The Patient Protection and Affordable Care Act (PPACA) mandate that will require employers with more than 50 full-time employees to provide health coverage for those employees or pay a penalty that can reach $3,000 per employee has many small business clients scrambling to plan for years ahead. Because independent contractors are not counted toward the 50-employee limit, some small business clients may be tempted to reclassify common law employees as independent contractors to avoid the mandate.
Unfortunately, the IRS and Department of Labor have caught on to this trick, and scrutiny over worker classification has never been more thorough. This heightened scrutiny is raising the stakes for small business clients — getting it wrong could subject these clients to substantial tax liability, as well a large employer status under the PPACA — and the accompanying penalties.
See also: State-based exchange status map
Repercussions of PPACA large employer status
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Under the PPACA, only those employers with 50 or more full-time employees are subject to the so-called “employer mandate,” which requires the employer to provide employees with health insurance that meets certain minimum coverage requirements or pay a penalty. While the mandate has been delayed until 2015, small business clients should begin planning now to determine whether they will cross the threshold.
In general, a full-time employee means a common law employee who works (on average) 30 or more hours per week for a one-month measuring period. Employers are permitted to exclude seasonal employees who work fewer than 120 days per year from the calculation. As previously noted, independent contractors are excluded from the calculation as well.
In addition to retroactive liability for employment taxes for misclassified workers, which alone can be a crushing expense for a small employer, if the IRS requires an employer to reclassify employees so that the employer crosses the 50-employee threshold, failing to offer health coverage will subject the employer to a $2,000 per-employee penalty. This penalty kicks in if the employer fails to offer coverage to 95 percent of all full-time employees and even one employee obtains insurance coverage independently through an exchange and is eligible for a government subsidy.