IRS Letter 5699 or 226-J? Here’s How to Protect Your Business from ACA Penalties


Glenn R. Davidow / Article / 


The Internal Revenue Service (IRS) has intensified its enforcement of the Affordable Care Act (ACA) for the 2023 tax year, issuing Letters 5699 and 226-J to employers with potential reporting discrepancies or compliance issues. Understanding these notices, their implications, and the appropriate responses is crucial to minimizing financial and legal risks.​

Key Differences Between IRS Letters 5699 and 226-J

Aspect

IRS Letter 5699

IRS Letter 226-J

Purpose

A preliminary inquiry alerting employers to inconsistencies in ACA reporting, such as missing or mismatched Forms 1094-C and 1095-C.

A formal penalty notice proposing fines for ACA violations, such as failing to offer affordable, minimum-value health coverage to full-time employees.

Action Required

Employers have 30 days to submit corrected forms or documentation proving compliance.

Employers have 30 days to either pay the penalty, request an abatement, or appeal.

Next Steps

If unresolved, the IRS may escalate the case to a penalty assessment (Letter 226-J).

Penalties are calculated per employee, per month. For 2023, penalties can exceed $2,880 annually per employee under Section 4980H(a) or (b).

 

Why Timely Action Matters for 2023 ACA Penalties

The IRS has prioritized ACA compliance under recent legislative changes, leading to stricter audits for 2023 filings. Delaying a response can result in:​

  • Increased Penalties: Unpaid fines accrue monthly interest and failure-to-pay fees.​
  • Loss of Appeal Rights: Missing the 30-day deadline forfeits opportunities to contest the penalty.​
  • Operational Disruptions: Unresolved penalties may trigger additional IRS scrutiny or audits.​

How to Address IRS Letters 5699 and 226-J

For IRS Letter 5699:

  1. Review the Notice: Identify discrepancies in employee counts, coverage offers, or affordability calculations.​
  2. Gather Documentation: Collect corrected Forms 1095-C/1094-C, proof of coverage, and affordability calculations.​
  3. Submit a Response: Provide evidence to refute the IRS claims or correct errors by the deadline.​

For IRS Letter 226-J:

  1. Audit the IRS Calculations: Verify the accuracy of employee counts, penalty amounts, and violation periods.​
  2. Identify Dispute Grounds: Common defenses include errors in IRS data, eligibility for transition relief, or affordability safe harbors.​
  3. Submit an Appeal or Abatement Request: File the appropriate forms with supporting evidence.​

Strategies to Reduce or Eliminate ACA Penalties

Employers can often mitigate penalties by:

  • Correcting Reporting Errors: Resubmitting accurate Forms 1095-C/1094-C for Letter 5699 cases.​
  • Leveraging Safe Harbors: Using the W-2, Rate-of-Pay, or Federal Poverty Line (FPL) methods to prove affordability.​
  • Negotiating Abatements: Demonstrating reasonable cause to reduce fines.​

Professional assistance is recommended for complex cases, such as disputes over full-time employee classifications or multi-year penalties.​

Deadlines and Next Steps

  • Letter 5699: Respond within 30 days to avoid escalation.​
  • Letter 226-J: Pay, appeal, or request abatement within 30 days to prevent penalties from becoming final.​

How ACA Compliance Solution Services Can Assist

If you've received a penalty notice from the IRS, don't wait! ACA Compliance Solution Services specializes in reducing or even eliminating these costly penalties through our Penalty Reduction Service.​

  • Fast & Effective Solutions: Our team works swiftly to address IRS notices, ensuring minimal disruption to your operations.​
  • Cost-Effective: We aim to significantly reduce or eliminate penalties, saving your organization substantial amounts.​
  • Expert Guidance: With extensive experience in ACA compliance, we provide the expertise necessary to navigate complex IRS communications.​

Time is running out! Contact us now for immediate assistance.