (IRS),
Treasury.
ACTION: Notice of proposed rulemaking.
AGENCY:
This document contains
proposed regulations providing that
‘‘minimum essential coverage,’’ as that
term is used in health insurance-related
tax laws, does not include Medicaid
coverage that is limited to COVID–19
testing and diagnostic services provided
under the Families First Coronavirus
Response Act. The proposed regulations
also would provide an automatic
extension of time for providers of
minimum essential coverage (including
health insurance issuers, self-insured
employers, and government agencies) to
furnish individual statements regarding
such coverage and would provide an
alternative method for furnishing
individual statements when the shared
responsibility payment amount is zero.
Additionally, the proposed regulations
would provide an automatic extension
of time for ‘‘applicable large employers’’
(generally employers with 50 or more
full-time or full-time equivalent
employees) to furnish statements
relating to health insurance that the
employer offers to its full-time
employees. The proposed regulations
would affect some taxpayers who claim
the premium tax credit; health
insurance issuers, self-insured
employers, government agencies, and
other persons that provide minimum
essential coverage to individuals; and
applicable large employers.
DATES: Written or electronic comments
and requests for a public hearing must
be received by February 4, 2022.
Requests for a public hearing must be
submitted as prescribed in the
‘‘Comments and Requests for a Public
Hearing’’ section.
ADDRESSES: Commenters are strongly
encouraged to submit public comments
electronically. Submit electronic
submissions via the Federal
eRulemaking Portal at
www.regulations.gov (indicate IRS and
REG–109128–21) by following the
online instructions for submitting
comments. Once submitted to the
Federal eRulemaking Portal, comments
cannot be edited or withdrawn. The
SUMMARY:
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Federal Register / Vol. 86, No. 231 / Monday, December 6, 2021 / Proposed Rules
Internal Revenue Service (IRS) expects
to have limited personnel available to
process public comments that are
submitted on paper through mail. Until
further notice, any comments submitted
on paper will be considered to the
extent practicable. The Department of
the Treasury (Treasury Department) and
the IRS will publish for public
availability any comment submitted
electronically, and to the extent
practicable, on paper, to its public
docket. Send paper submissions to:
CC:PA:LPD:PR (REG–109128–21), Room
5203, Internal Revenue Service, P.O.
Box 7604, Ben Franklin Station,
Washington, DC 20044.
FOR FURTHER INFORMATION CONTACT:
Concerning the proposed regulations,
call Gerald Semasek, Office of Associate
Chief Counsel (Income Tax and
Accounting), (202) 317–7006 (not a tollfree number); concerning submissions of
comments and requests for a public
hearing, call Regina Johnson at (202)
317–5177 (not a toll-free number) or
send an email to publichearings@
irscounsel.treas.gov.
SUPPLEMENTARY INFORMATION:
Background
This document contains proposed
amendments to 26 CFR parts 1 (Income
Tax Regulations) and 301 (Procedure
and Administration Regulations) under
sections 5000A, 6055, and 6056 of the
Internal Revenue Code (Code).
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1. Minimum Essential Coverage Under
Section 5000A
Beginning in 2014, under the Patient
Protection and Affordable Care Act,
Public Law 111–148, 124 Stat. 119
(2010), and the Health Care and
Education Reconciliation Act of 2010,
Public Law 111–152, 124 Stat. 1029
(2010) (collectively, the Affordable Care
Act or ACA), eligible individuals who
purchase coverage under a qualified
health plan through a Health Insurance
Exchange (Exchange) established under
section 1311 of the ACA may claim a
premium tax credit under section 36B of
the Code. Section 36B and § 1.36B–3 of
the Income Tax Regulations provide that
a taxpayer is allowed a premium tax
credit only for months that are coverage
months for individuals in the taxpayer’s
family, as defined in § 1.36B–1(d).
Under § 1.36B–3(c)(1)(iii), a ‘‘coverage
month’’ for an individual includes only
those months the individual is not
eligible for minimum essential coverage
other than coverage in the individual
market.
Section 5000A was added to the Code
by section 1501 of the ACA. Section
5000A(f)(1) defines ‘‘minimum essential
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coverage’’ to include various types of
health plans and programs, including,
for example, specified governmentsponsored programs such as the
Medicare program under Part A of title
XVIII of the Social Security Act; the
Medicaid program under Title XIX of
the Social Security Act; the Children’s
Health Insurance Program under Title
XXI of the Social Security Act (CHIP);
the TRICARE program under chapter 55
of Title 10, United States Code (U.S.C.);
health care programs for veterans and
other individuals under chapter 17 or 18
of Title 38, U.S.C.; coverage for Peace
Corps volunteers under 22 U.S.C.
2504(e); coverage under the
Nonappropriated Fund Health Benefits
Program under section 349 of Public
Law 103–337; and coverage under an
eligible employer-sponsored plan.
Section 1.5000A–2(b)(2) of the Income
Tax Regulations lists certain
government-sponsored programs that do
not constitute minimum essential
coverage.
Section 5000A requires that
individuals have minimum essential
coverage for each month in the taxable
year, qualify for an exemption from the
minimum essential coverage
requirement, or make an individual
shared responsibility payment upon
filing a federal income tax return.
Section 11081 of Public Law 115–97,
131 Stat. 2054, 2092 (2017), commonly
referred to as the Tax Cuts and Jobs Act
(TCJA), reduces the individual shared
responsibility payment amount to zero
for months beginning after December 31,
2018.
2. Information Reporting Under Sections
6055 and 6056
Section 6055 of the Code provides
that all persons who provide minimum
essential coverage to an individual must
report certain information to the IRS
that identifies covered individuals and
the period of coverage. See section
6055(a) and (b). Those persons also
must furnish a statement to the covered
individuals containing the same
information. See section 6055(c). Under
section 6055(a), (c)(2), and § 1.6055–1(f)
and (g), every person that provides
minimum essential coverage to an
individual during the calendar year is
required to file with the IRS an
information return and a transmittal on
or before February 28 (March 31 if filed
electronically) of the year following the
calendar year to which it relates and to
furnish to the responsible individual
identified on the return a written
statement on or before January 31 of the
year following the calendar year to
which the statement relates. The
information returns and written
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statements must include certain
information about the reporting entity,
the name and taxpayer identification
number (TIN) of the responsible
individual, the name and TIN of each
individual covered under the health
policy, and any other information
specified in IRS instructional materials.
See § 1.6055–1(e) and (g)(4). The IRS
generally has designated Form 1094–B,
Transmittal of Health Coverage
Information Returns, and Form 1095–B,
Health Coverage, to meet the section
6055 requirements.
Section 6056 of the Code requires an
applicable large employer (ALE), as
defined in section 4980H(c) of the Code,
that is required to meet the
requirements of section 4908H to file
annually information returns and
furnish written statements in relation to
the health insurance, if any, that the
employer offers to its full-time
employees. These information returns
and written statements are needed in
order to administer the employer shared
responsibility provisions of section
4980H.
Under section 6056(a), (c)(2), and
§ 301.6056–1(e) and (g), every ALE or
member of an aggregated group that is
determined to be an ALE (ALE member)
is required to file with the IRS an
information return and a transmittal on
or before February 28 (March 31 if filed
electronically) of the year following the
calendar year to which it relates and to
furnish to full-time employees a written
statement on or before January 31 of the
year following the calendar year to
which the statement relates. The IRS
generally has designated Form 1094–C,
Transmittal of Employer-Provided
Health Insurance Offer and Coverage
Information Returns, and Form 1095–C,
Employer-Provided Health Insurance
Offer and Coverage, to meet the section
6056 requirements.
In addition, an ALE member that
offers coverage through a self-insured
health plan must complete the reporting
required under section 6055,
specifically the information regarding
each individual enrolled in the selfinsured health plan, using Form 1095–
C, Part III, rather than Form 1095–B.
ALE members use Form 1095–C, Part III,
to meet the section 6055 reporting
requirement for all employees. For
individuals who are not full-time
employees, ALE members report only
certain information to reflect that the
Form 1095–C is being used to complete
the section 6055 reporting applicable to
individuals who are not full-time
employees, but not the section 6056
reporting applicable only to full-time
employees.
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The current regulations under
sections 6055 and 6056 allow the IRS to
grant an extension of time of up to 30
days to furnish Forms 1095–B and
1095–C for good cause shown. See
§§ 1.6055–1(g)(4)(i)(B)(1) and 301.6056–
1(g)(1)(ii)(A). Additionally, filers of
Forms 1095–B, 1094–C and 1095–C may
receive an automatic 30-day extension
of time to file the forms with the IRS by
submitting Form 8809, Application for
Extension of Time to File Information
Returns, on or before the due date for
filing the forms. See §§ 1.6081–1 and
1.6081–8.
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3. Information Reporting Penalties
Under Sections 6721 and 6722
Section 6721 imposes a penalty for
failing to timely file an information
return or for filing an incorrect or
incomplete information return. Section
6722 imposes a penalty for failing to
timely furnish an information statement
or furnishing an incorrect or incomplete
information statement. The section 6721
and 6722 penalties are imposed with
regard to information returns and
statements listed in section 6724(d),
which include those required by
sections 6055 and 6056. Section 6724
provides that no penalty will be
imposed under section 6721 or 6722
with respect to any failure if it is shown
that the failure is due to reasonable
cause and not to willful neglect.
The preambles to the section 6055
and 6056 regulations provided that the
IRS would not impose section 6721 and
6722 penalties on reporting entities for
the reporting of 2015 health coverage
and offers of coverage if those entities
could show that they made good faith
efforts to comply with the information
reporting requirements (transitional
good faith relief). See T.D. 9660, 79 FR
13220 at 13226 (Mar. 10, 2014); T.D.
9661, 79 FR 13231 at 13246 (Mar. 10,
2014). The transitional good faith relief
covered incorrect or incomplete
information, including TINs or dates of
birth, reported on information returns or
statements. The relief did not apply to
a failure to timely file or furnish a return
or statement, or when the filer failed to
make a good faith effort to comply with
the reporting requirements. The
preambles to the section 6055 and 6056
regulations also stated that reporting
entities failing to meet the reporting
requirements of the regulations may
have been eligible for penalty relief if
the IRS determined the standards for
reasonable cause under section 6724
were satisfied. The Treasury Department
and the IRS reiterated the transitional
good faith relief in Notice 2015–68,
2015–41 I.R.B. 547 (Oct. 13, 2015), and
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Notice 2015–87, 2015–52 I.R.B. 889
(Dec. 28, 2015).
Explanation of Provisions
1. Medicaid Coverage of COVID–19
Testing and Diagnostic Services Under
Section 5000A
Notice 2020–66, 2020–40 I.R.B. 785
(Sept. 28, 2020), provides that Medicaid
coverage that is limited to COVID–19
testing and diagnostic services under
section 6004(a)(3) of the Families First
Coronavirus Response Act, Public Law
116–127, 134 Stat. 178 (Mar. 18, 2020)
is not minimum essential coverage
under a government-sponsored program.
As a consequence, an individual’s
eligibility for such coverage for one or
more months does not prevent those
months from qualifying as coverage
months for purposes of determining
eligibility for the premium tax credit
under section 36B. Notice 2020–66
applies to taxable years beginning in or
after 2020.
Notice 2020–66 further indicates that
the Treasury Department and the IRS
intend to amend § 1.5000A–2 to provide
guidance respecting Medicaid coverage
for COVID–19 testing and diagnostic
services. Accordingly, these proposed
regulations propose to amend
§ 1.5000A–2 by adding Medicaid
coverage for COVID–19 testing and
diagnostic services to the enumerated
health coverages under § 1.5000A–
2(b)(2) that do not qualify as minimum
essential coverage under a governmentsponsored program.
Notice 2020–66 provides that
taxpayers, including ALEs, may
continue to rely on the guidance
described in Notice 2020–66 if no
proposed regulations or other guidance
are released within 18 months after
September 28, 2020, which is the date
that Notice 2020–66 was published in
the Internal Revenue Bulletin.
2. Time and Manner for Furnishing
Statements Under Sections 6055 and
6056
Through a series of notices, the
Treasury Department and the IRS
extended the due dates for furnishing
statements to individuals under sections
6055 and 6056 for years 2015 through
2019. See Notice 2016–04, 2016–3 I.R.B.
279 (Jan. 19, 2016); Notice 2016–70,
2016–49 I.R.B. 784 (Dec. 5, 2016);
Notice 2018–06, 2018–3 I.R.B. 300 (Jan.
16, 2018); Notice 2018–94, 2018–51
I.R.B. 1042 (Dec. 17, 2018); and Notice
2019–63, 2019–51 I.R.B. 1390 (Dec. 16,
2019). Those notices extended the due
date for furnishing Forms 1095–B and
1095–C by 30 days (or the next business
day if the 30th day fell on a Saturday,
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68941
Sunday or legal holiday), except that for
2015 information statements, the
furnishing due date was extended by 60
days.
In addition to extending the due dates
for furnishing statements, Notices 2018–
94 and 2019–63 stated that, as a result
of the TCJA’s reduction of the shared
responsibility payment amount under
section 5000A(c) to zero for months
beginning after December 31, 2018, the
Treasury Department and the IRS were
studying how the reporting
requirements under section 6055 should
change, if at all, for future years. Notice
2019–63 also requested comments on
whether an extension of the due date for
furnishing statements to individuals
pursuant to section 6056 would be
necessary for future years, and whether
the reporting requirements under
section 6055 should change for future
years. Only one comment was received.
Notice 2020–76, 2020–47 I.R.B. 1058
(Nov. 16, 2020) provided an automatic
extension of time for reporting entities
to furnish 2020 information statements
(Forms 1095–B and 1095–C) to
individuals from January 31, 2021, to
March 2, 2021. The notice stated that
the Treasury Department and the IRS
determined that a substantial number of
employers, insurers, and other providers
of minimum essential coverage needed
additional time beyond January 31,
2021, to gather and analyze the
information necessary to prepare and
issue the Forms 1095–B and 1095–C.
Notice 2020–76 also provided that
because of the grant of the automatic
extension to March 2, 2021, for
furnishing Forms 1095–B and 1095–C,
§§ 1.6055–1(g)(4)(i)(B)(1) and 301.6056–
1(g)(1)(ii)(A) (allowing the IRS to grant
an extension of time of up to 30 days to
furnish Forms 1095–B and 1095–C)
would not apply. The notice did not
extend the due dates for filing 2020
Forms 1095–B, 1094–C, or 1095–C with
the IRS. The provisions of §§ 1.6081–1
and 1.6081–8 (allowing an automatic
extension of time for filing information
returns by submission of a Form 8809
before the due date) were not affected by
Notice 2020–76.
The Treasury Department and the IRS
received 119 public comments in
response to Notice 2020–76. The
commenters included health insurance
providers, employers, associations,
governmental agencies, payroll
processors, and others. Nearly all
commenters generally supported an
extension of the due date for furnishing
Forms 1095–B and 1095–C to
responsible individuals and employees.
The commenters generally indicated
that the current January 31 deadline to
furnish Forms 1095–B and 1095–C to
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Federal Register / Vol. 86, No. 231 / Monday, December 6, 2021 / Proposed Rules
responsible individuals and employees,
under section 6055(c)(2) and 6056(c)(2),
and §§ 1.6055–1(g)(4)(i)(A) and 1.6056–
1(g)(1)(i), is difficult to meet.
Commenters noted that the process by
which reporting entities compile
accurate health coverage offer and
enrollment information is complex and
often takes more time than the current
January 31 deadline allows. Employers
are required to compile offer and
enrollment information for large
numbers of employees, sometimes from
multiple systems, verify the accuracy of
the information, and transmit the
information to vendors so that the
statements can be timely issued to
individuals. Commenters further
indicated that, while health coverage
information is tracked throughout the
year, accurate reporting on Forms 1095–
B and 1095–C includes data and
information from the month of
December, which necessarily requires
employers to spend substantial time
after the close of the year compiling and
verifying data. A number of commenters
stated that the data and information
necessary to prepare the forms is not
available until mid-January and that the
period required to prepare and mail the
large numbers of forms can take from
three to seven weeks.
Commenters also pointed out that the
January 31 deadline for furnishing
Forms 1095–B and 1095–C to
individuals may make it difficult for
employers to make changes to their
benefit plans near the end of the
calendar year. Commenters further
noted that the January 31 deadline
coincides with the due dates of other
government forms, including Form W–
2, Form 1099–NEC, Form 941 for the
fourth quarter, and annual Forms 940
and 945. One commenter wrote that the
substantial time necessary to complete
Forms 1095–B and 1095–C is
attributable to the fact that the
information required depends upon
detailed employer and employee
activities. The commenter stated that, in
some cases, employers must undertake
a day-by-day or person-by-person
assessment, which may lead to varied
individual results in the codes that are
required to be entered on the forms.
These factors, the commenter noted,
make the Forms 1095–B and 1095–C
meaningfully distinguishable from other
information returns on which aggregate
dollar amounts are reported for the
year—for example, Form W–2—without
regard to day-by-day activity.
Some of the commenters indicated
that, if a more permanent automatic
extension of the January 31 furnishing
deadline is not provided for future
reporting, entities will annually request
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additional time to produce and mail
accurate Forms 1095–B and 1095–C
pursuant to the current extension
procedures. The result would be that the
IRS would need to process a significant
number of extension requests each year.
a. Extension of Deadline for Furnishing
Statements Under Section 6055
To reduce administrative burdens for
reporting entities and the IRS, the
Treasury Department and the IRS have
determined that the furnishing
requirements under § 1.6055–1(g)
should be modified by providing an
automatic extension of time for
reporting entities to furnish statements
to responsible individuals. This
proposed amendment to the regulations
under section 6055 is consistent with
Notice 2020–76.
Under these proposed regulations,
§ 1.6055–1(g)(4)(i) is proposed to be
amended to provide that reporting
entities are granted an automatic
extension of time, not to exceed 30 days,
in which to furnish the written
statements required by § 1.6055–1(g).
Because this extension is automatic, the
proposed regulations eliminate the
requirement in § 1.6055–1(g)(4)(i)(B)(1)
that a reporting entity make a written
application to the IRS showing good
cause to request an extension of time to
furnish the statement. Under this
proposed amendment to the regulations,
statements (Forms 1095–B) furnished to
responsible individuals will be timely if
furnished no later than 30 days after
January 31 of the calendar year
following the calendar year in which
minimum essential coverage is
provided. If the extended furnishing
date falls on a weekend day or legal
holiday, statements will be timely if
furnished on the next business day. See
section 7503. The automatic 30-day
extension would replace both the 30day extension for good cause in
§ 1.6055–1(g)(4)(i)(B)(1) and the
authorization for the Commissioner to
provide automatic extensions in
§ 1.6055–1(g)(4)(i)(B)(2).
b. Alternative Manner of Furnishing
Statements Under Section 6055
Notice 2020–76 indicates that,
because the TCJA reduced the
individual shared responsibility
payment amount to zero for 2020,
responsible individuals do not need the
information on Form 1095–B to prepare
and file their individual returns.
Nonetheless, reporting entities required
to furnish Forms 1095–B must expend
resources to do so. In light of those
factors, the Treasury Department and
the IRS determined that relief from the
penalty under section 6722 for failing to
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furnish a statement (Form 1095–B)
required under section 6055 for 2020
was in the interest of sound tax
administration in certain cases. Thus,
Notice 2020–76 provided that the IRS
would not assess a section 6722 penalty
against a reporting entity for failing to
furnish Form 1095–B to responsible
individuals for 2020 in cases when two
conditions were met (2020 section 6055
furnishing relief). First, a reporting
entity was required to post a notice
prominently on its website stating that
responsible individuals may receive a
copy of their 2020 Form 1095–B upon
request, accompanied by an email
address and a physical address to which
a request may be sent, along with a
telephone number that responsible
individuals may use to contact the
reporting entity with any questions.
Second, a reporting entity was required
to provide a 2020 Form 1095–B to a
responsible individual upon request
within 30 days of the date the request
was received. A reporting entity could
furnish the statements to responsible
individuals electronically if the
requirements of § 1.6055–2 were
satisfied.
Because of the combined reporting by
ALE members under sections 6055 and
6056 on Form 1095–C for full-time
employees of ALE members enrolled in
self-insured health plans, the 2020
section 6055 furnishing relief was not
extended to the requirement to furnish
Forms 1095–C to full-time employees.
The 2020 section 6055 furnishing relief,
however, applied to penalty
assessments related to the requirement
to furnish Form 1095–C to a part-time
employee enrolled in an ALE member’s
self-insured plan for any month in 2020,
subject to the two requirements of the
2020 section 6055 furnishing relief.
Finally, the 2020 section 6055
furnishing relief did not extend to the
assessment of penalties relating to
failures to file the 2020 Forms 1094–B
or 1095–B or the Forms 1094–C or
1095–C, as applicable, with the IRS.
In response to Notice 2020–76, a
number of health plan providers,
governmental agencies, and associations
requested that the 2020 section 6055
furnishing relief be made permanent or
extended at least for the time periods
when the individual shared
responsibility payment amount is zero.
These commenters echoed the
considerations identified in Notice
2020–76 supporting the 2020 section
6055 furnishing relief. Namely,
commenters pointed to the high costs
associated with producing and mailing
Forms 1095–B although individuals
have no need for the information on the
Form 1095–B to correctly compute
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federal tax liability and timely file
returns. Commenters cited additional
production and/or mailing costs ranging
from a half million to more than four
million dollars annually without the
relief. One state agency reported
receiving only 478 requests for Form
1095–B from approximately one million
Medicaid recipients for 2019. Other
commenters indicated that a small
number of individuals need proof of
minimum essential coverage to satisfy
certain state requirements, but that very
few individuals have otherwise
requested the Form 1095–B. Some
commenters pointed out that taxpayers
may be confused by the receipt of Forms
1095–B.
In light of the public comments
received, § 1.6055–1(g)(4) is proposed to
be amended by adding new paragraph
(g)(4)(ii)(B) to provide an alternative
manner for a reporting entity to timely
furnish statements. Under this
alternative manner of furnishing, the
reporting entity must post a clear and
conspicuous notice on the entity’s
website stating that responsible
individuals may receive a copy of their
statement upon request. The notice
must include an email address, a
physical address to which a request may
be sent, and a telephone number that
responsible individuals may use to
contact a reporting entity with any
questions. This alternative manner of
furnishing will apply only to taxable
years when the shared responsibility
payment amount under section
5000A(b) is zero.
One commenter requested that, if the
2020 section 6055 furnishing relief is
extended, a self-insured ALE member
should continue to be permitted to use
the relief for employees who are
enrolled in the ALE’s self-insured plan
and who are not full-time employees of
the ALE. The commenter also requested
that the proposed regulations allow a
self-insured ALE member to use the
2020 section 6055 furnishing relief for
non-employees, such as former
employees of the ALE, who are enrolled
in the self-insured plan. The proposed
regulations adopt both requests in the
rules for the alternative method of
furnishing. However, consistent with
the guidance in Notice 2020–76, the
proposed regulations do not allow ALE
members to use the alternative method
of furnishing for full-time employees
who are enrolled in the self-insured
plan.
The proposed regulations also address
a suggestion of a commenter to Notice
2020–76 who requested that future
guidance specify the time period a
reporting entity is required to retain the
notice on its website and also explain
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how prominent the notice must be. The
provisions of proposed § 1.6055–
1(g)(4)(ii)(B) provide that a reporting
entity satisfies the furnishing
requirements under § 1.6055–1(g)(4) by
retaining the website notice until
October 15 of the year following the
calendar year to which the statement
relates. Additionally, the proposed
regulations clarify the requirement in
Notice 2020–76 that a reporting entity
include a prominently posted notice on
its website. Under the proposal, a
reporting entity must include a clear
and conspicuous notice on the reporting
entity’s website that is reasonably
accessible by individuals who may
search the entity’s website for tax
information. A notice posted on a
reporting entity’s website will satisfy
the requirement under proposed
§ 1.6055–1(g)(4)(ii)(B) if written in plain,
non-technical terms and with letters of
a font size large enough (including any
visual clues or graphical figures) to call
to a viewer’s attention that the
information pertains to tax statements
reporting that individuals had health
coverage. For example, a reporting
entity’s website that includes a
statement on the main page, or a link on
the main page, reading ‘‘Tax
Information,’’ to a secondary page that
includes a statement, in capital letters,
‘‘IMPORTANT HEALTH COVERAGE
TAX DOCUMENTS;’’ explains how
responsible individuals may request a
copy of Form 1095–B, Health Coverage,
or Form 1095–C, Employer-Provided
Health Insurance Offer and Coverage, as
applicable; and includes the reporting
entity’s email address, mailing address,
and telephone number, is a clear and
conspicuous notice under these
proposed regulations.
One commenter requested that the
2020 section 6055 furnishing relief be
modified to allow a reporting entity to
satisfy the furnishing requirement under
§ 1.6055–1(g) by including only a link to
a member portal through which
responsible individuals may receive a
copy of the Form 1095–B via electronic
download. The commenter stated that
because responsible individuals will
have located and navigated the website
of a reporting entity to locate the entity’s
address and other contact information,
the website notice informing
individuals of the ability to request a
Form 1095–B should not have to also
include contact information. The
commenter noted that the process under
which responsible individuals will send
written requests or call customer service
representatives of reporting entities to
request Forms 1095–B will take time
and add costs to providing health care.
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Under the commenter’s proposal,
reporting entities that do not provide a
member portal for individuals to
download and receive the Form 1095–
B will be required to include a website
notice with an email address, physical
address, and telephone number for
individuals to call to request the form,
consistent with the first condition of the
2020 section 6055 furnishing relief.
The requirement in these proposed
regulations that a reporting entity
include its email address, mailing
address, and telephone number on a
website notice informing individuals of
the ability to request a Form 1095–B is
consistent with other information
reporting provisions. See, for example,
§ 1.6050S–1(c)(1)(iii)(G) (an educational
institution or insurer issuing Form
1098–T, Tuition Statement, is required
to include contact information on
statement). A responsible individual
may have questions about how to
request a copy of the statement required
under § 1.6055–1(g) for the taxable year
or may have questions about some of the
information on the statement. The
proposed rule requiring the reporting
entity’s contact information on a posted
website notice fulfills that need for
responsible individuals. Accordingly,
the comment recommending that a
reporting entity may provide only
website access to a member portal (and
capability to electronically download
Form 1095–B) without the reporting
entity’s contact information is not
adopted.
If, in the future, the shared
responsibility payment amount under
section 5000A(b) is not zero, the
Treasury Department and the IRS
anticipate that reporting entities will
need adequate time to develop or restart
processes for preparing and mailing
paper statements to responsible
individuals. If the shared responsibility
payment amount is modified in the
future, the Treasury Department and the
IRS anticipate providing guidance, if
necessary, to allow sufficient time for
reporting entities to restart the reporting
process.
c. Extension of Deadline for Furnishing
Statements Under Section 6056
For the reasons discussed in section 2
of the Explanation of Provisions, the
Treasury Department and the IRS have
determined that, to reduce
administrative burdens for ALE
members and the IRS, the furnishing
requirements under § 301.6056–1(g)(1)
should be modified by providing an
automatic extension of time for ALE
members to furnish written statements
to full-time employees. This proposed
amendment to the regulations under
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section 6056 is consistent with Notice
2020–76.
Under these proposed regulations,
§ 301.6056–1(g)(1) is proposed to be
amended to provide that ALE members
are granted an automatic extension of
time, not to exceed 30 days, in which
to furnish the written statements to fulltime employees. Because the extension
is automatic, the proposed regulations
eliminate the requirement in
§ 301.6056–1(g)(1)(ii)(A) that an ALE
member make a written application to
the IRS showing good cause or to
otherwise request an extension of time
to furnish the statement. Under this
proposed amendment to the regulations,
statements (Forms 1095–C) furnished to
full-time employees will be timely if
furnished no later than 30 days after
January 31 of the calendar year in
accordance with applicable Internal
Revenue Service procedures and
instructions. If the extended furnishing
date falls on a weekend day or legal
holiday, statements will be timely
furnished if provided on the next
business day. See section 7503. The
automatic 30-day extension would
replace both the 30-day extension for
good cause in § 301.6056–1(g)(1)(ii)(A)
and the authorization for the
Commissioner to provide automatic
extensions in § 301.6056–1(g)(1)(ii)(B).
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3. Elimination of Transitional Good
Faith Relief
As noted in the Background section of
this preamble, the preambles to the
regulations under sections 6055 and
6056 provided that the IRS would grant
transitional good faith relief by not
imposing penalties under sections 6721
and 6722 on reporting entities for the
reporting of 2015 health coverage and
offers of coverage if those entities could
show that they made good faith efforts
to comply with the information
reporting requirements. See T.D. 9660;
T.D. 9661. The Treasury Department
and the IRS extended that transitional
good faith relief for years 2015 through
2019 in the series of notices that
extended the due dates for the
requirements for furnishing statements
to individuals under sections 6055 and
6056 for those years. See Notice 2016–
04; Notice 2016–70; Notice 2018–06;
Notice 2018–94; Notice 2019–63; and
Notice 2020–76. In Notice 2020–76, the
Treasury Department and the IRS stated
that 2020 was the last year that
transitional good faith relief would be
provided. Thus, the transitional good
faith relief from penalties under sections
6721 and 6722 for the reporting of
incorrect or incomplete information on
information returns or statements is not
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available for reporting for tax year 2021
and subsequent years.
This good faith relief was intended to
be transitional to accommodate public
concerns with implementing the then
newly enacted reporting requirements
under the ACA. These reporting
requirements have now been in place
for six years, and transitional relief is no
longer appropriate. Some commenters
requested that the relief be extended
due to continued difficulty in
understanding the reporting
requirements, periodic changes to the
ACA, and the uncertainty related to the
COVID–19 pandemic. Although the
Treasury Department and the IRS are
sympathetic to those concerns,
additional good faith relief is not
necessary to address them. The
reasonable cause exception under
section 6724 already provides adequate
relief from penalties under sections
6721 and 6722 for filers who have
reasonable cause for failing to timely or
accurately complete their reporting
requirements. Therefore, the Treasury
Department and the IRS will
discontinue the transitional good faith
relief after tax year 2020.
4. Renewed Comment Request on the
Section 6055 2016 Proposed Regulations
In Notice 2015–68, the Treasury
Department and the IRS announced that
they intended to propose regulations
under section 6055 that would: (1)
Provide that health insurance issuers
must report coverage in a catastrophic
plan; (2) allow filers reporting on
insured group health plans to use a
truncated TIN to identify the employer
on the statement furnished to a
taxpayer; and (3) specify when a
provider of minimum essential coverage
is not required to report duplicative or
supplemental coverage. The notice also
invited comments on issues relating to
TIN solicitation and provided that until
the issuance of additional guidance,
reporting entities would not be subject
to penalties for failure to report a TIN
if they met certain requirements.
Finally, the notice advised that
governments of United States
possessions or territories are not
required to report coverage under
Medicaid and the Children’s Health
Insurance Program (CHIP) and that a
state government agency sponsoring
coverage under the Basic Health
Program is required to report that
coverage.
On August 2, 2016, the Treasury
Department and the IRS published a
notice of proposed rulemaking (REG–
103058–16) in the Federal Register (81
FR 50671) (2016 proposed regulations).
Consistent with Notice 2015–68, the
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2016 proposed regulations proposed to
address catastrophic health coverage,
truncated TINs, and duplicative or
supplemental coverage. With regard to
TIN solicitations, the 2016 proposed
regulations incorporated the penalty
relief in Notice 2015–68, with certain
revisions to the requirements in
response to comments. The 2016
proposed regulations also proposed to
incorporate the guidance in Notice
2015–68 related to United States
possessions or territories and reporting
regarding the Basic Health Program. The
2016 proposed regulations provided
that, until the regulations were
finalized, reporting entities could rely
on the guidance in Notice 2015–68. In
addition, any issuer that voluntarily
files returns or furnishes statements on
catastrophic coverage before final
regulations are issued will not be
subject to penalties for those returns or
statements. See Notice 2017–41, 2017–
34 I.R.B. 211 (Aug. 21, 2017).
The Treasury Department and the IRS
received 16 comments on the 2016
proposed regulations but have not
issued a Treasury Decision finalizing
the 2016 proposed regulations. No
public hearing was requested or held.
The Treasury Department and the IRS
are renewing their request for comments
on all aspects of the 2016 proposed
regulations and, after considering the
comments received, intend to finalize
the 2016 proposed regulations as part of
any Treasury Decision finalizing these
proposed regulations. Written or
electronic comments must be received
by February 4, 2022.
Statement of Availability of IRS
Documents
IRS revenue procedures, revenue
rulings, notices, and other guidance
cited in this preamble are published in
the Internal Revenue Bulletin and are
available from the Superintendent of
Documents, U.S. Government
Publishing Office, Washington, DC
20402, or by visiting the IRS website at
https://www.irs.gov.
Proposed Applicability Date
The regulations under § 1.5000A–2,
once final, are proposed to apply for
months beginning after September 28,
2020. For months beginning on or after
January 1, 2020, and before September
28, 2020, taxpayers may continue to rely
on Notice 2020–66. Taxpayers may rely
on § 1.5000A–2 of these proposed
regulations for months beginning after
September 28, 2020, and before the date
a Treasury Decision finalizing these
regulations is published in the Federal
Register. The regulations under
§§ 1.6055–1 and 301.6056–1, once final,
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are proposed to apply for calendar years
beginning after December 31, 2021.
Taxpayers may rely on §§ 1.6055–1 and
301.6056–1 of these proposed
regulations for calendar years beginning
after December 31, 2020, and before the
date a Treasury Decision finalizing the
regulations is published in the Federal
Register. See the 2016 proposed
regulations for the proposed
applicability dates of those proposed
rules.
Special Analyses
I. Regulatory Planning and Review—
Economic Analysis
These proposed regulations are not
subject to review under section 6(b) of
Executive Order 12866 pursuant to the
Memorandum of Agreement (April 11,
2018) between the Treasury Department
and the Office of Management and
Budget (OMB) regarding review of tax
regulations.
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II. Paperwork Reduction Act
An agency may not conduct or
sponsor, and a person is not required to
respond to, a collection of information
unless it displays a valid control
number assigned by OMB.
There is no collection of information
contained in these proposed regulations.
The collections of information
contained in §§ 1.6055–1 and 301.6056–
1 were previously reviewed and
approved by OMB in accordance with
the Paperwork Reduction Act of 1995
(44 U.S.C. 3507(d)) and are associated
with control numbers 1545–2251
(associated with Form 1095–C) and
1545–2252 (associated with Form 1095–
B).
The Paperwork Reduction Act (44
U.S.C. 3501–3520) relates to information
collection requests by any government
agency. A collection of information
generally means the ‘‘obtaining, causing
to be obtained, soliciting, or requiring
the disclosure to third parties or the
public, of facts or opinions by or for an
agency, regardless of form or format,
calling for either (1) answers to identical
questions posted to, or identical
reporting or recordkeeping requirements
imposed on ten or more persons, other
than agencies, instrumentalities, or
employees of the United States, or (2)
answers to questions posed to agencies,
instrumentalities, or employees of the
United States which are to be used for
general statistical purposes.’’ 44 U.S.C.
3502(3). A collection of information is
commonly referred to as a reporting,
recordkeeping, or disclosure
requirement.
These proposed regulations do not
require a reporting entity to provide any
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information to the Federal government,
to maintain specific records, or to
disclose any additional information that
the reporting entity did not already have
a requirement to disclose.
III. Initial Regulatory Flexibility
Analysis
When an agency issues a proposed
rulemaking, the Regulatory Flexibility
Act (5 U.S.C. chapter 6) (Act) requires
the agency to ‘‘prepare and make
available for public comment an initial
regulatory flexibility analysis’’ that
‘‘describe[s] the impact of the proposed
rule on small entities.’’ 5 U.S.C. 603(a).
The term ‘‘small entities’’ is defined in
5 U.S.C. 601 to mean ‘‘small business,’’
‘‘small organization,’’ and ‘‘small
governmental jurisdiction,’’ which are
also defined in 5 U.S.C. 601. Small
business size standards define whether
a business is ‘‘small’’ and have been
established for types of economic
activities, or industry, generally under
the North American Industry
Classification System (NAICS). See Title
13, Part 121 of the Code of Federal
Regulations (titled ‘‘Small Business Size
Regulations’’). The size standards look
at various factors, including annual
receipts, number of employees, and
amount of assets, to determine whether
the business is small. See Title 13, Part
121.201 of the Code of Federal
Regulations for the Small Business Size
Standards by NAICS Industry.
Section 605 of the Act provides an
exception to the requirement to prepare
an initial regulatory flexibility analysis
if the agency certifies that the proposed
rulemaking will not have a significant
economic impact on a substantial
number of small entities.
The Treasury Department and the IRS
conclude that, although the overall
impact of these proposed regulations
will substantially reduce the burden on
small entities, these proposed
regulations, if finalized, will impact a
substantial number of small entities and
the economic impact on those small
entities will be significant. As a result,
although the impact of these regulations
is positive for small entities, an initial
regulatory flexibility analysis is
required.
Description of the reasons why the
agency action is being considered.
The proposed regulations under
§ 1.5000A–2 propose to make
permanent the guidance in Notice 2020–
66 regarding whether certain Medicaid
coverage of COVID–19 testing and
diagnostic services is minimum
essential coverage. The proposed
regulations under §§ 1.6055–1 and
301.6056–1 propose to make permanent
the extension of time to furnish Forms
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1095–B and 1095–C to responsible
individuals and employees that has
been provided every year since 2015.
The proposed regulations under
§ 1.6055–1 also allow reporting entities
to furnish the statement required by
section 6055 by providing notice on
their website and by providing the
statement to the responsible individual
upon request.
The proposed regulations under
§ 1.5000A–2 will ensure that taxpayers
have accurate guidance when
determining whether they have
minimum essential coverage, which in
turn will assist taxpayers in determining
whether they qualify for the premium
tax credit. The proposed regulations
under §§ 1.6055–1 and 301.6056–1 will
reduce the burden on reporting entities
by extending the time to satisfy their
reporting obligations with regard to
health care coverage without worrying
whether the penalty under section 6722
will be imposed. The extension should
result in increased timely and accurate
reporting. Those proposed regulations
also reduce the burden on reporting
entities by providing a low-cost option
to satisfy the reporting obligation under
section 6055 at a time when responsible
individuals do not need the information
to complete their returns.
Statement of the objectives of, and the
legal basis for, the proposed rule.
The principal objectives of the
proposed regulations are to provide
taxpayers with definitive guidance of
what constitutes, or does not constitute,
minimum essential coverage, to provide
reporting entities with a sufficient
amount of time to complete and furnish
accurate statements to responsible
individuals and full-time employees,
and to offer reporting entities under
section 6055 a minimally burdensome
option by which to furnish the required
statement. The legal basis for defining
minimum essential coverage is section
5000A(f)(1)(E), which provides the
Secretary of the Treasury or her delegate
(Secretary) with the authority to
determine what types of health coverage
constitute minimum essential coverage.
The legal basis for the extended due
date was originally set forth in the series
of notices referenced in the Explanation
of Provisions section above, under
which the Treasury Department and the
IRS extended the dates for furnishing
statements to responsible individuals
and full-time employees, providing that
taxpayers that satisfy the furnishing
requirement by the extended due date
will not be subject to penalties under
sections 6721 and 6722. Section 6724(a)
provides that no penalty is imposed
under section 6721 or 6722 if it is
shown that the failure is due to
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reasonable cause and not to willful
neglect. Section 7803(a)(2)(A) gives the
Commissioner the power to administer,
manage, conduct, direct, and supervise
the execution and application of
internal revenue laws. That same legal
basis applies for these proposed
regulations. Additionally, §§ 1.6055–
1(g)(4)(i)(B) and 301.6056–1(g)(1)(ii)
provide the Secretary with the authority
to provide extensions of time to furnish
statements under sections 6055 and
6056. Regarding the form of the
statement to be furnished, sections
6055(b)(1)(A) and 6056(b)(1) provide the
Secretary with the authority to prescribe
the form of the return that is the basis
for the furnishing requirements in
sections 6055(c) and 6056(c).
Description and estimate (where
feasible) of the number of small entities
subject to the proposed rule.
The proposed regulations apply to
health insurance issuers, self-insured
employers, government agencies, and
other providers of minimum essential
coverage required to furnish individual
statements regarding such coverage
under section 6055 and ALE members
that are required to furnish information
relating to health insurance that the ALE
offers to its full-time employees under
section 6056. An estimate of the number
of small entities subject to the proposed
regulations is not feasible because a
correlation between small taxpayers and
this type of reporting cannot be made.
The proposed regulations affect all
industries. Taxpayers using any NAICS
code could be subject to the proposed
regulations.
Description of the projected reporting,
recordkeeping, and related requirements
of the proposed rule, including an
estimate of the classes of small entities
that will be subject to the requirements
and the type of professional skills
necessary for preparation of the report
or record.
As discussed in the Paperwork
Reduction Act section above, these
proposed regulations do not impose any
reporting, recordkeeping, or similar
requirements on any small entities.
Identification, to the extent
practicable, of all relevant Federal rules
that may duplicate, overlap, or conflict
with the proposed rule.
The proposed regulations do not
duplicate, overlap, or conflict with any
Federal statutes or other rules.
Description of any significant
alternatives to the proposed rule that
accomplish the stated objectives of
applicable statutes and minimize any
significant economic impact on small
entities.
The Treasury Department and the IRS
have determined that, without a
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legislative change, there are no viable
alternatives to the provisions in the
proposed regulations that would enable
reporting entities to continue to satisfy
their reporting obligations with a lesser
burden.
Accordingly, the Treasury Department
and the IRS conclude that the
provisions of the proposed regulations
will most effectively promote sound tax
administration. The revisions to the
definition of what is not minimum
essential coverage in § 1.5000A–2 will
provide concrete advice to ensure that
taxpayers can adequately determine
whether they have minimum essential
coverage. An automatic extension of
time to furnish statements under
proposed §§ 1.6055–1(g)(4)(i) and
301.6056–1(g)(1) will assist in timely
and more accurate reporting. Last, the
additional electronic manner of
furnishing a statement in proposed
§ 1.6055–1(g)(4)(ii)(B), at a time when
the shared responsibility payment
amount is zero, will help reporting
entities reduce costs, while still
satisfying their statutory reporting
obligations. Accordingly,
implementation of these proposed
regulations will increase tax compliance
by providing definitive guidance and
will allow reporting entities the time
needed to furnish timely and accurate
statements, with minimal production
and distribution burden regarding the
furnishing.
Pursuant to section 7805(f) of the
Code, this notice of proposed
rulemaking has been submitted to the
Chief Counsel of the Office of Advocacy
of the Small Business Administration
for comment on its impact on small
business.
IV. Unfunded Mandates Reform Act
Section 202 of the Unfunded
Mandates Reform Act of 1995 (UMRA)
requires that agencies assess anticipated
costs and benefits and take certain other
actions before issuing a final rule that
includes any Federal mandate that may
result in expenditures in any one year
by a state, local, or tribal government, in
the aggregate, or by the private sector, of
$100 million (updated annually for
inflation). This proposed rule does not
include any Federal mandate that may
result in expenditures by state, local, or
tribal governments, or by the private
sector in excess of that threshold.
V. Executive Order 13132: Federalism
Executive Order 13132 (entitled
‘‘Federalism’’) prohibits an agency from
publishing any rule that has federalism
implications if the rule either imposes
substantial, direct compliance costs on
state and local governments, and is not
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required by statute, or preempts state
law, unless the agency meets the
consultation and funding requirements
of section 6 of the Executive Order. This
proposed rule does not have federalism
implications and does not impose
substantial direct compliance costs on
state and local governments or preempt
state law within the meaning of the
Executive Order.
Comments and Requests for Public
Hearing
Before these proposed regulations or
the 2016 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 section. The
Treasury Department and the IRS
request comments on all aspects of these
proposed regulations, as well as all
aspects of the 2016 proposed
regulations. Any electronic comments
submitted, and to the extent practicable
any paper comments submitted, will be
made available at www.regulations.gov
or upon request. All comments,
including comments on the 2016
proposed regulations, should reference
REG–109128–21.
A public hearing will be scheduled if
requested in writing by any person who
timely submits written comments.
Requests for a public hearing are also
encouraged to be made electronically. If
a public hearing is scheduled, notice of
the date, time, and place for the public
hearing will be published in the Federal
Register. Announcement 2020–4, 2020–
17 I.R.B. 1 (Apr. 20, 2020), provides that
until further notice, public hearings
conducted by the IRS will be held
telephonically. Any telephonic hearing
will be made accessible to people with
disabilities.
Drafting Information
The principal author of these
proposed regulations is Gerald Semasek,
Office of Associate Chief Counsel
(Income Tax and Accounting). Other
personnel from the Treasury
Department and the IRS participated in
their development.
List of Subjects
26 CFR Part 1
Income taxes, Reporting and
recordkeeping requirements.
26 CFR Part 301
Employment taxes, Estate taxes,
Excise taxes, Gift taxes, Income taxes,
Penalties, Reporting and recordkeeping
requirements.
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Federal Register / Vol. 86, No. 231 / Monday, December 6, 2021 / Proposed Rules
Proposed Amendments to the
Regulations
Accordingly, IRS proposes to amend
26 CFR parts 1 and 301 as follows:
PART 1—INCOME TAXES
Paragraph 1. The authority citation
for part 1 continues to read in part as
follows:
■
Authority: 26 U.S.C. 7805 * * *
Par. 2. Section 1.5000A–2 is amended
by:
■ 1. Revising paragraph (b)(2)(vii) and
(viii);
■ 2. Adding paragraph (b)(2)(ix).
The revisions and addition read as
follows:
■
§ 1.5000A–2
Minimum essential coverage.
*
*
*
*
*
(b) * * *
(2) * * *
(vii) Coverage under section 1079(a),
1086(c)(1), or 1086(d)(1) of title 10,
U.S.C., that is solely limited to space
available care in a facility of the
uniformed services for individuals
excluded from TRICARE coverage for
care from private sector providers;
(viii) Coverage under section 1074a
and 1074b of title 10, U.S.C., for an
injury, illness, or disease incurred or
aggravated in the line of duty for
individuals who are not on active duty;
and
(ix) Medicaid coverage limited to
COVID–19 testing and diagnostic
services provided under section
6004(a)(3) of the Families First
Coronavirus Response Act, Pub. L. 116–
127, 134 Stat. 178 (March 18, 2020).
■ Par. 3. Section 1.5000A–5 is amended
by revising paragraph (c) to read as
follows:
§ 1.5000A–5
procedure.
Administration and
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*
*
*
*
*
(c) Applicability date. Except as
otherwise provided in this paragraph
(c), this section and § 1.5000A–1
through 1.5000A–4 apply for months
beginning after December 31, 2013.
Section 1.5000A–2(b)(2)(ix) applies for
months beginning after September 28,
2020.
■ Par. 4. Section 1.6055–1 is amended
by:
■ 1. Revising the first sentence of
paragraph (g)(1);
■ 2. Revising paragraph (g)(4)(i) and (ii);
■ 3. Revising paragraph (j).
The revisions read as follows:
§ 1.6055–1 Information reporting for
minimum essential coverage.
*
*
*
*
*
(g) * * * Except as otherwise
provided in paragraph (g)(4)(ii)(B) of
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16:06 Dec 03, 2021
Jkt 256001
this section, every person required to
file a return under this section must
furnish to the responsible individual
identified on the return a written
statement. * * *
*
*
*
*
*
(4) * * * (i) Time for furnishing—
Except as otherwise provided in this
paragraph (g)(4)(i), a reporting entity
must furnish the statements required
under paragraph (g)(1) of this section on
or before January 31 of the year
following the calendar year in which the
minimum essential coverage is
provided. Reporting entities are granted
an automatic extension of time not
exceeding 30 days in which to furnish
these statements.
(ii) Manner of furnishing—(A) In
general. Except as otherwise provided
in paragraph (g)(4)(ii)(B) of this section,
if mailed, the statement must be sent to
the responsible individual’s last known
permanent address or, if no permanent
address is known, to the individual’s
temporary address. For purposes of this
paragraph (g)(4)(ii)(A), a reporting
entity’s first class mailing to the last
known permanent address, or if no
permanent address is known, the
temporary address, discharges the
requirement to furnish the statement. A
reporting entity may furnish the
statement electronically if the
requirements of § 1.6055–2 are satisfied.
(B) Alternative manner of furnishing.
A reporting entity shall be treated as
furnishing the statement in a timely
manner under this paragraph (g)(4) if
the shared responsibility payment
amount under section 5000A(c) for the
calendar year in which the minimum
essential coverage is provided is zero
and the reporting entity satisfies the
requirements in this paragraph
(g)(4)(ii)(B). If the reporting entity is an
applicable large employer member that
sponsors a self-insured group health
plan and makes a return in accordance
with paragraph (f)(2)(i) of this section
related to that plan, the applicable large
employer member may use the
alternative manner of furnishing
described in this paragraph (g)(4)(ii)(B)
for statements to non-full-time
employees and non-employees who are
enrolled in the applicable large
employer’s self-insured group health
plan. A reporting entity may use the
alternative manner of furnishing
described in this paragraph (g)(4)(ii)(B)
only if the reporting entity:
(1) Provides clear and conspicuous
notice, in a location on its website that
is reasonably accessible to all
responsible individuals, stating that
responsible individuals may receive a
copy of their statement upon request.
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Frm 00016
Fmt 4702
Sfmt 4702
68947
The notice must include an email
address, a physical address to which a
request for a statement may be sent, and
a telephone number that responsible
individuals may use to contact the
reporting entity with any questions. A
notice posted on a reporting entity’s
website will satisfy the requirements of
this paragraph (g)(4)(ii)(B)(1) if it is
written in plain, non-technical terms
and with letters of a font size large
enough, including any visual clues or
graphical figures, to call to a viewer’s
attention that the information pertains
to tax statements reporting that
individuals had health coverage. For
example, a reporting entity’s website
provides a clear and conspicuous notice
if it includes a statement on the main
page—or a link on the main page,
reading ‘‘Tax Information’’, to a
secondary page that includes a
statement—in capital letters,
‘‘IMPORTANT HEALTH COVERAGE
TAX DOCUMENTS’’; explains how
responsible individuals may request a
copy of Form 1095–B, Health Coverage,
(or, for an applicable large employer
member that sponsors a self-insured
group health plan and makes a return in
accordance with paragraph (f)(2)(i) of
this section, explains how non-full-time
employees and non-employees who are
enrolled in the plan may request a copy
of Form 1095–C, Employer-Provided
Health Insurance Offer and Coverage);
and includes the reporting entity’s email
address, mailing address, and telephone
number;
(2) Retains the notice in the same
location on its website through October
15 of the year following the calendar
year to which the statements relate (or
the first business day after October 15,
if October 15 falls on a Saturday,
Sunday or legal holiday); and
(3) Furnishes the statement to a
requesting responsible individual
within 30 days of the date the request
is received. To satisfy the requirement
of this paragraph (g)(4)(ii)(B)(3), a
reporting entity may furnish the
statement electronically pursuant to
§ 1.6055–2(a)(2) through (a)(6).
*
*
*
*
*
(j) Applicability date. Except as
otherwise provided in this paragraph (j),
this section applies for calendar years
beginning after December 31, 2014.
Paragraphs (g)(1), (g)(4)(i), and (g)(4)(ii)
of this section apply for calendar years
beginning after December 31, 2021, but
reporting entities may choose to apply
paragraphs (g)(1), (g)(4)(i), and (g)(4)(ii)
of this section for calendar years
beginning after December 31, 2020.
Except as otherwise provided in this
paragraph (j), paragraph (g)(4), as
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68948
Federal Register / Vol. 86, No. 231 / Monday, December 6, 2021 / Proposed Rules
contained in 26 CFR part 1 edition
revised as of April 1, 2021, applies to
calendar years ending after December
31, 2014 and beginning before January
1, 2022.
PART 301—PROCEDURE AND
ADMINISTRATION
DEPARTMENT OF HOMELAND
SECURITY
If
you have questions about this proposed
rulemaking, call or email MST3
Christopher Matthews, Sector Ohio
Valley, U.S. Coast Guard; telephone
502–779–5334, email
Christopher.S.Matthews@uscg.mil.
SUPPLEMENTARY INFORMATION:
The Captain of the Port Sector Ohio
Valley (COTP) proposes to amend
section 165.801 of Title 33 of the Code
of Federal Regulations (CFR) to update
our regulations for annual fireworks
displays and other events in the Eighth
Coast Guard District requiring safety
zones with respect to those in Sector
Ohio Valley’s area of responsibility
(AOR).
The current list of annual and
recurring safety zones in Sector Ohio
AOR is published under 33 CFR 165.801
in Table no. 1 for annual and recurring
safety zones in the AOR. The most
recent list was created May 18, 2021
through the rulemaking 86 FR 26837.
The Coast Guard proposes to amend
and update the safety zone regulations
under 33 CFR part 165 to include the
most up to date list of recurring safety
zones for events held on or around
navigable waters within Sector Ohio
Valley’s AOR. These events include air
shows, fireworks displays, and other
marine events requiring a limited access
area restricting vessel traffic for safety
purposes. The current list in 33 CFR
165.801 needs to be amended to provide
new information on existing safety
zones, and to include new safety zones
expected to recur annually or
biannually, and to remove safety zones
that are no longer required. Issuing
individual regulations for each new
safety zone, amendment, or removal of
an existing safety zone would create
unnecessary administrative costs and
burdens. This single proposed
rulemaking would considerably reduce
administrative overhead and provide
the public with notice through
publication in the Federal Register of
the upcoming recurring safety zone
regulations.
The Coast Guard encourages the
public to participate in this proposed
rulemaking through the comment
process so that any necessary changes
can be identified and implemented in a
timely and efficient manner. The Coast
Guard will address all public comments
accordingly, whether through response,
additional revision to the regulation, or
otherwise.
I. Table of Abbreviations
III. Discussion of Proposed Rule
CFR Code of Federal Regulations
COTP Captain of the Port Sector Ohio
Valley
DHS Department of Homeland Security
E.O. Executive Order
FR Federal Register
NPRM Notice of proposed rulemaking
§ Section
U.S.C. United States Code
AOR Area of Responsibility
Part 165 of Title 33 of the CFR
contains regulations establishing limited
access areas to restrict vessel traffic for
the safety of persons and property.
Section 165.801 establishes recurring
safety zones to restrict vessel transit into
and through specified areas to protect
spectators, mariners, and other persons
and property from potential hazards
Coast Guard
33 CFR Part 165
[Docket Number USCG–2021–0874]
Par. 5. The authority citation for part
301 continues to read in part as follows:
■
Authority: 26 U.S.C. 7805 * * *
*
*
*
*
*
Par. 6. Section 301.6056–1 is
amended by revising paragraphs (g)(1)
and (m) to read as follows:
RIN 1625–AA00
Safety Zones; Coast Guard Sector
Ohio Valley Annual and Recurring
Safety Zones Update
■
§ 301.6056–1 Rules relating to reporting by
applicable large employers on health
insurance coverage offered under
employer-sponsored plans.
*
*
*
*
(g) * * * (1) Time for furnishing—
Except as otherwise provided in this
paragraph (g)(1), each statement
required by this section for a calendar
year must be furnished to a full-time
employee on or before January 31 of the
year succeeding the calendar year in
accordance with applicable Internal
Revenue Service procedures and
instructions. Applicable large employers
are granted an automatic extension of
time not exceeding 30 days in which to
furnish these statements.
*
*
*
*
*
(m) Applicability date. Except as
otherwise provided in this paragraph
(m), this section applies for calendar
years beginning after December 31,
2014. Paragraph (g)(1) of this section
applies for calendar years beginning
after December 31, 2021, but applicable
large employers may choose to apply
paragraph (g)(1) of this section for
calendar years beginning after December
31, 2020. Except as otherwise provided
in this paragraph (m), paragraph (g)(1),
as contained in 26 CFR part 1 edition
revised as of April 1, 2021, applies to
calendar years ending after December
31, 2014 and beginning before January
1, 2022.
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*
Douglas W. O’Donnell,
Deputy Commissioner for Services and
Enforcement.
[FR Doc. 2021–25785 Filed 12–3–21; 8:45 am]
BILLING CODE 4830–01–P
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16:06 Dec 03, 2021
Jkt 256001
II. Background, Purpose, and Legal
Basis
Coast Guard, DHS.
ACTION: Notice of proposed rulemaking.
AGENCY:
The Coast Guard is proposing
to amend and update its list of recurring
safety zone regulations that take place in
the Coast Guard Sector Ohio Valley area
of responsibility (AOR). Through this
rule the current list of recurring safety
zones is proposed to be updated with
revisions, additional events, and
removal of events that no longer take
place. This proposed rule would reduce
administrative costs involved in
producing separate proposed rules for
each individual recurring safety zone
and serve to provide notice of the
known recurring safety zones
throughout the year. We invite your
comments on this proposed rulemaking.
DATES: Comments and related material
must be received by the Coast Guard on
or before January 5, 2022.
ADDRESSES: You may submit comments
identified by docket number USCG–
2021–0874 using the Federal Decision
Making Portal at https://
www.regulations.gov. See the ‘‘Public
Participation and Request for
Comments’’ portion of the
SUPPLEMENTARY INFORMATION section for
further instructions on submitting
comments.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
PO 00000
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Agencies
[Federal Register Volume 86, Number 231 (Monday, December 6, 2021)]
[Proposed Rules]
[Pages 68939-68948]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-25785]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF THE TREASURY
Internal Revenue Service
26 CFR Parts 1 and 301
[REG-109128-21]
RIN 1545-BQ11
Information Reporting of Health Insurance Coverage and Other
Issues
AGENCY: Internal Revenue Service (IRS), Treasury.
ACTION: Notice of proposed rulemaking.
-----------------------------------------------------------------------
SUMMARY: This document contains proposed regulations providing that
``minimum essential coverage,'' as that term is used in health
insurance-related tax laws, does not include Medicaid coverage that is
limited to COVID-19 testing and diagnostic services provided under the
Families First Coronavirus Response Act. The proposed regulations also
would provide an automatic extension of time for providers of minimum
essential coverage (including health insurance issuers, self-insured
employers, and government agencies) to furnish individual statements
regarding such coverage and would provide an alternative method for
furnishing individual statements when the shared responsibility payment
amount is zero. Additionally, the proposed regulations would provide an
automatic extension of time for ``applicable large employers''
(generally employers with 50 or more full-time or full-time equivalent
employees) to furnish statements relating to health insurance that the
employer offers to its full-time employees. The proposed regulations
would affect some taxpayers who claim the premium tax credit; health
insurance issuers, self-insured employers, government agencies, and
other persons that provide minimum essential coverage to individuals;
and applicable large employers.
DATES: Written or electronic comments and requests for a public hearing
must be received by February 4, 2022. Requests for a public hearing
must be submitted as prescribed in the ``Comments and Requests for a
Public Hearing'' section.
ADDRESSES: Commenters are strongly encouraged to submit public comments
electronically. Submit electronic submissions via the Federal
eRulemaking Portal at www.regulations.gov (indicate IRS and REG-109128-
21) by following the online instructions for submitting comments. Once
submitted to the Federal eRulemaking Portal, comments cannot be edited
or withdrawn. The
[[Page 68940]]
Internal Revenue Service (IRS) expects to have limited personnel
available to process public comments that are submitted on paper
through mail. Until further notice, any comments submitted on paper
will be considered to the extent practicable. The Department of the
Treasury (Treasury Department) and the IRS will publish for public
availability any comment submitted electronically, and to the extent
practicable, on paper, to its public docket. Send paper submissions to:
CC:PA:LPD:PR (REG-109128-21), Room 5203, Internal Revenue Service, P.O.
Box 7604, Ben Franklin Station, Washington, DC 20044.
FOR FURTHER INFORMATION CONTACT: Concerning the proposed regulations,
call Gerald Semasek, Office of Associate Chief Counsel (Income Tax and
Accounting), (202) 317-7006 (not a toll-free number); concerning
submissions of comments and requests for a public hearing, call Regina
Johnson at (202) 317-5177 (not a toll-free number) or send an email to
[email protected].
SUPPLEMENTARY INFORMATION:
Background
This document contains proposed amendments to 26 CFR parts 1
(Income Tax Regulations) and 301 (Procedure and Administration
Regulations) under sections 5000A, 6055, and 6056 of the Internal
Revenue Code (Code).
1. Minimum Essential Coverage Under Section 5000A
Beginning in 2014, under the Patient Protection and Affordable Care
Act, Public Law 111-148, 124 Stat. 119 (2010), and the Health Care and
Education Reconciliation Act of 2010, Public Law 111-152, 124 Stat.
1029 (2010) (collectively, the Affordable Care Act or ACA), eligible
individuals who purchase coverage under a qualified health plan through
a Health Insurance Exchange (Exchange) established under section 1311
of the ACA may claim a premium tax credit under section 36B of the
Code. Section 36B and Sec. 1.36B-3 of the Income Tax Regulations
provide that a taxpayer is allowed a premium tax credit only for months
that are coverage months for individuals in the taxpayer's family, as
defined in Sec. 1.36B-1(d). Under Sec. 1.36B-3(c)(1)(iii), a
``coverage month'' for an individual includes only those months the
individual is not eligible for minimum essential coverage other than
coverage in the individual market.
Section 5000A was added to the Code by section 1501 of the ACA.
Section 5000A(f)(1) defines ``minimum essential coverage'' to include
various types of health plans and programs, including, for example,
specified government-sponsored programs such as the Medicare program
under Part A of title XVIII of the Social Security Act; the Medicaid
program under Title XIX of the Social Security Act; the Children's
Health Insurance Program under Title XXI of the Social Security Act
(CHIP); the TRICARE program under chapter 55 of Title 10, United States
Code (U.S.C.); health care programs for veterans and other individuals
under chapter 17 or 18 of Title 38, U.S.C.; coverage for Peace Corps
volunteers under 22 U.S.C. 2504(e); coverage under the Nonappropriated
Fund Health Benefits Program under section 349 of Public Law 103-337;
and coverage under an eligible employer-sponsored plan. Section
1.5000A-2(b)(2) of the Income Tax Regulations lists certain government-
sponsored programs that do not constitute minimum essential coverage.
Section 5000A requires that individuals have minimum essential
coverage for each month in the taxable year, qualify for an exemption
from the minimum essential coverage requirement, or make an individual
shared responsibility payment upon filing a federal income tax return.
Section 11081 of Public Law 115-97, 131 Stat. 2054, 2092 (2017),
commonly referred to as the Tax Cuts and Jobs Act (TCJA), reduces the
individual shared responsibility payment amount to zero for months
beginning after December 31, 2018.
2. Information Reporting Under Sections 6055 and 6056
Section 6055 of the Code provides that all persons who provide
minimum essential coverage to an individual must report certain
information to the IRS that identifies covered individuals and the
period of coverage. See section 6055(a) and (b). Those persons also
must furnish a statement to the covered individuals containing the same
information. See section 6055(c). Under section 6055(a), (c)(2), and
Sec. 1.6055-1(f) and (g), every person that provides minimum essential
coverage to an individual during the calendar year is required to file
with the IRS an information return and a transmittal on or before
February 28 (March 31 if filed electronically) of the year following
the calendar year to which it relates and to furnish to the responsible
individual identified on the return a written statement on or before
January 31 of the year following the calendar year to which the
statement relates. The information returns and written statements must
include certain information about the reporting entity, the name and
taxpayer identification number (TIN) of the responsible individual, the
name and TIN of each individual covered under the health policy, and
any other information specified in IRS instructional materials. See
Sec. 1.6055-1(e) and (g)(4). The IRS generally has designated Form
1094-B, Transmittal of Health Coverage Information Returns, and Form
1095-B, Health Coverage, to meet the section 6055 requirements.
Section 6056 of the Code requires an applicable large employer
(ALE), as defined in section 4980H(c) of the Code, that is required to
meet the requirements of section 4908H to file annually information
returns and furnish written statements in relation to the health
insurance, if any, that the employer offers to its full-time employees.
These information returns and written statements are needed in order to
administer the employer shared responsibility provisions of section
4980H.
Under section 6056(a), (c)(2), and Sec. 301.6056-1(e) and (g),
every ALE or member of an aggregated group that is determined to be an
ALE (ALE member) is required to file with the IRS an information return
and a transmittal on or before February 28 (March 31 if filed
electronically) of the year following the calendar year to which it
relates and to furnish to full-time employees a written statement on or
before January 31 of the year following the calendar year to which the
statement relates. The IRS generally has designated Form 1094-C,
Transmittal of Employer-Provided Health Insurance Offer and Coverage
Information Returns, and Form 1095-C, Employer-Provided Health
Insurance Offer and Coverage, to meet the section 6056 requirements.
In addition, an ALE member that offers coverage through a self-
insured health plan must complete the reporting required under section
6055, specifically the information regarding each individual enrolled
in the self-insured health plan, using Form 1095-C, Part III, rather
than Form 1095-B. ALE members use Form 1095-C, Part III, to meet the
section 6055 reporting requirement for all employees. For individuals
who are not full-time employees, ALE members report only certain
information to reflect that the Form 1095-C is being used to complete
the section 6055 reporting applicable to individuals who are not full-
time employees, but not the section 6056 reporting applicable only to
full-time employees.
[[Page 68941]]
The current regulations under sections 6055 and 6056 allow the IRS
to grant an extension of time of up to 30 days to furnish Forms 1095-B
and 1095-C for good cause shown. See Sec. Sec. 1.6055-1(g)(4)(i)(B)(1)
and 301.6056-1(g)(1)(ii)(A). Additionally, filers of Forms 1095-B,
1094-C and 1095-C may receive an automatic 30-day extension of time to
file the forms with the IRS by submitting Form 8809, Application for
Extension of Time to File Information Returns, on or before the due
date for filing the forms. See Sec. Sec. 1.6081-1 and 1.6081-8.
3. Information Reporting Penalties Under Sections 6721 and 6722
Section 6721 imposes a penalty for failing to timely file an
information return or for filing an incorrect or incomplete information
return. Section 6722 imposes a penalty for failing to timely furnish an
information statement or furnishing an incorrect or incomplete
information statement. The section 6721 and 6722 penalties are imposed
with regard to information returns and statements listed in section
6724(d), which include those required by sections 6055 and 6056.
Section 6724 provides that no penalty will be imposed under section
6721 or 6722 with respect to any failure if it is shown that the
failure is due to reasonable cause and not to willful neglect.
The preambles to the section 6055 and 6056 regulations provided
that the IRS would not impose section 6721 and 6722 penalties on
reporting entities for the reporting of 2015 health coverage and offers
of coverage if those entities could show that they made good faith
efforts to comply with the information reporting requirements
(transitional good faith relief). See T.D. 9660, 79 FR 13220 at 13226
(Mar. 10, 2014); T.D. 9661, 79 FR 13231 at 13246 (Mar. 10, 2014). The
transitional good faith relief covered incorrect or incomplete
information, including TINs or dates of birth, reported on information
returns or statements. The relief did not apply to a failure to timely
file or furnish a return or statement, or when the filer failed to make
a good faith effort to comply with the reporting requirements. The
preambles to the section 6055 and 6056 regulations also stated that
reporting entities failing to meet the reporting requirements of the
regulations may have been eligible for penalty relief if the IRS
determined the standards for reasonable cause under section 6724 were
satisfied. The Treasury Department and the IRS reiterated the
transitional good faith relief in Notice 2015-68, 2015-41 I.R.B. 547
(Oct. 13, 2015), and Notice 2015-87, 2015-52 I.R.B. 889 (Dec. 28,
2015).
Explanation of Provisions
1. Medicaid Coverage of COVID-19 Testing and Diagnostic Services Under
Section 5000A
Notice 2020-66, 2020-40 I.R.B. 785 (Sept. 28, 2020), provides that
Medicaid coverage that is limited to COVID-19 testing and diagnostic
services under section 6004(a)(3) of the Families First Coronavirus
Response Act, Public Law 116-127, 134 Stat. 178 (Mar. 18, 2020) is not
minimum essential coverage under a government-sponsored program. As a
consequence, an individual's eligibility for such coverage for one or
more months does not prevent those months from qualifying as coverage
months for purposes of determining eligibility for the premium tax
credit under section 36B. Notice 2020-66 applies to taxable years
beginning in or after 2020.
Notice 2020-66 further indicates that the Treasury Department and
the IRS intend to amend Sec. 1.5000A-2 to provide guidance respecting
Medicaid coverage for COVID-19 testing and diagnostic services.
Accordingly, these proposed regulations propose to amend Sec. 1.5000A-
2 by adding Medicaid coverage for COVID-19 testing and diagnostic
services to the enumerated health coverages under Sec. 1.5000A-2(b)(2)
that do not qualify as minimum essential coverage under a government-
sponsored program.
Notice 2020-66 provides that taxpayers, including ALEs, may
continue to rely on the guidance described in Notice 2020-66 if no
proposed regulations or other guidance are released within 18 months
after September 28, 2020, which is the date that Notice 2020-66 was
published in the Internal Revenue Bulletin.
2. Time and Manner for Furnishing Statements Under Sections 6055 and
6056
Through a series of notices, the Treasury Department and the IRS
extended the due dates for furnishing statements to individuals under
sections 6055 and 6056 for years 2015 through 2019. See Notice 2016-04,
2016-3 I.R.B. 279 (Jan. 19, 2016); Notice 2016-70, 2016-49 I.R.B. 784
(Dec. 5, 2016); Notice 2018-06, 2018-3 I.R.B. 300 (Jan. 16, 2018);
Notice 2018-94, 2018-51 I.R.B. 1042 (Dec. 17, 2018); and Notice 2019-
63, 2019-51 I.R.B. 1390 (Dec. 16, 2019). Those notices extended the due
date for furnishing Forms 1095-B and 1095-C by 30 days (or the next
business day if the 30th day fell on a Saturday, Sunday or legal
holiday), except that for 2015 information statements, the furnishing
due date was extended by 60 days.
In addition to extending the due dates for furnishing statements,
Notices 2018-94 and 2019-63 stated that, as a result of the TCJA's
reduction of the shared responsibility payment amount under section
5000A(c) to zero for months beginning after December 31, 2018, the
Treasury Department and the IRS were studying how the reporting
requirements under section 6055 should change, if at all, for future
years. Notice 2019-63 also requested comments on whether an extension
of the due date for furnishing statements to individuals pursuant to
section 6056 would be necessary for future years, and whether the
reporting requirements under section 6055 should change for future
years. Only one comment was received.
Notice 2020-76, 2020-47 I.R.B. 1058 (Nov. 16, 2020) provided an
automatic extension of time for reporting entities to furnish 2020
information statements (Forms 1095-B and 1095-C) to individuals from
January 31, 2021, to March 2, 2021. The notice stated that the Treasury
Department and the IRS determined that a substantial number of
employers, insurers, and other providers of minimum essential coverage
needed additional time beyond January 31, 2021, to gather and analyze
the information necessary to prepare and issue the Forms 1095-B and
1095-C. Notice 2020-76 also provided that because of the grant of the
automatic extension to March 2, 2021, for furnishing Forms 1095-B and
1095-C, Sec. Sec. 1.6055-1(g)(4)(i)(B)(1) and 301.6056-1(g)(1)(ii)(A)
(allowing the IRS to grant an extension of time of up to 30 days to
furnish Forms 1095-B and 1095-C) would not apply. The notice did not
extend the due dates for filing 2020 Forms 1095-B, 1094-C, or 1095-C
with the IRS. The provisions of Sec. Sec. 1.6081-1 and 1.6081-8
(allowing an automatic extension of time for filing information returns
by submission of a Form 8809 before the due date) were not affected by
Notice 2020-76.
The Treasury Department and the IRS received 119 public comments in
response to Notice 2020-76. The commenters included health insurance
providers, employers, associations, governmental agencies, payroll
processors, and others. Nearly all commenters generally supported an
extension of the due date for furnishing Forms 1095-B and 1095-C to
responsible individuals and employees. The commenters generally
indicated that the current January 31 deadline to furnish Forms 1095-B
and 1095-C to
[[Page 68942]]
responsible individuals and employees, under section 6055(c)(2) and
6056(c)(2), and Sec. Sec. 1.6055-1(g)(4)(i)(A) and 1.6056-1(g)(1)(i),
is difficult to meet.
Commenters noted that the process by which reporting entities
compile accurate health coverage offer and enrollment information is
complex and often takes more time than the current January 31 deadline
allows. Employers are required to compile offer and enrollment
information for large numbers of employees, sometimes from multiple
systems, verify the accuracy of the information, and transmit the
information to vendors so that the statements can be timely issued to
individuals. Commenters further indicated that, while health coverage
information is tracked throughout the year, accurate reporting on Forms
1095-B and 1095-C includes data and information from the month of
December, which necessarily requires employers to spend substantial
time after the close of the year compiling and verifying data. A number
of commenters stated that the data and information necessary to prepare
the forms is not available until mid-January and that the period
required to prepare and mail the large numbers of forms can take from
three to seven weeks.
Commenters also pointed out that the January 31 deadline for
furnishing Forms 1095-B and 1095-C to individuals may make it difficult
for employers to make changes to their benefit plans near the end of
the calendar year. Commenters further noted that the January 31
deadline coincides with the due dates of other government forms,
including Form W-2, Form 1099-NEC, Form 941 for the fourth quarter, and
annual Forms 940 and 945. One commenter wrote that the substantial time
necessary to complete Forms 1095-B and 1095-C is attributable to the
fact that the information required depends upon detailed employer and
employee activities. The commenter stated that, in some cases,
employers must undertake a day-by-day or person-by-person assessment,
which may lead to varied individual results in the codes that are
required to be entered on the forms. These factors, the commenter
noted, make the Forms 1095-B and 1095-C meaningfully distinguishable
from other information returns on which aggregate dollar amounts are
reported for the year--for example, Form W-2--without regard to day-by-
day activity.
Some of the commenters indicated that, if a more permanent
automatic extension of the January 31 furnishing deadline is not
provided for future reporting, entities will annually request
additional time to produce and mail accurate Forms 1095-B and 1095-C
pursuant to the current extension procedures. The result would be that
the IRS would need to process a significant number of extension
requests each year.
a. Extension of Deadline for Furnishing Statements Under Section 6055
To reduce administrative burdens for reporting entities and the
IRS, the Treasury Department and the IRS have determined that the
furnishing requirements under Sec. 1.6055-1(g) should be modified by
providing an automatic extension of time for reporting entities to
furnish statements to responsible individuals. This proposed amendment
to the regulations under section 6055 is consistent with Notice 2020-
76.
Under these proposed regulations, Sec. 1.6055-1(g)(4)(i) is
proposed to be amended to provide that reporting entities are granted
an automatic extension of time, not to exceed 30 days, in which to
furnish the written statements required by Sec. 1.6055-1(g). Because
this extension is automatic, the proposed regulations eliminate the
requirement in Sec. 1.6055-1(g)(4)(i)(B)(1) that a reporting entity
make a written application to the IRS showing good cause to request an
extension of time to furnish the statement. Under this proposed
amendment to the regulations, statements (Forms 1095-B) furnished to
responsible individuals will be timely if furnished no later than 30
days after January 31 of the calendar year following the calendar year
in which minimum essential coverage is provided. If the extended
furnishing date falls on a weekend day or legal holiday, statements
will be timely if furnished on the next business day. See section 7503.
The automatic 30-day extension would replace both the 30-day extension
for good cause in Sec. 1.6055-1(g)(4)(i)(B)(1) and the authorization
for the Commissioner to provide automatic extensions in Sec. 1.6055-
1(g)(4)(i)(B)(2).
b. Alternative Manner of Furnishing Statements Under Section 6055
Notice 2020-76 indicates that, because the TCJA reduced the
individual shared responsibility payment amount to zero for 2020,
responsible individuals do not need the information on Form 1095-B to
prepare and file their individual returns. Nonetheless, reporting
entities required to furnish Forms 1095-B must expend resources to do
so. In light of those factors, the Treasury Department and the IRS
determined that relief from the penalty under section 6722 for failing
to furnish a statement (Form 1095-B) required under section 6055 for
2020 was in the interest of sound tax administration in certain cases.
Thus, Notice 2020-76 provided that the IRS would not assess a section
6722 penalty against a reporting entity for failing to furnish Form
1095-B to responsible individuals for 2020 in cases when two conditions
were met (2020 section 6055 furnishing relief). First, a reporting
entity was required to post a notice prominently on its website stating
that responsible individuals may receive a copy of their 2020 Form
1095-B upon request, accompanied by an email address and a physical
address to which a request may be sent, along with a telephone number
that responsible individuals may use to contact the reporting entity
with any questions. Second, a reporting entity was required to provide
a 2020 Form 1095-B to a responsible individual upon request within 30
days of the date the request was received. A reporting entity could
furnish the statements to responsible individuals electronically if the
requirements of Sec. 1.6055-2 were satisfied.
Because of the combined reporting by ALE members under sections
6055 and 6056 on Form 1095-C for full-time employees of ALE members
enrolled in self-insured health plans, the 2020 section 6055 furnishing
relief was not extended to the requirement to furnish Forms 1095-C to
full-time employees. The 2020 section 6055 furnishing relief, however,
applied to penalty assessments related to the requirement to furnish
Form 1095-C to a part-time employee enrolled in an ALE member's self-
insured plan for any month in 2020, subject to the two requirements of
the 2020 section 6055 furnishing relief. Finally, the 2020 section 6055
furnishing relief did not extend to the assessment of penalties
relating to failures to file the 2020 Forms 1094-B or 1095-B or the
Forms 1094-C or 1095-C, as applicable, with the IRS.
In response to Notice 2020-76, a number of health plan providers,
governmental agencies, and associations requested that the 2020 section
6055 furnishing relief be made permanent or extended at least for the
time periods when the individual shared responsibility payment amount
is zero. These commenters echoed the considerations identified in
Notice 2020-76 supporting the 2020 section 6055 furnishing relief.
Namely, commenters pointed to the high costs associated with producing
and mailing Forms 1095-B although individuals have no need for the
information on the Form 1095-B to correctly compute
[[Page 68943]]
federal tax liability and timely file returns. Commenters cited
additional production and/or mailing costs ranging from a half million
to more than four million dollars annually without the relief. One
state agency reported receiving only 478 requests for Form 1095-B from
approximately one million Medicaid recipients for 2019. Other
commenters indicated that a small number of individuals need proof of
minimum essential coverage to satisfy certain state requirements, but
that very few individuals have otherwise requested the Form 1095-B.
Some commenters pointed out that taxpayers may be confused by the
receipt of Forms 1095-B.
In light of the public comments received, Sec. 1.6055-1(g)(4) is
proposed to be amended by adding new paragraph (g)(4)(ii)(B) to provide
an alternative manner for a reporting entity to timely furnish
statements. Under this alternative manner of furnishing, the reporting
entity must post a clear and conspicuous notice on the entity's website
stating that responsible individuals may receive a copy of their
statement upon request. The notice must include an email address, a
physical address to which a request may be sent, and a telephone number
that responsible individuals may use to contact a reporting entity with
any questions. This alternative manner of furnishing will apply only to
taxable years when the shared responsibility payment amount under
section 5000A(b) is zero.
One commenter requested that, if the 2020 section 6055 furnishing
relief is extended, a self-insured ALE member should continue to be
permitted to use the relief for employees who are enrolled in the ALE's
self-insured plan and who are not full-time employees of the ALE. The
commenter also requested that the proposed regulations allow a self-
insured ALE member to use the 2020 section 6055 furnishing relief for
non-employees, such as former employees of the ALE, who are enrolled in
the self-insured plan. The proposed regulations adopt both requests in
the rules for the alternative method of furnishing. However, consistent
with the guidance in Notice 2020-76, the proposed regulations do not
allow ALE members to use the alternative method of furnishing for full-
time employees who are enrolled in the self-insured plan.
The proposed regulations also address a suggestion of a commenter
to Notice 2020-76 who requested that future guidance specify the time
period a reporting entity is required to retain the notice on its
website and also explain how prominent the notice must be. The
provisions of proposed Sec. 1.6055-1(g)(4)(ii)(B) provide that a
reporting entity satisfies the furnishing requirements under Sec.
1.6055-1(g)(4) by retaining the website notice until October 15 of the
year following the calendar year to which the statement relates.
Additionally, the proposed regulations clarify the requirement in
Notice 2020-76 that a reporting entity include a prominently posted
notice on its website. Under the proposal, a reporting entity must
include a clear and conspicuous notice on the reporting entity's
website that is reasonably accessible by individuals who may search the
entity's website for tax information. A notice posted on a reporting
entity's website will satisfy the requirement under proposed Sec.
1.6055-1(g)(4)(ii)(B) if written in plain, non-technical terms and with
letters of a font size large enough (including any visual clues or
graphical figures) to call to a viewer's attention that the information
pertains to tax statements reporting that individuals had health
coverage. For example, a reporting entity's website that includes a
statement on the main page, or a link on the main page, reading ``Tax
Information,'' to a secondary page that includes a statement, in
capital letters, ``IMPORTANT HEALTH COVERAGE TAX DOCUMENTS;'' explains
how responsible individuals may request a copy of Form 1095-B, Health
Coverage, or Form 1095-C, Employer-Provided Health Insurance Offer and
Coverage, as applicable; and includes the reporting entity's email
address, mailing address, and telephone number, is a clear and
conspicuous notice under these proposed regulations.
One commenter requested that the 2020 section 6055 furnishing
relief be modified to allow a reporting entity to satisfy the
furnishing requirement under Sec. 1.6055-1(g) by including only a link
to a member portal through which responsible individuals may receive a
copy of the Form 1095-B via electronic download. The commenter stated
that because responsible individuals will have located and navigated
the website of a reporting entity to locate the entity's address and
other contact information, the website notice informing individuals of
the ability to request a Form 1095-B should not have to also include
contact information. The commenter noted that the process under which
responsible individuals will send written requests or call customer
service representatives of reporting entities to request Forms 1095-B
will take time and add costs to providing health care. Under the
commenter's proposal, reporting entities that do not provide a member
portal for individuals to download and receive the Form 1095-B will be
required to include a website notice with an email address, physical
address, and telephone number for individuals to call to request the
form, consistent with the first condition of the 2020 section 6055
furnishing relief.
The requirement in these proposed regulations that a reporting
entity include its email address, mailing address, and telephone number
on a website notice informing individuals of the ability to request a
Form 1095-B is consistent with other information reporting provisions.
See, for example, Sec. 1.6050S-1(c)(1)(iii)(G) (an educational
institution or insurer issuing Form 1098-T, Tuition Statement, is
required to include contact information on statement). A responsible
individual may have questions about how to request a copy of the
statement required under Sec. 1.6055-1(g) for the taxable year or may
have questions about some of the information on the statement. The
proposed rule requiring the reporting entity's contact information on a
posted website notice fulfills that need for responsible individuals.
Accordingly, the comment recommending that a reporting entity may
provide only website access to a member portal (and capability to
electronically download Form 1095-B) without the reporting entity's
contact information is not adopted.
If, in the future, the shared responsibility payment amount under
section 5000A(b) is not zero, the Treasury Department and the IRS
anticipate that reporting entities will need adequate time to develop
or restart processes for preparing and mailing paper statements to
responsible individuals. If the shared responsibility payment amount is
modified in the future, the Treasury Department and the IRS anticipate
providing guidance, if necessary, to allow sufficient time for
reporting entities to restart the reporting process.
c. Extension of Deadline for Furnishing Statements Under Section 6056
For the reasons discussed in section 2 of the Explanation of
Provisions, the Treasury Department and the IRS have determined that,
to reduce administrative burdens for ALE members and the IRS, the
furnishing requirements under Sec. 301.6056-1(g)(1) should be modified
by providing an automatic extension of time for ALE members to furnish
written statements to full-time employees. This proposed amendment to
the regulations under
[[Page 68944]]
section 6056 is consistent with Notice 2020-76.
Under these proposed regulations, Sec. 301.6056-1(g)(1) is
proposed to be amended to provide that ALE members are granted an
automatic extension of time, not to exceed 30 days, in which to furnish
the written statements to full-time employees. Because the extension is
automatic, the proposed regulations eliminate the requirement in Sec.
301.6056-1(g)(1)(ii)(A) that an ALE member make a written application
to the IRS showing good cause or to otherwise request an extension of
time to furnish the statement. Under this proposed amendment to the
regulations, statements (Forms 1095-C) furnished to full-time employees
will be timely if furnished no later than 30 days after January 31 of
the calendar year in accordance with applicable Internal Revenue
Service procedures and instructions. If the extended furnishing date
falls on a weekend day or legal holiday, statements will be timely
furnished if provided on the next business day. See section 7503. The
automatic 30-day extension would replace both the 30-day extension for
good cause in Sec. 301.6056-1(g)(1)(ii)(A) and the authorization for
the Commissioner to provide automatic extensions in Sec. 301.6056-
1(g)(1)(ii)(B).
3. Elimination of Transitional Good Faith Relief
As noted in the Background section of this preamble, the preambles
to the regulations under sections 6055 and 6056 provided that the IRS
would grant transitional good faith relief by not imposing penalties
under sections 6721 and 6722 on reporting entities for the reporting of
2015 health coverage and offers of coverage if those entities could
show that they made good faith efforts to comply with the information
reporting requirements. See T.D. 9660; T.D. 9661. The Treasury
Department and the IRS extended that transitional good faith relief for
years 2015 through 2019 in the series of notices that extended the due
dates for the requirements for furnishing statements to individuals
under sections 6055 and 6056 for those years. See Notice 2016-04;
Notice 2016-70; Notice 2018-06; Notice 2018-94; Notice 2019-63; and
Notice 2020-76. In Notice 2020-76, the Treasury Department and the IRS
stated that 2020 was the last year that transitional good faith relief
would be provided. Thus, the transitional good faith relief from
penalties under sections 6721 and 6722 for the reporting of incorrect
or incomplete information on information returns or statements is not
available for reporting for tax year 2021 and subsequent years.
This good faith relief was intended to be transitional to
accommodate public concerns with implementing the then newly enacted
reporting requirements under the ACA. These reporting requirements have
now been in place for six years, and transitional relief is no longer
appropriate. Some commenters requested that the relief be extended due
to continued difficulty in understanding the reporting requirements,
periodic changes to the ACA, and the uncertainty related to the COVID-
19 pandemic. Although the Treasury Department and the IRS are
sympathetic to those concerns, additional good faith relief is not
necessary to address them. The reasonable cause exception under section
6724 already provides adequate relief from penalties under sections
6721 and 6722 for filers who have reasonable cause for failing to
timely or accurately complete their reporting requirements. Therefore,
the Treasury Department and the IRS will discontinue the transitional
good faith relief after tax year 2020.
4. Renewed Comment Request on the Section 6055 2016 Proposed
Regulations
In Notice 2015-68, the Treasury Department and the IRS announced
that they intended to propose regulations under section 6055 that
would: (1) Provide that health insurance issuers must report coverage
in a catastrophic plan; (2) allow filers reporting on insured group
health plans to use a truncated TIN to identify the employer on the
statement furnished to a taxpayer; and (3) specify when a provider of
minimum essential coverage is not required to report duplicative or
supplemental coverage. The notice also invited comments on issues
relating to TIN solicitation and provided that until the issuance of
additional guidance, reporting entities would not be subject to
penalties for failure to report a TIN if they met certain requirements.
Finally, the notice advised that governments of United States
possessions or territories are not required to report coverage under
Medicaid and the Children's Health Insurance Program (CHIP) and that a
state government agency sponsoring coverage under the Basic Health
Program is required to report that coverage.
On August 2, 2016, the Treasury Department and the IRS published a
notice of proposed rulemaking (REG-103058-16) in the Federal Register
(81 FR 50671) (2016 proposed regulations). Consistent with Notice 2015-
68, the 2016 proposed regulations proposed to address catastrophic
health coverage, truncated TINs, and duplicative or supplemental
coverage. With regard to TIN solicitations, the 2016 proposed
regulations incorporated the penalty relief in Notice 2015-68, with
certain revisions to the requirements in response to comments. The 2016
proposed regulations also proposed to incorporate the guidance in
Notice 2015-68 related to United States possessions or territories and
reporting regarding the Basic Health Program. The 2016 proposed
regulations provided that, until the regulations were finalized,
reporting entities could rely on the guidance in Notice 2015-68. In
addition, any issuer that voluntarily files returns or furnishes
statements on catastrophic coverage before final regulations are issued
will not be subject to penalties for those returns or statements. See
Notice 2017-41, 2017-34 I.R.B. 211 (Aug. 21, 2017).
The Treasury Department and the IRS received 16 comments on the
2016 proposed regulations but have not issued a Treasury Decision
finalizing the 2016 proposed regulations. No public hearing was
requested or held. The Treasury Department and the IRS are renewing
their request for comments on all aspects of the 2016 proposed
regulations and, after considering the comments received, intend to
finalize the 2016 proposed regulations as part of any Treasury Decision
finalizing these proposed regulations. Written or electronic comments
must be received by February 4, 2022.
Statement of Availability of IRS Documents
IRS revenue procedures, revenue rulings, notices, and other
guidance cited in this preamble are published in the Internal Revenue
Bulletin and are available from the Superintendent of Documents, U.S.
Government Publishing Office, Washington, DC 20402, or by visiting the
IRS website at https://www.irs.gov.
Proposed Applicability Date
The regulations under Sec. 1.5000A-2, once final, are proposed to
apply for months beginning after September 28, 2020. For months
beginning on or after January 1, 2020, and before September 28, 2020,
taxpayers may continue to rely on Notice 2020-66. Taxpayers may rely on
Sec. 1.5000A-2 of these proposed regulations for months beginning
after September 28, 2020, and before the date a Treasury Decision
finalizing these regulations is published in the Federal Register. The
regulations under Sec. Sec. 1.6055-1 and 301.6056-1, once final,
[[Page 68945]]
are proposed to apply for calendar years beginning after December 31,
2021. Taxpayers may rely on Sec. Sec. 1.6055-1 and 301.6056-1 of these
proposed regulations for calendar years beginning after December 31,
2020, and before the date a Treasury Decision finalizing the
regulations is published in the Federal Register. See the 2016 proposed
regulations for the proposed applicability dates of those proposed
rules.
Special Analyses
I. Regulatory Planning and Review--Economic Analysis
These proposed regulations are not subject to review under section
6(b) of Executive Order 12866 pursuant to the Memorandum of Agreement
(April 11, 2018) between the Treasury Department and the Office of
Management and Budget (OMB) regarding review of tax regulations.
II. Paperwork Reduction Act
An agency may not conduct or sponsor, and a person is not required
to respond to, a collection of information unless it displays a valid
control number assigned by OMB.
There is no collection of information contained in these proposed
regulations. The collections of information contained in Sec. Sec.
1.6055-1 and 301.6056-1 were previously reviewed and approved by OMB in
accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. 3507(d))
and are associated with control numbers 1545-2251 (associated with Form
1095-C) and 1545-2252 (associated with Form 1095-B).
The Paperwork Reduction Act (44 U.S.C. 3501-3520) relates to
information collection requests by any government agency. A collection
of information generally means the ``obtaining, causing to be obtained,
soliciting, or requiring the disclosure to third parties or the public,
of facts or opinions by or for an agency, regardless of form or format,
calling for either (1) answers to identical questions posted to, or
identical reporting or recordkeeping requirements imposed on ten or
more persons, other than agencies, instrumentalities, or employees of
the United States, or (2) answers to questions posed to agencies,
instrumentalities, or employees of the United States which are to be
used for general statistical purposes.'' 44 U.S.C. 3502(3). A
collection of information is commonly referred to as a reporting,
recordkeeping, or disclosure requirement.
These proposed regulations do not require a reporting entity to
provide any information to the Federal government, to maintain specific
records, or to disclose any additional information that the reporting
entity did not already have a requirement to disclose.
III. Initial Regulatory Flexibility Analysis
When an agency issues a proposed rulemaking, the Regulatory
Flexibility Act (5 U.S.C. chapter 6) (Act) requires the agency to
``prepare and make available for public comment an initial regulatory
flexibility analysis'' that ``describe[s] the impact of the proposed
rule on small entities.'' 5 U.S.C. 603(a). The term ``small entities''
is defined in 5 U.S.C. 601 to mean ``small business,'' ``small
organization,'' and ``small governmental jurisdiction,'' which are also
defined in 5 U.S.C. 601. Small business size standards define whether a
business is ``small'' and have been established for types of economic
activities, or industry, generally under the North American Industry
Classification System (NAICS). See Title 13, Part 121 of the Code of
Federal Regulations (titled ``Small Business Size Regulations''). The
size standards look at various factors, including annual receipts,
number of employees, and amount of assets, to determine whether the
business is small. See Title 13, Part 121.201 of the Code of Federal
Regulations for the Small Business Size Standards by NAICS Industry.
Section 605 of the Act provides an exception to the requirement to
prepare an initial regulatory flexibility analysis if the agency
certifies that the proposed rulemaking will not have a significant
economic impact on a substantial number of small entities.
The Treasury Department and the IRS conclude that, although the
overall impact of these proposed regulations will substantially reduce
the burden on small entities, these proposed regulations, if finalized,
will impact a substantial number of small entities and the economic
impact on those small entities will be significant. As a result,
although the impact of these regulations is positive for small
entities, an initial regulatory flexibility analysis is required.
Description of the reasons why the agency action is being
considered.
The proposed regulations under Sec. 1.5000A-2 propose to make
permanent the guidance in Notice 2020-66 regarding whether certain
Medicaid coverage of COVID-19 testing and diagnostic services is
minimum essential coverage. The proposed regulations under Sec. Sec.
1.6055-1 and 301.6056-1 propose to make permanent the extension of time
to furnish Forms 1095-B and 1095-C to responsible individuals and
employees that has been provided every year since 2015. The proposed
regulations under Sec. 1.6055-1 also allow reporting entities to
furnish the statement required by section 6055 by providing notice on
their website and by providing the statement to the responsible
individual upon request.
The proposed regulations under Sec. 1.5000A-2 will ensure that
taxpayers have accurate guidance when determining whether they have
minimum essential coverage, which in turn will assist taxpayers in
determining whether they qualify for the premium tax credit. The
proposed regulations under Sec. Sec. 1.6055-1 and 301.6056-1 will
reduce the burden on reporting entities by extending the time to
satisfy their reporting obligations with regard to health care coverage
without worrying whether the penalty under section 6722 will be
imposed. The extension should result in increased timely and accurate
reporting. Those proposed regulations also reduce the burden on
reporting entities by providing a low-cost option to satisfy the
reporting obligation under section 6055 at a time when responsible
individuals do not need the information to complete their returns.
Statement of the objectives of, and the legal basis for, the
proposed rule.
The principal objectives of the proposed regulations are to provide
taxpayers with definitive guidance of what constitutes, or does not
constitute, minimum essential coverage, to provide reporting entities
with a sufficient amount of time to complete and furnish accurate
statements to responsible individuals and full-time employees, and to
offer reporting entities under section 6055 a minimally burdensome
option by which to furnish the required statement. The legal basis for
defining minimum essential coverage is section 5000A(f)(1)(E), which
provides the Secretary of the Treasury or her delegate (Secretary) with
the authority to determine what types of health coverage constitute
minimum essential coverage. The legal basis for the extended due date
was originally set forth in the series of notices referenced in the
Explanation of Provisions section above, under which the Treasury
Department and the IRS extended the dates for furnishing statements to
responsible individuals and full-time employees, providing that
taxpayers that satisfy the furnishing requirement by the extended due
date will not be subject to penalties under sections 6721 and 6722.
Section 6724(a) provides that no penalty is imposed under section 6721
or 6722 if it is shown that the failure is due to
[[Page 68946]]
reasonable cause and not to willful neglect. Section 7803(a)(2)(A)
gives the Commissioner the power to administer, manage, conduct,
direct, and supervise the execution and application of internal revenue
laws. That same legal basis applies for these proposed regulations.
Additionally, Sec. Sec. 1.6055-1(g)(4)(i)(B) and 301.6056-1(g)(1)(ii)
provide the Secretary with the authority to provide extensions of time
to furnish statements under sections 6055 and 6056. Regarding the form
of the statement to be furnished, sections 6055(b)(1)(A) and 6056(b)(1)
provide the Secretary with the authority to prescribe the form of the
return that is the basis for the furnishing requirements in sections
6055(c) and 6056(c).
Description and estimate (where feasible) of the number of small
entities subject to the proposed rule.
The proposed regulations apply to health insurance issuers, self-
insured employers, government agencies, and other providers of minimum
essential coverage required to furnish individual statements regarding
such coverage under section 6055 and ALE members that are required to
furnish information relating to health insurance that the ALE offers to
its full-time employees under section 6056. An estimate of the number
of small entities subject to the proposed regulations is not feasible
because a correlation between small taxpayers and this type of
reporting cannot be made. The proposed regulations affect all
industries. Taxpayers using any NAICS code could be subject to the
proposed regulations.
Description of the projected reporting, recordkeeping, and related
requirements of the proposed rule, including an estimate of the classes
of small entities that will be subject to the requirements and the type
of professional skills necessary for preparation of the report or
record.
As discussed in the Paperwork Reduction Act section above, these
proposed regulations do not impose any reporting, recordkeeping, or
similar requirements on any small entities.
Identification, to the extent practicable, of all relevant Federal
rules that may duplicate, overlap, or conflict with the proposed rule.
The proposed regulations do not duplicate, overlap, or conflict
with any Federal statutes or other rules.
Description of any significant alternatives to the proposed rule
that accomplish the stated objectives of applicable statutes and
minimize any significant economic impact on small entities.
The Treasury Department and the IRS have determined that, without a
legislative change, there are no viable alternatives to the provisions
in the proposed regulations that would enable reporting entities to
continue to satisfy their reporting obligations with a lesser burden.
Accordingly, the Treasury Department and the IRS conclude that the
provisions of the proposed regulations will most effectively promote
sound tax administration. The revisions to the definition of what is
not minimum essential coverage in Sec. 1.5000A-2 will provide concrete
advice to ensure that taxpayers can adequately determine whether they
have minimum essential coverage. An automatic extension of time to
furnish statements under proposed Sec. Sec. 1.6055-1(g)(4)(i) and
301.6056-1(g)(1) will assist in timely and more accurate reporting.
Last, the additional electronic manner of furnishing a statement in
proposed Sec. 1.6055-1(g)(4)(ii)(B), at a time when the shared
responsibility payment amount is zero, will help reporting entities
reduce costs, while still satisfying their statutory reporting
obligations. Accordingly, implementation of these proposed regulations
will increase tax compliance by providing definitive guidance and will
allow reporting entities the time needed to furnish timely and accurate
statements, with minimal production and distribution burden regarding
the furnishing.
Pursuant to section 7805(f) of the Code, this notice of proposed
rulemaking has been submitted to the Chief Counsel of the Office of
Advocacy of the Small Business Administration for comment on its impact
on small business.
IV. Unfunded Mandates Reform Act
Section 202 of the Unfunded Mandates Reform Act of 1995 (UMRA)
requires that agencies assess anticipated costs and benefits and take
certain other actions before issuing a final rule that includes any
Federal mandate that may result in expenditures in any one year by a
state, local, or tribal government, in the aggregate, or by the private
sector, of $100 million (updated annually for inflation). This proposed
rule does not include any Federal mandate that may result in
expenditures by state, local, or tribal governments, or by the private
sector in excess of that threshold.
V. Executive Order 13132: Federalism
Executive Order 13132 (entitled ``Federalism'') prohibits an agency
from publishing any rule that has federalism implications if the rule
either imposes substantial, direct compliance costs on state and local
governments, and is not required by statute, or preempts state law,
unless the agency meets the consultation and funding requirements of
section 6 of the Executive Order. This proposed rule does not have
federalism implications and does not impose substantial direct
compliance costs on state and local governments or preempt state law
within the meaning of the Executive Order.
Comments and Requests for Public Hearing
Before these proposed regulations or the 2016 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 section. The Treasury Department and the
IRS request comments on all aspects of these proposed regulations, as
well as all aspects of the 2016 proposed regulations. Any electronic
comments submitted, and to the extent practicable any paper comments
submitted, will be made available at www.regulations.gov or upon
request. All comments, including comments on the 2016 proposed
regulations, should reference REG-109128-21.
A public hearing will be scheduled if requested in writing by any
person who timely submits written comments. Requests for a public
hearing are also encouraged to be made electronically. If a public
hearing is scheduled, notice of the date, time, and place for the
public hearing will be published in the Federal Register. Announcement
2020-4, 2020-17 I.R.B. 1 (Apr. 20, 2020), provides that until further
notice, public hearings conducted by the IRS will be held
telephonically. Any telephonic hearing will be made accessible to
people with disabilities.
Drafting Information
The principal author of these proposed regulations is Gerald
Semasek, Office of Associate Chief Counsel (Income Tax and Accounting).
Other personnel from the Treasury Department and the IRS participated
in their development.
List of Subjects
26 CFR Part 1
Income taxes, Reporting and recordkeeping requirements.
26 CFR Part 301
Employment taxes, Estate taxes, Excise taxes, Gift taxes, Income
taxes, Penalties, Reporting and recordkeeping requirements.
[[Page 68947]]
Proposed Amendments to the Regulations
Accordingly, IRS proposes to amend 26 CFR parts 1 and 301 as
follows:
PART 1--INCOME TAXES
0
Paragraph 1. The authority citation for part 1 continues to read in
part as follows:
Authority: 26 U.S.C. 7805 * * *
0
Par. 2. Section 1.5000A-2 is amended by:
0
1. Revising paragraph (b)(2)(vii) and (viii);
0
2. Adding paragraph (b)(2)(ix).
The revisions and addition read as follows:
Sec. 1.5000A-2 Minimum essential coverage.
* * * * *
(b) * * *
(2) * * *
(vii) Coverage under section 1079(a), 1086(c)(1), or 1086(d)(1) of
title 10, U.S.C., that is solely limited to space available care in a
facility of the uniformed services for individuals excluded from
TRICARE coverage for care from private sector providers;
(viii) Coverage under section 1074a and 1074b of title 10, U.S.C.,
for an injury, illness, or disease incurred or aggravated in the line
of duty for individuals who are not on active duty; and
(ix) Medicaid coverage limited to COVID-19 testing and diagnostic
services provided under section 6004(a)(3) of the Families First
Coronavirus Response Act, Pub. L. 116-127, 134 Stat. 178 (March 18,
2020).
0
Par. 3. Section 1.5000A-5 is amended by revising paragraph (c) to read
as follows:
Sec. 1.5000A-5 Administration and procedure.
* * * * *
(c) Applicability date. Except as otherwise provided in this
paragraph (c), this section and Sec. 1.5000A-1 through 1.5000A-4 apply
for months beginning after December 31, 2013. Section 1.5000A-
2(b)(2)(ix) applies for months beginning after September 28, 2020.
0
Par. 4. Section 1.6055-1 is amended by:
0
1. Revising the first sentence of paragraph (g)(1);
0
2. Revising paragraph (g)(4)(i) and (ii);
0
3. Revising paragraph (j).
The revisions read as follows:
Sec. 1.6055-1 Information reporting for minimum essential coverage.
* * * * *
(g) * * * Except as otherwise provided in paragraph (g)(4)(ii)(B)
of this section, every person required to file a return under this
section must furnish to the responsible individual identified on the
return a written statement. * * *
* * * * *
(4) * * * (i) Time for furnishing--Except as otherwise provided in
this paragraph (g)(4)(i), a reporting entity must furnish the
statements required under paragraph (g)(1) of this section on or before
January 31 of the year following the calendar year in which the minimum
essential coverage is provided. Reporting entities are granted an
automatic extension of time not exceeding 30 days in which to furnish
these statements.
(ii) Manner of furnishing--(A) In general. Except as otherwise
provided in paragraph (g)(4)(ii)(B) of this section, if mailed, the
statement must be sent to the responsible individual's last known
permanent address or, if no permanent address is known, to the
individual's temporary address. For purposes of this paragraph
(g)(4)(ii)(A), a reporting entity's first class mailing to the last
known permanent address, or if no permanent address is known, the
temporary address, discharges the requirement to furnish the statement.
A reporting entity may furnish the statement electronically if the
requirements of Sec. 1.6055-2 are satisfied.
(B) Alternative manner of furnishing. A reporting entity shall be
treated as furnishing the statement in a timely manner under this
paragraph (g)(4) if the shared responsibility payment amount under
section 5000A(c) for the calendar year in which the minimum essential
coverage is provided is zero and the reporting entity satisfies the
requirements in this paragraph (g)(4)(ii)(B). If the reporting entity
is an applicable large employer member that sponsors a self-insured
group health plan and makes a return in accordance with paragraph
(f)(2)(i) of this section related to that plan, the applicable large
employer member may use the alternative manner of furnishing described
in this paragraph (g)(4)(ii)(B) for statements to non-full-time
employees and non-employees who are enrolled in the applicable large
employer's self-insured group health plan. A reporting entity may use
the alternative manner of furnishing described in this paragraph
(g)(4)(ii)(B) only if the reporting entity:
(1) Provides clear and conspicuous notice, in a location on its
website that is reasonably accessible to all responsible individuals,
stating that responsible individuals may receive a copy of their
statement upon request. The notice must include an email address, a
physical address to which a request for a statement may be sent, and a
telephone number that responsible individuals may use to contact the
reporting entity with any questions. A notice posted on a reporting
entity's website will satisfy the requirements of this paragraph
(g)(4)(ii)(B)(1) if it is written in plain, non-technical terms and
with letters of a font size large enough, including any visual clues or
graphical figures, to call to a viewer's attention that the information
pertains to tax statements reporting that individuals had health
coverage. For example, a reporting entity's website provides a clear
and conspicuous notice if it includes a statement on the main page--or
a link on the main page, reading ``Tax Information'', to a secondary
page that includes a statement--in capital letters, ``IMPORTANT HEALTH
COVERAGE TAX DOCUMENTS''; explains how responsible individuals may
request a copy of Form 1095-B, Health Coverage, (or, for an applicable
large employer member that sponsors a self-insured group health plan
and makes a return in accordance with paragraph (f)(2)(i) of this
section, explains how non-full-time employees and non-employees who are
enrolled in the plan may request a copy of Form 1095-C, Employer-
Provided Health Insurance Offer and Coverage); and includes the
reporting entity's email address, mailing address, and telephone
number;
(2) Retains the notice in the same location on its website through
October 15 of the year following the calendar year to which the
statements relate (or the first business day after October 15, if
October 15 falls on a Saturday, Sunday or legal holiday); and
(3) Furnishes the statement to a requesting responsible individual
within 30 days of the date the request is received. To satisfy the
requirement of this paragraph (g)(4)(ii)(B)(3), a reporting entity may
furnish the statement electronically pursuant to Sec. 1.6055-2(a)(2)
through (a)(6).
* * * * *
(j) Applicability date. Except as otherwise provided in this
paragraph (j), this section applies for calendar years beginning after
December 31, 2014. Paragraphs (g)(1), (g)(4)(i), and (g)(4)(ii) of this
section apply for calendar years beginning after December 31, 2021, but
reporting entities may choose to apply paragraphs (g)(1), (g)(4)(i),
and (g)(4)(ii) of this section for calendar years beginning after
December 31, 2020. Except as otherwise provided in this paragraph (j),
paragraph (g)(4), as
[[Page 68948]]
contained in 26 CFR part 1 edition revised as of April 1, 2021, applies
to calendar years ending after December 31, 2014 and beginning before
January 1, 2022.
PART 301--PROCEDURE AND ADMINISTRATION
0
Par. 5. The authority citation for part 301 continues to read in part
as follows:
Authority: 26 U.S.C. 7805 * * *
* * * * *
0
Par. 6. Section 301.6056-1 is amended by revising paragraphs (g)(1) and
(m) to read as follows:
Sec. 301.6056-1 Rules relating to reporting by applicable large
employers on health insurance coverage offered under employer-sponsored
plans.
* * * * *
(g) * * * (1) Time for furnishing--Except as otherwise provided in
this paragraph (g)(1), each statement required by this section for a
calendar year must be furnished to a full-time employee on or before
January 31 of the year succeeding the calendar year in accordance with
applicable Internal Revenue Service procedures and instructions.
Applicable large employers are granted an automatic extension of time
not exceeding 30 days in which to furnish these statements.
* * * * *
(m) Applicability date. Except as otherwise provided in this
paragraph (m), this section applies for calendar years beginning after
December 31, 2014. Paragraph (g)(1) of this section applies for
calendar years beginning after December 31, 2021, but applicable large
employers may choose to apply paragraph (g)(1) of this section for
calendar years beginning after December 31, 2020. Except as otherwise
provided in this paragraph (m), paragraph (g)(1), as contained in 26
CFR part 1 edition revised as of April 1, 2021, applies to calendar
years ending after December 31, 2014 and beginning before January 1,
2022.
Douglas W. O'Donnell,
Deputy Commissioner for Services and Enforcement.
[FR Doc. 2021-25785 Filed 12-3-21; 8:45 am]
BILLING CODE 4830-01-P