The Massachusetts Individual Mandate requires each Massachusetts resident to have health coverage that meets the Minimum Creditable Coverage (MCC) standards set by the Commonwealth Health Insurance Connector (Connector) or pay a penalty through their state tax returns. The Connector has announced the 2023 deductibles and out-of-pocket maximum limits for minimum creditable coverage (MCC). The 2021, 2022 and 2023 limits are summarized below.
Although employers are not required to provide MCC for their Massachusetts employees, insurers, or in some cases employers, are required to complete Form 1099-HC that indicates whether a plan is MCC or not and distribute the form to their Massachusetts employees. The same form must then be submitted to the state Department of Revenue (DOR) by January 31, following the plan year.
Additionally, employers with six or more employees who work in Massachusetts are required to submit an annual report, entitled the Health Insurance Responsibility Disclosure (HIRD) form, where MCC status is also reported, by December 15. You can find additional information in the FAQ section of this Compliance Corner.
Therefore, employers who have employees in Massachusetts should be aware of the 2023 MCC limits.
Bulletin 02-22. The MCC Regulations for Calendar Year 2023 » Bulletin 06-21. The MCC Regulations for Calendar Year 2022 » Bulletin 05-20. The MCC Regulations for Calendar Year 2021 » Mass Healthcare: Frequently Asked Questions for Employers, Form MA 1099-HC »
PPI Benefit Solutions does not provide legal or tax advice. Compliance, regulatory and related content is for general informational purposes and is not guaranteed to be accurate or complete. You should consult an attorney or tax professional regarding the application or potential implications of laws, regulations or policies to your specific circumstances.
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