In the King v. Burwell case, the Supreme Court ruled on June 25, 2015 to uphold federal tax subsidies. The case challenged the legality of health insurance tax subsidies provided to low and middle-income people in the 34 states where the federal government is operating the public exchange under the Patient Protection and Affordable Care Act (ACA). Since the Supreme Court ruled in favor of federal tax subsidies, nothing has changed for employers. Applicable large employers still have to make offers of ACA compliant insurance coverage, track and aggregate employee hours for accurate eligibility determinations, and adhere to the tedious and complex government reporting regulations.

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