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WHAT IS "LIBERTY MUTUAL HOLDING COMPANY INC." AND WHO ARE ITS MEMBERS?


WHAT IS "LIBERTY MUTUAL HOLDING COMPANY INC."?

Liberty Mutual Holding Company Inc. is a Massachusetts mutual holding company that operates (through its subsidiaries) two primary businesses: (1) Global Risk Solutions; and, (2) Global Retail Markets. These businesses and the legal entities that conduct them utilize various "Liberty Mutual" trade names and trademarks including, without limitation, "Liberty Mutual Insurance", "Liberty Mutual Insurance Group", "Liberty Mutual Personal Markets"; "Liberty Mutual Surety"; "A Liberty Mutual Insurance Company"; "Liberty International"; "Safeco Insurance"; "Ironshore"; “State Auto”; and similar types of names as may be adopted from time to time. Each of these businesses market and underwrite insurance policies issued by the numerous insurance entities owned or controlled by Liberty Mutual Holding Company Inc., including (1) stock insurance companies, (2) stock insurance companies that were formerly mutual insurance companies and (3) other affiliated insurance entities (collectively, the “LMHC Insurance Companies”). The rights and privileges associated with insurance policies and other obligations issued by the LMHC Insurance Companies vary in certain ways described below.

WHO IS A "MEMBER" OF LIBERTY MUTUAL HOLDING COMPANY INC.?

Members are persons appearing as the named insured on an in-force policy, or as principal in the case of a surety bond, issued by “Member Companies.” Our Member Companies include only the following companies: (1) Liberty Mutual Insurance Company; (2) Liberty Mutual Fire Insurance Company; (3) Employers Insurance of Wausau; (4) Liberty Mutual Personal Insurance Company; and (5) State Automobile Mutual Insurance Company. These Member Companies were formerly mutual insurance companies whose policyholders elected to form a mutual holding company or otherwise reorganize into or combine with our existing mutual holding company, Liberty Mutual Holding Company Inc. These transactions were reviewed and approved by the governing state insurance regulatory authorities.

Policyholders or holders of surety bonds or other insurance obligations issued by LMHC Insurance Companies that are not Member Companies ARE NOT members of Liberty Mutual Holding Company Inc. and are, therefore, not entitled to any rights of members.

WHAT ARE RIGHTS OF MEMBERS?

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Members of Liberty Mutual Holding Company Inc. have uncertificated rights conferred by law, including the rights to: (1) vote for the election of directors at annual meetings of Liberty Mutual Holding Company Inc. as well as other matters requiring a membership vote; (2) share in any distribution of, or receive consideration based upon, the value of, Liberty Mutual Holding Company Inc. in any liquidation, demutualization, dissolution or otherwise under its articles of organization and bylaws, or otherwise as provided by law; and (3) receive member dividends as, if and when declared and paid by the Board of Directors.

WHEN IS THE MEMBERS ANNUAL MEETING OF LIBERTY MUTUAL HOLDING COMPANY INC.?

It is held on the second Wednesday of April at its headquarters located at 175 Berkeley Street, Boston, Massachusetts, or at such other location as may be designated by the chief executive officer.FOR IMPORTANT INFORMATION CONCERNING THE 2023 ANNUAL MEETING PLEASE SEE:https://libertymutualgroup.com/proxy


Massachusetts Compensation Disclosure Law

Named Executive Officer and Director Compensation Disclosures for 2021

The following tables and related footnotes provide information to the members of Liberty Mutual Holding Company Inc. (the “Company”) regarding the compensation provided in fiscal year 2021 to the Company’s chief executive officer, principal financial officer, its three other most highly compensated executive officers or other former executive officers (collectively “named executive officers”), and its directors, all as required by Section 19X of Chapter 175 of the Massachusetts General Laws (the “Disclosure Statute”).

The Disclosure Statute is also applicable to Liberty Mutual Mid-Atlantic Insurance Company and Montgomery Mutual Insurance Company. Both of these entities are mutual insurance companies domiciled in Massachusetts and controlled by the Company (collectively the “Liberty MA Mutual Companies”). The Company notes that none of the executive officers or directors of the Liberty MA Mutual Companies received any compensation from their respective companies in 2021.

The Compensation Committee of the Board of Directors retains an independent consulting firm to advise in determining executive officer compensation. For 2021 the following companies were used to benchmark the Company’s executive compensation: American International Group Inc., Chubb Limited, Manulife Financial Corporation, Mass Mutual, MetLife Inc., Nationwide, New York Life, Northwestern Mutual, Progressive Corp., Prudential Financial Inc., The Allstate Corporation, The Hartford Financial Service Group, The Travelers Companies Inc., and USAA; as well as an extended group of financial services companies as an additional data point.

For purposes of determining the 3 most highly compensated executive officers beyond the chief executive officer and chief financial officer for a fiscal year at issue as required by the Disclosure Statute, the Company takes into account base salary earned during the calendar year, bonus and all other compensation paid (Table 1 Total) as well as the target value of AUs and RUs granted during the fiscal year at issue (Table 2), but excludes the impact of redemptions by executives in the fiscal year at issue of AUs and RUs granted in prior fiscal years. Once such next 3 most highly compensated executives are identified, however, the Company then further discloses the value of their respective prior year redemptions during the fiscal year at issue as well as the prior year redemptions of the CEO and CFO (Table 3).

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Table 1: Compensation Paid to Named Executive Officers 2019 – 2021

Name and Principal Position*

Year

Salary (1)

Bonus (2)

All Other Compensation (3)

Total

Long, David; President and Chief Executive Officer

2021

$1,450,000

$4,712,500

$327,815

$6,490,315

Peirce, Christopher; EVP and Chief Financial Officer

2021

$893,269

$2,102,625

$132,888

$3,128,782

Sweeney, Timothy; President, Liberty Mutual

2021

$1,200,077

$3,137,481

$188,966

$4,526,524

Bhalla Johnson, Neeti; EVP and President, Global Risk Solutions

2021

$1,006,539

$3,438,861

$282,350

$4,727,750

Langwell, Dennis; EVP and President, Global Risk Solutions (former)

2021

$1,023,269

$2,020,452

$141,690

$3,185,411

*Effective July 1, 2021, the Company announced an organizational realignment and changes to executive leadership appointments. As a result, Mr. Sweeney and Ms. Bhalla Johnson assumed new executive appointments, and Mr. Langwell assumed an advisory position to support the transition of responsibilities to the new President, Global Risk Solutions in preparation for his retirement. The figures above reflect compensation received for the 2021 calendar year including while they served in their former roles from January – June 30th.

Name and Principal Position

Year

Salary (1)

Bonus (2)

All Other Compensation (3)

Total

Long, David; President and Chief Executive Officer

2020

$1,435,185

$4,550,000

$337,113

$6,322,298

Peirce, Christopher; EVP and Chief Financial Officer

2020

$867,593

$2,039,150

$113,460

$3,020,202

Sweeney, Timothy; EVP and President, Global Retail Markets

2020

$1,124,630

$2,893,440

$165,031

$4,183,101

Bhalla Johnson, Neeti; EVP and Chief Investment Officer

2020

$921,201

$2,919,960

$220,285

$4,061,446

Langwell, Dennis; EVP and President, Global Risk Solutions

2020

$996,111

$2,001,870

$118,914

$3,116,895


Table 1: Compensation Paid to Named Executive Officers 2019 – 2021

Name and Principal Position

Year

Salary (1)

Bonus (2)

All Other Compensation (3)

Total

Long, David; President and Chief Executive Officer

2019

$1,373,077

$6,843,045

$431,087

$8,647,209

Peirce, Christopher; EVP and Chief Financial Officer

2019

$836,539

$2,298,628

$86,742

$3,221,908

Bhalla Johnson, Neeti; EVP and Chief Investment Officer

2019

$886,538

$3,430,366

$198,769

$4,515,674

Sweeney, Timothy; EVP and President, Global Retail Markets

2019

$1,086,538

$2,985,911

$105,922

$4,178,371

Langwell, Dennis; EVP and President, Global Risk Solutions

2019

$961,538

$2,403,507

$124,650

$3,489,696

Table 2: AUs and RUs Awarded 2019-2021

Name and Principal Position

Year

Target Value of
Appreciation Units Awarded (4)

Target Value of
Restricted Units Awarded (5)

Long, David; President and Chief Executive Officer

2021

$9,571,283

$2,392,739

Peirce, Christopher; EVP and Chief Financial Officer

2021

$2,626,713

$656,651

Sweeney, Timothy; President, Liberty Mutual

2021

$4,257,365

$1,992,885

Bhalla Johnson, Neeti; EVP and President. Global Risk Solutions

2021

$3,150,102

$787,591

Langwell, Dennis; EVP and President, Global Risk Solutions (former)

2021

$3,017,594

$ 754,368

Name and Principal Position

Year

Target Value of
Appreciation Units Awarded (4)

Target Value of
Restricted Units Awarded (5)

Long, David; President and Chief Executive Officer

2020

$9,240,502

$2,310,303

Peirce, Christopher; EVP and Chief Financial Officer

2020

$2,552,303

$638,132

Sweeney, Timothy; EVP and President, Global Retail Markets

2020

$3,301,128

$825,334

Bhalla Johnson, Neeti; EVP and Chief Investment Officer

2020

$2,701,613

$675,446

Langwell, Dennis; EVP and President, Global Risk Solutions

2020

$2,926,810

$731,733

Name and Principal Position

Year

Target Value of
Appreciation Units Awarded (4)

Target Value of
Restricted Units Awarded (5)

Long, David; President and Chief Executive Officer

2019

$8,579,926

$2,144,891

Peirce, Christopher; EVP and Chief Financial Officer

2019

$2,400,025

$600,080

Bhalla Johnson, Neeti; EVP and Chief Investment Officer

2019

$2,113,863

$528,584

Sweeney, Timothy; EVP and President, Global Retail Markets

2019

$3,149,988

$787,682

Langwell, Dennis; EVP and President, Global Risk Solutions

2019

$2,774,915

$693,576

Table 3: AUs and RUs Redeemed 2019-2021

Name and Principal Position

Year

Value Realized on AUs Exercised (6)

Value Realized on RUs Redeemed (6)

Long, David; President and Chief Executive Officer

2021

$1,671,113

$1,642,280

Peirce, Christopher; EVP and Chief Financial Officer

2021

$0

$1,166,729

Sweeney, Timothy; President, Liberty Mutual

2021

$1,126,485

$547,209

Bhalla Johnson, Neeti; EVP and President. Global Risk Solutions

2021

$0

$450,796

Langwell, Dennis; EVP and President, Global Risk Solutions (former)

2021

$0

$780,425

Name and Principal Position

Year

Value Realized on AUs Exercised (6)

Value Realized on RUs Redeemed (6)

Long, David; President and Chief Executive Officer

2020

$1,024,718

$1,497,618

Peirce, Christopher; EVP and Chief Financial Officer

2020

$1,041,404

$495,201

Sweeney, Timothy; EVP and President, Global Retail Markets

2020

$1,024,718

$431,957

Bhalla Johnson, Neeti; EVP and Chief Investment Officer

2020

$0

$84,747

Langwell, Dennis; EVP and President, Global Risk Solutions

2020

$4,783,875

$724,540

Name and Principal Position

Year

Value Realized on AUs Exercised (6)

Value Realized on RUs Redeemed (6)

Long, David; President and Chief Executive Officer

2019

$825,000

$1,505,090

Peirce, Christopher; EVP and Chief Financial Officer

2019

$184,114

$114,249

Bhalla Johnson, Neeti; EVP and Chief Investment Officer

2019

$0

$78,829

Sweeney, Timothy; EVP and President, Global Retail Markets

2019

$825,000

$407,590

Langwell, Dennis; EVP and President, Global Risk Solutions

2019

$289,133

$0


Director Compensation 2019 – 2021 (7)

Name and Principal Position

Year

Retainer Fees Earned & Other Compensation

Target Value of RUs Awarded

Francis Doyle; Director

2021

$165,000

$150,157

2020

$168,272

$150,046

2019

$168,272

$150,020

Joseph Hooley; Director

2021

$165,000

$150,157

2020$168,272$150,046

2019

$104,522

$150,020

David H. Long; Chairman and Director

2021

$0

$0

2020

$0

$0

2019

$0

$0

John P. Manning; Director

2021

$157,500

$150,157

2020

$160,772

$150,046

2019

$160,772

$150,020

Thomas May; Director

2021

$165,000

$150,157

2020

$168,272

$150,046

2019

$168,272

$150,020

Myrtle Potter; Director

2021

$178,750

$150,157

2020

$175,866

$150,046

2019

$175,000

$150,020

Nancy Quan; Director

2021

$135,000

$150,157

2020

$135,183

$150,046

2019

$138,698

$150,020

Ellen Rudnick; Director*

2021

$152,000

$150,157

2020

$152,702

$150,046

2019

$152,000

$150,020

Angel Ruiz; Director*

2021

$150,000

$150,157

2020

$153,630

$150,046

2019

$153,630

$150,020

George Serafeim, Director2021$90,000$150,157

Martin Slark; Director

2021

$167,500

$150,157

2020

$164,003

$150,046

2019

$164,003

$150,020

Eric Spiegel; Director

2021

$170,000

$150,157

2020

$173,941

$150,046

2019

$173,399

$150,020

William Van Faasen; Director*

2021

$219,500

$150,157

2020

$212,000

$150,046

2019

$212,000

$150,020

Annette Verschuren; Director**

2021

$225,235

$75,078

2020

$225,023

$75,023

2019

$226,819

$76,819

Anne Waleski; Director2021$30,000$0

*Also redeemed Restricted Units ("RU's")in 2021 according to prior electionswith a value realized of $154,554.

** LVP target award is delivered 50% in RU's and 50% in cash due to Canadian tax treatment, reflected under “Retainer Fees Earned & Other Compensation”.

Footnotes to Compensation Disclosures:

  1. “Salary” reflects actual base salary paid during the calendar year (inclusive of salary deferrals).
  2. “Bonus” includes short-term incentive awards earned for the performance year (i.e. – 2019 fiscal year) immediately prior to payment.
  3. “All Other Compensation” includes matching contributions under the Company’s retirement savings plans (e.g. – 401(k) plan), and the taxable portion, if applicable, of benefits related to personal financial planning and tax preparation services, life insurance premiums, parking, security, business travel or the personal use of corporate aircraft.

    Pension plans provide income for periods of retirement and are structured to reward and retain employees for long service. The Company sponsors a defined benefit pension plan covering substantially all of the Company’s employees (the “LM Retirement Plan”). If the benefit for an eligible individual exceeds the tax-qualified limits, the excess is provided from an un-funded, non-qualified plan (the “Non-Qualified Plan”). Given their level of compensation, the named executive officers are all participants in the Non-Qualified Plan. The formula for determining an employee’s as well as a named executive officer’s annual pension benefit at normal retirement under the Liberty Mutual retirement plans changed effective January 1, 2014 and is now a function of the sum of two distinct formulas.

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    Any benefit due for service through December 31, 2013 is determined under a final average pay formula. The final average pay formula benefit isequal to the sum of a named individual’s 35-year service benefit and an excess service benefit earned for credited service greater than 35years, where:

  • 35Year Service Benefit— The formula for the first 35years of credited service results in a benefit at normal retirement for a named individual based on final average pay. The percentage of final average pay used to determine the benefit for credited service through December 31, 2010 is 54% minus 50% of the Social Security benefit, and for credited service beginning on or after January 1, 2011, 35% minus 35% of the Social Security benefit. The benefit of a participant with less than 35 years of credited service will be reduced on a pro rata basis for each year of credited service less than 35; and
  • Excess Service Benefit— For the first 5years of credited service in excess of 35years, an annual accrual equal to 0.5% of final average pay.

    Final average pay under the Liberty Mutual retirement plans is equal to the average of a named individual’s eligible compensation for the highest five consecutive calendar years during the last ten calendar years of employment (or December 31, 2020, if earlier). Pay increases or decreases after December 31, 2013 and before December 31, 2020 were taken into account in determining the final average pay benefit. Only base salary and short-term incentive compensation were considered eligible compensation for purposes of the final average pay formula. No additional service credit accrued under the final average pay formula after December 31, 2013, and any accrued benefit under this formula has been frozen as of January 1, 2021.

    Effective as of January 1, 2014, a cash balance benefit formula also applies. Under this formula, each participant in the retirement plans will have a notional cash balance account which will be credited with pay credits equal to 5.0 percent per annum of eligible compensation and interest credits based on the 30-Year US Treasury rate for the August immediately preceding a plan year. Compensation taken into account under the final average pay and cash balance formula is the same. The total benefit due under the retirement plans is the sum of the amount due under the final average pay formula and the cash balance formula.

    The Company also sponsors a Section 401(k) plan covering substantially all of the Company’s employees (the “LM 401(k) Plan”) that allows them to set aside eligible pay, subject to a Company match, on a tax advantaged basis. The Non-Qualified Plan also allows participants to elect to set aside eligible pay that is not otherwise allowed for under the Company’s 401(k) Plan due to tax law limits for payment at a fixed future date or beginning at retirement. Certain amounts set aside for savings under the Non-Qualified Plan are also matched by the Company under the same match formula that applies to employees generally under the LM 401(k) Plan. Under both the LM 401(k) Plan and the Non-Qualified Plan, amounts set aside by a participant and the matching contributions, are invested in one or more investment options elected by the participant and account balances are adjusted accordingly for respective investment gains or losses.

  1. The named executive officers were awarded certain amounts of appreciation units (“AUs”) under the Liberty Mutual Executive Partnership Plan (“EPP”) in 2019. Each AU is a bookkeeping entry that entitles the holder to a payment of cash at a later time. An AU has no immediate cash value. Instead, the named executive officer may only become entitled to a later cash payment to the extent that there is an increase in the unit value after the grant date. The increase or decrease in unit value after the grant date is measured based on the change in the Company’s book value. The reported amounts reflect the target AU compensation at the grant date. The target AU compensation is determined based upon reference to market data for executives with similar responsibilities and with companies of similar size and complexity to the Company provided by an independent consultant engaged by the compensation committee of the board. There can be no assurance that the target AU compensation will actually be delivered as the actual amount realized will vary based upon the performance of the Company and the time period the AUs are held prior to exercise. AUs granted under EPP generally vest over a 4-year period in annual increments of 25%. See footnote (6) for additional information concerning AUs.

    Effective January 1, 2020, the Company amended the Liberty Mutual Executive Partnership Plan to a new Liberty Mutual Long-term Value Plan (“LVP”) for future grants of appreciation units. The named executive officers were awarded certain amounts of appreciation units (“AUs”) under the Liberty Mutual Long-term Value Plan (“LVP”) in 2020 and 2021. Similar to AUs granted under EPP, the AU only has cash value to the extent there is an increase in unit value after the grant date, the increase or decrease in unit value after the grant date is measured based on the change in the Company’s book value, and target AU compensation is determined based upon reference to market data for similarly situated executives provided by an independent consultant engaged by the compensation committee of the board. AUs granted under LVP generally vest over a 3-year period in annual increments of 25%, 25% and 50%. See footnote (6) for additional information concerning AUs.

  2. The named executive officers were awarded certain amounts of restricted units (“RUs”) under the Liberty Mutual Executive Partnership Deferred Compensation Plan (“EPDCP”) in 2019. Each RU is a bookkeeping entry that entitles the holder to a payment of cash at a later time. The value of each RUs is based on the Company’s book value. The reported amounts reflect the target RU compensation at the grant date. The target RU compensation is determined based upon reference to market data for executives with similar responsibilities and with companies of similar size and complexity to the Company provided by an independent consultant engaged by the compensation committee of the board. There can be no assurance that the target RU compensation will actually be delivered as the actual amount realized will vary based upon the performance of the Company and the time period the RUs are held prior to redemption RUs generally vest over a 4 -year period in annual increments of 25%. See footnote (6) for additional information concerning RUs.

    Effective January 1, 2020, the Company amended the Liberty Mutual Executive Partnership Deferred Compensation Plan to a new Liberty Mutual Long-term Value Plan (“LVP”) for future grants of restricted units. The named executive officers were awarded certain amounts of restricted units (“RUs”) under the Liberty Mutual Long-term Value Plan (“LVP”) in 2020 and 2021. Similar to RUs granted under EPDCP, an RU grant is a bookkeeping entry that entitles the holder to a payment of cash at a later time, the value of each RUs is based on the Company’s book value, and target RU compensation at the grant date is determined based upon reference to market data for similarly situated executives provided by an independent consultant engaged by the compensation committee of the board. RUs granted under LVP generally vest over a 3-year period in annual increments of 25%, 25% and 50%. See footnote (6) for additional information concerning RUs.

  3. See table entitled “AUs and RUs Redeemed 2019-2021” for additional compensation paid to the named executive officers. This table sets forth the amount of cash proceeds received by the named executive officers from AUs exercised and RUs redeemed from grants previously awarded and vested. AUs are granted with a 10-year term. AUs can be exercised when vested at the personal discretion and timing of the named executive officer, but within a redemption window, which is in the second quarter of the calendar year. AUs that remain unexercised after the 10-year term are automatically redeemed in the redemption window immediately following their expiration date. For RUs granted prior to December 31, 2019, decisions concerning the timing of redemption of RUs are also at the personal discretion of the named executive officer and must be made prior to the grant and redemption is deferred to either (a) a fixed date beyond the vesting period or (b) upon retirement. For RUs granted after January 1, 2020, the timing of redemption of RUs are not at the personal discretion of the named executive officer, instead they are automatically redeemed following the third anniversary of the grant date. See footnotes (4) and (5) for additional information concerning AUs and RUs.
  4. Non-executive directors receive an annual retainer, payable on a quarterly basis. Non-executive directors also receive annual retainers, payable on a quarterly basis, if applicable, (a) for serving as a member of separate committees of the board, (b) for serving as a chairman of such committees, or (c) for serving as lead director. Non-executive directors receive additional items, the economic value of which is included in the above disclosure table, including (a) certain business travel benefits, and (b) subject to satisfaction of specific terms and conditions, deferred compensation in the form of RUs limited in time and scope pursuant to the Liberty Mutual Director Long-term Value Plan (Director LVP). RUs that were granted to non-executive directors prior to 2020 were fully vested at grant and are redeemable only subsequent to termination of their board service. Effective January 1, 2019, RUs granted under Director LVP vest on the first anniversary of the grant date and non-executive directors who meet predetermined ownership guidelines can elect prior to the grant to redeem vested RUs either (a) following the 1-year or the 5-year anniversary of the vesting period or (b) upon termination of board service. “Values Realized on RU’s Redeemed” sets forth the amount of cash proceeds received by the non-executive directors from AUs exercised and RUs redeemed from grants previously awarded and vested. Mr. Long as an executive of the Company does not receive any additional compensation for serving as chairman and a director. Only non-executive directors receive compensation for their director services.

FAQs

What is the 98 offer method? ›

A: The 98% Offer Method is an “Option to Report without Separate Certification of FT Employees“. Employers that offer affordable, minimum value coverage to at least 98% of employees (and dependents) included on the report may certify the offering without identifying which employees are full time.

What is the 95% rule ACA? ›

Employer mandate overview. Generally, employers must offer health insurance that is affordable and provides minimum value to 95% of their full-time employees and their children up to the end of the month in which they turn age 26, or be subject to penalties. This is known as the employer mandate.

What is the qualifying offer method for ACA? ›

The Qualifying Offer method allows an employer to complete the Form 1095-C under simplified rules and to furnish to certain full-time employees a document other than the Form 1095-C.

What is an ale member? ›

An applicable large employer (ALE) is an employer with an average of at least 50 full-time employees. An applicable large employer may be a single entity or may consist of a group of related entities. If there is a group of related entities, these are referred to as ALE members.

How does the IRS know if you have health insurance? ›

They will simply check a box on their return to indicate that everyone listed on the front of the return has qualifying health care coverage for the entire year. Some taxpayers will have to file a Form 8965PDF to claim an exemption from the requirement to have health care coverage.

What is 4980H safe harbor? ›

Section 4980H affordability Form W-2 safe harbor.

Employer offered coverage affordable under the Form W-2 safe harbor, but the employee did not enroll. If used for an employee, the employer must use it for all months in which the employer offered the employee coverage.

What is the 80/20 rule ACA? ›

The 80/20 Rule generally requires insurance companies to spend at least 80% of the money they take in from premiums on health care costs and quality improvement activities. The other 20% can go to administrative, overhead, and marketing costs. The 80/20 rule is sometimes known as Medical Loss Ratio, or MLR.

What happens if you underestimate your income for ACA? ›

You'll make additional payments on your taxes if you underestimated your income, but still fall within range. Fortunately, subsidy clawback limits apply in 2022 if you got extra subsidies. in 2021 However, your liability is capped between 100% and 400% of the FPL. This cap ranges from $650 to $2,700 based on income.

What is the ACA 130 hour rule? ›

Definition of Full-Time Employee

For purposes of the employer shared responsibility provisions, a full-time employee is, for a calendar month, an employee employed on average at least 30 hours of service per week, or 130 hours of service per month.

How is ACA affordability 2023 calculated? ›

This safe harbor assesses the affordability percentage (9.12% for 2023) based on the rate of pay for hourly full-time employees (0.0912 x hourly rate of pay as of the first day of coverage x 130 hours) and salaried full-time employees (0.0912 x monthly salary).

What is 98% offer method 1094 C? ›

98% Offer Method

It's available for employers offering affordable coverage and providing minimum value to at least 98% of the company's full-time employees and their dependents. The ALE member must certify to the IRS that they met the above requirements.

What is the ACA affordability percentage for 2023? ›

While the affordability requirement for 2022 was 9.61%, the IRS lowered it to 9.12% for 2023. That means employees are expected to contribute even less to their health coverage than before in order for an employer-sponsored plan to be considered affordable.

What is ale example? ›

The annualized rate of occurrence, or ARO, refers to the estimated number of times this threat or risk occurs during a one-year period. ARO typically appears as a percentage value. For example, a complete ALE formula may look like this: ALE = 12,000 \ 0.5. You can then find the ALE by performing that calculation.

How do you count employees for ale? ›

To determine its workforce size for a year an employer adds its total number of full-time employees for each month of the prior calendar year to the total number of full-time equivalent employees for each calendar month of the prior calendar year and divides that total number by 12.

How do you explain ale? ›

ale, fermented malt beverage, full-bodied and somewhat bitter, with strong flavour and aroma of hops. Popular in England, where the term is now synonymous with beer, ale was until the late 17th century an unhopped brew of yeast, water, and malt, beer being the same brew with hops added.

Does IRS still penalize for no health insurance? ›

If you had no health coverage

If you didn't have coverage during 2022, the fee no longer applies. This means you don't need an exemption in order to avoid the penalty.

What can trigger an IRS audit? ›

  • Digital asset transactions. ...
  • Covid-19-related withdrawals from retirement accounts. ...
  • IRS matching program. ...
  • Profit or loss from business. ...
  • Gig work and side hustles. ...
  • Home office deduction. ...
  • Claiming a hobby as a business. ...
  • Cash-based businesses.
Feb 7, 2023

What is the IRS penalty for not having health insurance? ›

The penalty for not having coverage the entire year will be at least $850 per adult and $425 per dependent child under 18 in the household when you file your 2022 state income tax return in 2023.

What is the difference between 4980H A and 4980H B? ›

Unlike the 4980H(a) penalty the 4980H(b) penalty is assessed on a per violation basis. The 4980H(b) penalty is assessed when an employer offers its full-time employees coverage that was either unaffordable, not Minimum Value, or both, AND had one of the employees receive a PTC from a state or federal health exchange.

Who is eligible for Section 4980H? ›

Section 4980H applies to applicable large employers (generally, employers who employed at least 50 full-time employees, including full-time equivalent employees, on business days during the preceding calendar year).

What is 4980H a penalty? ›

An applicable large employer that fails to offer minimum essential coverage to 95% of full-time employees (Section 4980H(a) penalty): 2023 penalty is $2,880 per full-time employee if only one full-time employee receives subsidized coverage through the Exchange or Marketplace, a 4.7% increase from the $2,750 amount for ...

What is the difference between 90 10 and 80 20 health insurance? ›

In many cases a policy will have a 90/10 or 80/20 split. This means that if you had services rendered that are subject to coinsurance, your insurance company would pay 90% of the bill, and you pay 10% (90/10) or your insurance company would pay 80% of a bill and you pay 20% (80/20).

Does Medicare pay 80%? ›

Medicare Part B pays 80% of the cost for most outpatient care and services, and you pay 20%. For 2023, the standard monthly Part B premium is $164.90.

What is ACA max out of pocket? ›

The most you have to pay for covered services in a plan year. After you spend this amount on deductibles, copayments, and coinsurance for in-network care and services, your health plan pays 100% of the costs of covered benefits. The amount you pay for your health insurance every month.

How do I avoid paying back my ACA subsidy? ›

You can avoid having to repay your ACA subsidies by letting your health exchange know about any changes in your income or family composition during the year. This way, your subsidies can be adjusted during the year to reflect your actual income.

Why do people disagree with the Affordable Care Act? ›

Conservatives objected to the tax increases and higher insurance premiums needed to pay for Obamacare. Some people in the healthcare industry are critical of the additional workload and costs placed on medical providers. They also think it may have negative effects on the quality of care.

What is the lowest income to qualify for ACA? ›

This means an eligible single person can earn from $13,590 to $54,360 in 2022 and qualify for the tax credit. (Federal poverty levels for 2023 were not available at publication time, but the federal government's link will be updated.) A family of three would qualify with income from $23,030 to $92,120 in 2022.

Does PTO count as hours worked for ACA? ›

Hours of service include hours worked, and hours for which an employee is paid but does not work, such as vacation, holiday, illness or disability, jury duty, military duty, or leave of absence (up to a maximum of 160 hours for any continuous period).

How many hours is full-time for ACA? ›

What is considered a “full-time” employee under California Law? With the introduction of the Affordable Care Act came along the new “full-time” employee—or one who works at least 30 hours a week or at least 130 hours a month.

Is ACA based on gross or net income? ›

Under the Affordable Care Act, eligibility for income-based Medicaid and subsidized health insurance through the Marketplaces is calculated using a household's Modified Adjusted Gross Income (MAGI).

What are the ACA requirements for 2023? ›

When it comes to the ACA, affordability is determined by a percentage of income threshold. In 2022, for coverage to be considered affordable it must cost no more than 9.61 percent of an employee's annual salary. In 2023, that number will change to 9.12 percent.

What is family glitch in ACA? ›

The “Family Glitch” is a hole in the Affordable Care Act that affects low to moderate income families to not qualify for premium assistance on the health exchange. This is due to the rules that determine the “affordability” of employer offered health insurance.

What is the difference between 1094b and 1094c? ›

1094-B vs. 1094-C: If you provide fully-insured health coverage to your employees, no matter the size of your business, 1094-B will be completed for you by your carrier. Form 1094-C is a requirement for Applicable Large Employers (ALE), or those with 50 or more full-time equivalent employees.

What is the difference between 1094-C and 1095-C? ›

The main difference between them is that the 1095-C provides information about health insurance and is sent to both employees and the IRS, while the 1094-C acts as a cover sheet about the 1095-C and is sent only to the IRS.

What is the penalty for not filing 1094-C? ›

Penalties for Not Filing or Incorrectly Filing Forms 1094/1095-C. As of 2022, the penalty for failing to file an informational return is $280 per return, up to $3.426 million per business. Failure to provide a correct payee statement is also $280 per statement and can be up to $3.426 million per employer.

How is ACA changing 2023? ›

Premiums for ACA Marketplace benchmark silver plans are increasing on average across the U.S. in 2023 after four years of slight declines. However, premium changes vary by location and by metal level, with premiums decreasing in some cases.

Will there be healthcare subsidies in 2023? ›

But as of 2021 — and through at least 2025 — the state-based premium subsidies are no longer necessary.

How is ale determined? ›

Employers must determine their ALE status each calendar year based on the average size of your workforce during the prior year. Employers that had at least 50 full-time employees, including full-time equivalent employees, on average last year, are most likely an ALE for the current year.

How can you tell an ale? ›

All beer is either an ale or a lager (or hybrid). This is not determined by color, flavor or alcohol strength, but by the fermentation technique and yeast used in brewing. The only detectable difference between and ale or a lager is the presence of esters in ale.

What is the most common ale? ›

India pale ale (IPA) is the most popular craft beer style today.

How do I calculate how many staff I need? ›

Step 1: Number of rooms multiplied by number of hours per day multiplied by number of days per week = total hours to be staffed per week. Step 2: Total hours per week multiplied by number of people per room = total working hours per week. Step 3: Total working hours/week divided by 40 hours worked/week = basic FTE.

What is included in total employee count for ALE member? ›

An ALE Member is generally an employer with 50 or more full-time or full-time equivalent employees in the previous year. An Aggregated ALE Group is a group of employers that, combined, employed 50 or more full-time or full-time equivalent employees in the previous year on average.

How do you count employees? ›

Usually, a worker can be counted as an "employee" if s/he has worked for the employer for at least twenty calendar weeks (in this year or last). That means some part-time workers can be covered as employees to show the employer is covered by the laws we enforce.

Why is it called an ale? ›

Ale is a type of beer brewed using a warm fermentation method, resulting in a sweet, full-bodied and fruity taste. Historically, the term referred to a drink brewed without hops.

What does ale stand for in accounting? ›

In calculating risk, there are two general formulas that are used: SLE (single loss expectancy) and ALE (annualized loss expectancy).

What is ale and how is it made? ›

Ales are created through top fermentation, a process in which yeast ferments at warmer temperatures and settles at the top of the beer. Yeast used to make lager tends to settle at the bottom of the beer, and the fermenting process is longer and takes place under cooler temperatures.

What is the ACA maximum out of pocket? ›

The deductible must be at least as high as the IRS-required minimum family deductible ($2,800 in 2021 and 2022). The deductible cannot exceed the ACA individual OOP maximum ($8,550 in 2021 and $8,700 for 2022).

Does the ACA eliminate lifetime limits? ›

The health care law stops insurance companies from limiting yearly or lifetime coverage expenses for essential health benefits.

Does ACA require an out of pocket maximum? ›

The out-of-pocket limit for Marketplace plans varies, but can't go over a set amount each year. For the 2023 plan year: The out-of-pocket limit for a Marketplace plan can't be more than $9,100 for an individual and $18,200 for a family.

What is the ACA limit? ›

This means an eligible single person can earn from $13,590 to $54,360 in 2022 and qualify for the tax credit. (Federal poverty levels for 2023 were not available at publication time, but the federal government's link will be updated.) A family of three would qualify with income from $23,030 to $92,120 in 2022.

What happens if I meet my out-of-pocket maximum before my deductible? ›

The difference between the two can be thought of as a matter of scale. Hit your deductible and your insurance starts to pay, helping you pay the partial or full cost of covered services. Hit your out-of-pocket max and your insurance will then pay the total cost for all covered services.

Is it better to have a low deductible or low out-of-pocket? ›

Low deductibles usually mean higher monthly bills, but you'll get the cost-sharing benefits sooner. High deductibles can be a good choice for healthy people who don't expect significant medical bills. A low out-of-pocket maximum gives you the most protection from major medical expenses.

Do copays count towards deductible? ›

Do copays count toward deductibles? Copayments generally don't contribute towards reaching your deductible. Some insurance plans won't charge a copay until after your deductible is met. (Once that happens, your provider may charge a copay as well as coinsurance, which is another out-of-pocket expense.)

What happens when you reach your lifetime maximum? ›

After a lifetime limit is reached, the insurance plan will no longer pay for covered services.

Can I stay on ACA instead of Medicare? ›

People who don't qualify for premium-free Medicare Part A can opt to keep their ACA marketplace health insurance rather than sign up for Medicare at age 65. You'll continue to receive subsidies to help pay the premiums, but they end when you enroll in Medicare.

Can insurance refuse to cover pre existing conditions? ›

Under the Affordable Care Act, health insurance companies can't refuse to cover you or charge you more just because you have a “pre-existing condition” — that is, a health problem you had before the date that new health coverage starts.

Why is my out-of-pocket max so high? ›

Why is an out-of-pocket max higher than a deductible? An out-of-pocket maximum is higher than a health insurance deductible because it's the most you'll pay for in-network health care services in a year. A deductible is your portion of health care costs before a health insurance company kicks in money for care.

What is the maximum out-of-pocket for 2023 ACA? ›

The maximum allowable out-of-pocket limit will increase from $8,700 in 2022 to $9,100 in 2023. Consumers will want to actively shop for plans to evaluate out-of-pocket cost changes in their plan.

What are examples of out-of-pocket medical expenses? ›

Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.

How can I avoid paying back my premium tax credit? ›

The easiest way to avoid having to repay a credit is to update the marketplace when you have any life changes. Life changes influence your estimated household income, your family size, and your credit amount. So, the sooner you can update the marketplace, the better. This ensures you receive the correct amount.

What is minimum value for ACA? ›

A health plan meets the minimum value standard if both of these apply: It's designed to pay at least 60% of the total cost of medical services for a standard population.

How can I reduce my Magi for ACA? ›

If you have an HSA-qualified high-deductible health plan (HDHP), contributing to an HSA (health savings account) will also lower your MAGI. The maximum contribution amount in 2022 is $3,650 if your HDHP covers just yourself, and $7,300 if it also covers at least one other family member.

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