80_FR_10371 80 FR 10333 - Health Insurance Providers Fee

80 FR 10333 - Health Insurance Providers Fee

DEPARTMENT OF THE TREASURY
Internal Revenue Service

Federal Register Volume 80, Issue 38 (February 26, 2015)

Page Range10333-10335
FR Document2015-03944

This document contains temporary regulations that provide rules for the definition of a covered entity for purposes of the fee imposed by section 9010 of the Patient Protection and Affordable Care Act, as amended. The temporary regulations are necessary to clarify certain terms in section 9010. The temporary regulations affect persons engaged in the business of providing health insurance for United States health risks. The text of the temporary regulations also serves as the text of the proposed regulations (REG-143416-14) published in the Proposed Rules section in this issue of the Federal Register.

Federal Register, Volume 80 Issue 38 (Thursday, February 26, 2015)
[Federal Register Volume 80, Number 38 (Thursday, February 26, 2015)]
[Rules and Regulations]
[Pages 10333-10335]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-03944]


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DEPARTMENT OF THE TREASURY

Internal Revenue Service

26 CFR Part 57

[TD 9711]
RIN 1545-BM52


Health Insurance Providers Fee

AGENCY: Internal Revenue Service (IRS), Treasury.

ACTION: Final and temporary regulations.

-----------------------------------------------------------------------

SUMMARY: This document contains temporary regulations that provide 
rules for the definition of a covered entity for purposes of the fee 
imposed by section 9010 of the Patient Protection and Affordable Care 
Act, as amended. The temporary regulations are necessary to clarify 
certain terms in section 9010. The temporary regulations affect persons 
engaged in the business of providing health insurance for United States 
health risks. The text of the temporary regulations also serves as the 
text of the proposed regulations (REG-143416-14) published in the 
Proposed Rules section in this issue of the Federal Register.

DATES: Effective Date: These regulations are effective on February 26, 
2015.
    Applicability Date: For dates of applicability, see Sec. Sec.  
57.10 and 57.10T.

FOR FURTHER INFORMATION CONTACT: Rachel S. Smith, (202) 317-6855 (not a 
toll-free number).

SUPPLEMENTARY INFORMATION: 

Background

    Section 9010 of the Patient Protection and Affordable Care Act 
(PPACA), Public Law 111-148 (124 Stat. 119 (2010)), as amended by 
section 10905 of PPACA, and as further amended by section 1406 of the 
Health Care and Education Reconciliation Act of 2010, Public Law 111-
152 (124 Stat. 1029 (2010)) (collectively, the Affordable Care Act or 
ACA) imposes an annual fee on covered entities that provide health 
insurance for United States health risks. All references in this 
preamble to section 9010 are references to the ACA. Section 9010 did 
not amend the Internal Revenue Code (Code) but contains cross-
references to specified Code sections. Unless otherwise indicated, all 
other references to subtitles, chapters, subchapters, and sections in 
this preamble are references to subtitles, chapters, subchapters, and 
sections in the Code and related regulations. All references to ``fee'' 
in this preamble are references to the fee imposed by section 9010.
    On November 27, 2013, the Treasury Department and the IRS issued 
the Health Insurance Providers Fee regulations as final regulations (TD 
9643). On August 12, 2014, the Treasury Department and the IRS issued 
Notice 2014-47, 2014-35 IRB 522, to provide further guidance for the 
2014 fee year on the definition of a covered entity. The temporary 
regulations provide further guidance on the definition of a covered 
entity for the 2015 fee year and subsequent fee years.

General Overview

    Section 9010(a) imposes an annual fee on each covered entity 
engaged in the business of providing health insurance. The fee is due 
by the annual date specified by the Secretary, but in no event later 
than September 30th of each calendar year in which a fee must be paid 
(fee year).
    Section 9010(b) requires the Secretary to determine the annual fee 
for each covered entity based on the ratio of the covered entity's net 
premiums written for health insurance for any United States health risk 
that are taken into account for the calendar year immediately before 
the fee year (data year) to the aggregate net premiums written for 
health insurance of United States health risks of all covered entities 
that are taken into account during the data year. In calculating the 
fee, the Secretary must determine each covered entity's net premiums 
written for United States health risks based on reports submitted to 
the Secretary by the covered entity and through the use of any other 
source of information available to the Secretary.
    Section 9010(c)(1) defines a covered entity as any entity that 
provides health insurance for any United States health risk during each 
fee year. Section 9010(c)(2) excludes the following entities from being 
covered entities: (A) Any employer to the extent that the employer 
self-insures its employees' health risks; (B) any governmental entity; 
(C) any entity (i) that is incorporated as a nonprofit corporation 
under a State law, (ii) no part of the net earnings of which inures to 
the benefit of any private shareholder or individual, no substantial 
part of the activities of which is carrying on propaganda, or otherwise 
attempting, to influence legislation (except as otherwise provided in 
section 501(h)), and which does not participate in, or intervene in, 
any political campaign on behalf of (or in opposition to) any candidate 
for public office, and (iii) more than 80 percent of the gross revenues 
of which is received from government programs that target low income, 
elderly, or disabled populations under titles XVIII, XIX, and XXI of 
the Social Security Act; and (D) any entity that is described in 
section 501(c)(9) (a voluntary employees' beneficiary association 
(VEBA)) and is established by an entity (other than by an employer or 
employers) for purposes of providing health care benefits.
    Section 9010(c)(3)(A) provides a controlled group rule under which 
all persons treated as a single employer under section 52(a) or (b) or 
section 414(m) or (o) are treated as a single covered entity. Section 
9010(c)(4) provides that, if more than one person is liable to pay the 
fee on a single covered entity by reason of the application of the 
controlled group rule, then all such persons are jointly and severally 
liable for payment of the fee.
    Section 57.2(c)(1) of the Health Insurance Providers Fee 
regulations defines the term controlled group to mean a group of two or 
more persons, including at least one person that is a covered entity, 
that is treated as a single employer under section 52(a), 52(b), 
414(m), or 414(o). Section 57.2(c)(3)(ii) further provides that a 
person is treated as being a member of the controlled group if it is a 
member of the group at the end of the day on December 31st of the data 
year.

Explanation of Provisions

    Following the publication of the final regulations in TD 9643, the 
Treasury Department and the IRS received questions about how to apply 
the exclusions under section 9010(c)(2) to the general definition of a 
covered entity. The Treasury Department and the IRS also received 
questions about whether covered entities must report information on net 
premiums written for certain members of a controlled group. Notice 
2014-47 was subsequently issued to resolve those questions for the 2014 
fee year. The temporary regulations adopt the general approach of 
Notice 2014-47 to resolve those questions for the 2015 fee year and 
each subsequent fee year.

Application of Exclusions Under Section 9010(c)(2)

    Notice 2014-47 provided that, for the 2014 fee year, the Treasury 
Department and the IRS would not treat any entity as a covered entity 
if it would be

[[Page 10334]]

excluded from the definition of a covered entity because it qualified 
for one of the exclusions under section 9010(c)(2) either for the 
entire 2013 data year or for the entire 2014 fee year, which began on 
January 1, 2014. As described later in this preamble, the controlled 
group rules under section 9010(c)(3)(A) and Sec.  57.2(c)(1) do not 
apply for the limited purpose of determining whether an entity 
qualifies for an exclusion under section 9010(c)(2). Notice 2014-47 
further provided that the entity should not report its net premiums 
written for the 2013 data year because the Treasury Department and the 
IRS would not treat such an entity as a covered entity.
    The temporary regulations amend the rules in the existing Health 
Insurance Providers Fee regulations to incorporate the general approach 
in Notice 2014-47. Specifically, the temporary regulations provide 
that, for the 2015 fee year and each subsequent fee year, an entity 
qualifies for an exclusion under section 9010(c)(2) if it qualifies for 
an exclusion either for the entire data year ending on the prior 
December 31st or for the entire fee year beginning on January 1st. An 
entity that qualifies for an exclusion under this rule is not a covered 
entity for that fee year and must not report its net premiums written.
    The temporary regulations also impose two additional requirements. 
First, the temporary regulations generally impose a consistency 
requirement that binds an entity to its original selection of either 
the data year or the fee year (its test year) to determine whether it 
qualifies for an exclusion under section 9010(c)(2) for the 2015 fee 
year and each subsequent fee year. For example, if an entity selects 
the 2014 data year as its test year for the 2015 fee year, it must use 
the data year as its test year for the 2016 fee year and each 
subsequent fee year.
    Second, the temporary regulations impose a special rule for an 
entity that uses the fee year as its test year. A special rule is 
important in this context because the fee is due by September 30th of 
the fee year, and it may not be clear until the end of the fee year 
whether an entity will in fact qualify for an exclusion. If an entity 
using the fee year as its test year does not report its net premiums 
written because it expects to qualify for an exclusion under section 
9010(c)(2), but the entity ultimately does not qualify for an 
exclusion, the temporary regulations require the entity to use the data 
year as its test year in all subsequent fee years. In this 
circumstance, the entity will necessarily be a covered entity that is 
required to report its net premiums written for the immediately 
following fee year. In addition, an entity that does not timely file a 
report in a fee year, and that is a covered entity for that fee year 
because it does not qualify for an exclusion, may be subject to 
penalties, including the failure to report penalty under section 
9010(g)(2).
    For example, assume that for the 2015 fee year an entity used the 
fee year as its test year and reasonably expected to qualify for the 
section 9010(c)(2)(C) exclusion for that fee year. As a result, the 
entity did not report its net premiums written and it was not treated 
as a covered entity for purposes of the 2015 fee calculation. Further 
assume that as of December 31, 2015, the entity did not satisfy the 80 
percent minimum gross revenues requirement of section 
9010(c)(2)(C)(iii) and therefore did not qualify for this or any other 
exclusion under section 9010(c)(2) for the 2015 fee year. Under the 
temporary regulations, this entity must use the data year for each 
subsequent fee year to determine whether it qualifies for an exclusion 
under section 9010(c)(2). Thus, for the 2016 fee year, because this 
entity must determine its eligibility for an exclusion based on the 
2015 data year, it would not be eligible for an exclusion under section 
9010(c)(2) for the 2016 fee year and must submit a report in that year. 
This entity must also use the data year as its test year for the 2017 
fee year and each subsequent fee year.
    The Treasury Department and the IRS request comments regarding 
whether there are any circumstances in which an entity should be 
permitted by the IRS to change its test year, and if so, what 
conditions and limitations should apply to any such change.

Reporting for Controlled Group Members

    Notice 2014-47 provided that a controlled group must report net 
premiums written only for each person who is a controlled group member 
at the end of the day on December 31st of the data year and who would 
qualify as a covered entity in the fee year if it were a single-person 
covered entity (that is, not a member of a controlled group). The 
temporary regulations incorporate this rule for the 2015 fee year and 
each subsequent fee year. Therefore, a controlled group must not report 
net premiums written for any controlled group member who would fail to 
be a covered entity in the fee year if it were not a member of a 
controlled group. Although that person's net premiums written are not 
taken into account, it remains a member of the controlled group and is 
jointly and severally liable for the fee amount allocated to the 
controlled group.

Special Analyses

    It has been determined that this Treasury decision is not a 
significant regulatory action as defined in Executive Order 12866, as 
supplemented by Executive Order 13563. Therefore, a regulatory 
assessment is not required. It has also been determined that section 
553(b) of the Administrative Procedure Act (5 U.S.C. chapter 5) does 
not apply to these regulations, and because these regulations do not 
impose a collection of information on small entities, the Regulatory 
Flexibility Act (5 U.S.C. chapter 6) does not apply. Pursuant to 
section 7805(f) of the Code, these temporary regulations have been 
submitted to the Chief Counsel for Advocacy of the Small Business 
Administration for comment on its impact on small businesses.

Drafting Information

    The principal author of these regulations is Rachel S. Smith, IRS 
Office of the Associate Chief Counsel (Passthroughs and Special 
Industries). However, other personnel from the Treasury Department and 
the IRS participated in their development.

List of Subjects in 26 CFR Part 57

    Health Insurance, Reporting and recordkeeping requirements.

Adoption of Amendments to the Regulations

    Accordingly, 26 CFR part 57 is amended as follows:

PART 57--HEALTH INSURANCE PROVIDERS FEE

0
Paragraph 1. The authority citation for part 57 continues to read in 
part as follows:

    Authority:  26 U.S.C. 7805; sec. 9010, Public Law 111-148 (124 
Stat. 119 (2010)).

* * * * *

0
Par. 2. Section 57.2 is amended by:
0
1. Redesignating paragraph (b)(3) as paragraph (b)(4).
0
2. Adding paragraph (b)(3).
0
3. Revising paragraph (c)(3)(ii).
    The addition and revision read as follows:


Sec.  57.2  Explanation of terms.

* * * * *
    (b) * * *
    (3) [Reserved]. For further guidance, see Sec.  57.2T(b)(3).
* * * * *
    (c) * * *

[[Page 10335]]

    (3) * * *
    (ii) [Reserved]. For further guidance see Sec.  57.2T(c)(3)(ii).
* * * * *

0
Par. 3. Section 57.2T is added to read as follows:


Sec.  57.2T  Explanation of terms (temporary).

    (a) through (b)(2) [Reserved]. For further guidance, see Sec.  
57.2(a) through (b)(2).
    (3) Application of exclusions--(i) Test year. An entity qualifies 
for an exclusion described in Sec.  57.2(b)(2)(i) through (iv) if it so 
qualifies in its test year. The term test year means either the entire 
data year or the entire fee year.
    (ii) Consistency rule. For purposes of paragraph (b)(3)(i) of this 
section, an entity must use the same test year as it used in its first 
fee year beginning after December 31, 2014, and in each subsequent fee 
year. Thus, for example, if an entity used the 2014 data year as its 
test year for the 2015 fee year, that entity must use the data year as 
its test year for each subsequent fee year.
    (iii) Special rule for fee year as test year. For purposes of 
paragraph (b)(3) of this section, any entity that uses the fee year as 
its test year but ultimately does not qualify for an exclusion 
described in Sec.  57.2(b)(2)(i) through (iv) for that entire fee year 
must use the data year as its test year for each subsequent fee year.
    (b)(4) through (c)(3)(i) [Reserved]. For further guidance, see 
Sec.  57.2(b)(4) through (c)(3)(i).
    (ii) A person is treated as being a member of the controlled group 
if it is a member of the group at the end of the day on December 31st 
of the data year. However, a person's net premiums written are included 
in net premiums written for the controlled group only if the person 
would qualify as a covered entity in the fee year if the person were 
not a member of the controlled group.
    (d) through (n) [Reserved]. For further guidance, see Sec.  52.7(d) 
through (n).

0
Par. 4. Section 57.10 is revised to read as follows:


Sec.  57.10  Effective/applicability date.

    (a) In general. Except as provided in paragraph (b), Sec. Sec.  
57.1 through 57.9 apply to any fee that is due on or after September 
30, 2014.
    (b) [Reserved]. For further guidance, see Sec.  57.10T(b).

0
Par. 5. Section 57.10T is added to read as follows:


Sec.  57.10T  Effective/applicability date (temporary).

    (a) [Reserved]. For further guidance, see Sec.  57.10(a).
    (b) Paragraphs (b)(3) and (c)(3)(ii) of Sec.  57.2T. Paragraphs 
(b)(3) and (c)(3)(ii) of Sec.  57.2T apply on February 26, 2015.
    (c) Expiration date. Paragraphs (b)(3) and (c)(3)(ii) of Sec.  
57.2T expire on February 23, 2018.

John Dalrymple,
Deputy Commissioner for Services and Enforcement.
    Approved: February 19, 2015.
Mark J. Mazur,
Assistant Secretary of the Treasury (Tax Policy).
[FR Doc. 2015-03944 Filed 2-23-15; 4:15 pm]
BILLING CODE 4830-01-P



                                                              Federal Register / Vol. 80, No. 38 / Thursday, February 26, 2015 / Rules and Regulations                                        10333

                                               Dated: February 20, 2015.                             other references to subtitles, chapters,              provided in section 501(h)), and which
                                             Leslie Kux,                                             subchapters, and sections in this                     does not participate in, or intervene in,
                                             Associate Commissioner for Policy.                      preamble are references to subtitles,                 any political campaign on behalf of (or
                                             [FR Doc. 2015–03934 Filed 2–25–15; 8:45 am]             chapters, subchapters, and sections in                in opposition to) any candidate for
                                             BILLING CODE 4164–01–P
                                                                                                     the Code and related regulations. All                 public office, and (iii) more than 80
                                                                                                     references to ‘‘fee’’ in this preamble are            percent of the gross revenues of which
                                                                                                     references to the fee imposed by section              is received from government programs
                                                                                                     9010.                                                 that target low income, elderly, or
                                             DEPARTMENT OF THE TREASURY                                On November 27, 2013, the Treasury                  disabled populations under titles XVIII,
                                                                                                     Department and the IRS issued the                     XIX, and XXI of the Social Security Act;
                                             Internal Revenue Service
                                                                                                     Health Insurance Providers Fee                        and (D) any entity that is described in
                                                                                                     regulations as final regulations (TD                  section 501(c)(9) (a voluntary
                                             26 CFR Part 57
                                                                                                     9643). On August 12, 2014, the Treasury               employees’ beneficiary association
                                             [TD 9711]                                               Department and the IRS issued Notice                  (VEBA)) and is established by an entity
                                                                                                     2014–47, 2014–35 IRB 522, to provide                  (other than by an employer or
                                             RIN 1545–BM52
                                                                                                     further guidance for the 2014 fee year on             employers) for purposes of providing
                                             Health Insurance Providers Fee                          the definition of a covered entity. The               health care benefits.
                                                                                                     temporary regulations provide further                    Section 9010(c)(3)(A) provides a
                                             AGENCY:  Internal Revenue Service (IRS),                guidance on the definition of a covered               controlled group rule under which all
                                             Treasury.                                               entity for the 2015 fee year and                      persons treated as a single employer
                                             ACTION: Final and temporary                             subsequent fee years.                                 under section 52(a) or (b) or section
                                             regulations.                                                                                                  414(m) or (o) are treated as a single
                                                                                                     General Overview
                                                                                                                                                           covered entity. Section 9010(c)(4)
                                             SUMMARY:    This document contains                         Section 9010(a) imposes an annual fee              provides that, if more than one person
                                             temporary regulations that provide rules                on each covered entity engaged in the                 is liable to pay the fee on a single
                                             for the definition of a covered entity for              business of providing health insurance.               covered entity by reason of the
                                             purposes of the fee imposed by section                  The fee is due by the annual date                     application of the controlled group rule,
                                             9010 of the Patient Protection and                      specified by the Secretary, but in no                 then all such persons are jointly and
                                             Affordable Care Act, as amended. The                    event later than September 30th of each               severally liable for payment of the fee.
                                             temporary regulations are necessary to                  calendar year in which a fee must be                     Section 57.2(c)(1) of the Health
                                             clarify certain terms in section 9010.                  paid (fee year).                                      Insurance Providers Fee regulations
                                             The temporary regulations affect                           Section 9010(b) requires the Secretary             defines the term controlled group to
                                             persons engaged in the business of                      to determine the annual fee for each                  mean a group of two or more persons,
                                             providing health insurance for United                   covered entity based on the ratio of the              including at least one person that is a
                                             States health risks. The text of the                    covered entity’s net premiums written                 covered entity, that is treated as a single
                                             temporary regulations also serves as the                for health insurance for any United                   employer under section 52(a), 52(b),
                                             text of the proposed regulations (REG–                  States health risk that are taken into                414(m), or 414(o). Section 57.2(c)(3)(ii)
                                             143416–14) published in the Proposed                    account for the calendar year                         further provides that a person is treated
                                             Rules section in this issue of the Federal              immediately before the fee year (data                 as being a member of the controlled
                                             Register.                                               year) to the aggregate net premiums                   group if it is a member of the group at
                                                                                                     written for health insurance of United                the end of the day on December 31st of
                                             DATES: Effective Date: These regulations
                                                                                                     States health risks of all covered entities           the data year.
                                             are effective on February 26, 2015.                     that are taken into account during the
                                               Applicability Date: For dates of                      data year. In calculating the fee, the                Explanation of Provisions
                                             applicability, see §§ 57.10 and 57.10T.                 Secretary must determine each covered                   Following the publication of the final
                                             FOR FURTHER INFORMATION CONTACT:                        entity’s net premiums written for United              regulations in TD 9643, the Treasury
                                             Rachel S. Smith, (202) 317–6855 (not a                  States health risks based on reports                  Department and the IRS received
                                             toll-free number).                                      submitted to the Secretary by the                     questions about how to apply the
                                             SUPPLEMENTARY INFORMATION:                              covered entity and through the use of                 exclusions under section 9010(c)(2) to
                                                                                                     any other source of information                       the general definition of a covered
                                             Background
                                                                                                     available to the Secretary.                           entity. The Treasury Department and
                                               Section 9010 of the Patient Protection                   Section 9010(c)(1) defines a covered               the IRS also received questions about
                                             and Affordable Care Act (PPACA),                        entity as any entity that provides health             whether covered entities must report
                                             Public Law 111–148 (124 Stat. 119                       insurance for any United States health                information on net premiums written
                                             (2010)), as amended by section 10905 of                 risk during each fee year. Section                    for certain members of a controlled
                                             PPACA, and as further amended by                        9010(c)(2) excludes the following                     group. Notice 2014–47 was
                                             section 1406 of the Health Care and                     entities from being covered entities: (A)             subsequently issued to resolve those
                                             Education Reconciliation Act of 2010,                   Any employer to the extent that the                   questions for the 2014 fee year. The
                                             Public Law 111–152 (124 Stat. 1029                      employer self-insures its employees’                  temporary regulations adopt the general
                                             (2010)) (collectively, the Affordable Care              health risks; (B) any governmental                    approach of Notice 2014–47 to resolve
                                             Act or ACA) imposes an annual fee on                    entity; (C) any entity (i) that is                    those questions for the 2015 fee year
                                             covered entities that provide health                    incorporated as a nonprofit corporation               and each subsequent fee year.
                                             insurance for United States health risks.               under a State law, (ii) no part of the net
rmajette on DSK2VPTVN1PROD with RULES




                                             All references in this preamble to                      earnings of which inures to the benefit               Application of Exclusions Under
                                             section 9010 are references to the ACA.                 of any private shareholder or individual,             Section 9010(c)(2)
                                             Section 9010 did not amend the Internal                 no substantial part of the activities of                Notice 2014–47 provided that, for the
                                             Revenue Code (Code) but contains                        which is carrying on propaganda, or                   2014 fee year, the Treasury Department
                                             cross-references to specified Code                      otherwise attempting, to influence                    and the IRS would not treat any entity
                                             sections. Unless otherwise indicated, all               legislation (except as otherwise                      as a covered entity if it would be


                                        VerDate Sep<11>2014   14:38 Feb 25, 2015   Jkt 235001   PO 00000   Frm 00011   Fmt 4700   Sfmt 4700   E:\FR\FM\26FER1.SGM   26FER1


                                             10334            Federal Register / Vol. 80, No. 38 / Thursday, February 26, 2015 / Rules and Regulations

                                             excluded from the definition of a                       immediately following fee year. In                    for the fee amount allocated to the
                                             covered entity because it qualified for                 addition, an entity that does not timely              controlled group.
                                             one of the exclusions under section                     file a report in a fee year, and that is a
                                                                                                                                                           Special Analyses
                                             9010(c)(2) either for the entire 2013 data              covered entity for that fee year because
                                             year or for the entire 2014 fee year,                   it does not qualify for an exclusion, may               It has been determined that this
                                             which began on January 1, 2014. As                      be subject to penalties, including the                Treasury decision is not a significant
                                             described later in this preamble, the                   failure to report penalty under section               regulatory action as defined in
                                             controlled group rules under section                    9010(g)(2).                                           Executive Order 12866, as
                                             9010(c)(3)(A) and § 57.2(c)(1) do not                      For example, assume that for the 2015              supplemented by Executive Order
                                             apply for the limited purpose of                        fee year an entity used the fee year as               13563. Therefore, a regulatory
                                             determining whether an entity qualifies                 its test year and reasonably expected to              assessment is not required. It has also
                                             for an exclusion under section                          qualify for the section 9010(c)(2)(C)                 been determined that section 553(b) of
                                             9010(c)(2). Notice 2014–47 further                      exclusion for that fee year. As a result,             the Administrative Procedure Act (5
                                             provided that the entity should not                     the entity did not report its net                     U.S.C. chapter 5) does not apply to these
                                             report its net premiums written for the                 premiums written and it was not treated               regulations, and because these
                                             2013 data year because the Treasury                     as a covered entity for purposes of the               regulations do not impose a collection
                                             Department and the IRS would not treat                  2015 fee calculation. Further assume                  of information on small entities, the
                                             such an entity as a covered entity.                     that as of December 31, 2015, the entity              Regulatory Flexibility Act (5 U.S.C.
                                                The temporary regulations amend the                  did not satisfy the 80 percent minimum                chapter 6) does not apply. Pursuant to
                                             rules in the existing Health Insurance                  gross revenues requirement of section                 section 7805(f) of the Code, these
                                             Providers Fee regulations to incorporate                9010(c)(2)(C)(iii) and therefore did not              temporary regulations have been
                                             the general approach in Notice 2014–47.                 qualify for this or any other exclusion               submitted to the Chief Counsel for
                                             Specifically, the temporary regulations                 under section 9010(c)(2) for the 2015 fee             Advocacy of the Small Business
                                             provide that, for the 2015 fee year and                 year. Under the temporary regulations,                Administration for comment on its
                                             each subsequent fee year, an entity                     this entity must use the data year for                impact on small businesses.
                                             qualifies for an exclusion under section                each subsequent fee year to determine
                                             9010(c)(2) if it qualifies for an exclusion                                                                   Drafting Information
                                                                                                     whether it qualifies for an exclusion
                                             either for the entire data year ending on               under section 9010(c)(2). Thus, for the                 The principal author of these
                                             the prior December 31st or for the entire               2016 fee year, because this entity must               regulations is Rachel S. Smith, IRS
                                             fee year beginning on January 1st. An                                                                         Office of the Associate Chief Counsel
                                                                                                     determine its eligibility for an exclusion
                                             entity that qualifies for an exclusion                                                                        (Passthroughs and Special Industries).
                                                                                                     based on the 2015 data year, it would
                                             under this rule is not a covered entity                                                                       However, other personnel from the
                                                                                                     not be eligible for an exclusion under
                                             for that fee year and must not report its                                                                     Treasury Department and the IRS
                                                                                                     section 9010(c)(2) for the 2016 fee year
                                             net premiums written.                                                                                         participated in their development.
                                                The temporary regulations also                       and must submit a report in that year.
                                             impose two additional requirements.                     This entity must also use the data year               List of Subjects in 26 CFR Part 57
                                             First, the temporary regulations                        as its test year for the 2017 fee year and
                                                                                                     each subsequent fee year.                               Health Insurance, Reporting and
                                             generally impose a consistency                                                                                recordkeeping requirements.
                                             requirement that binds an entity to its                    The Treasury Department and the IRS
                                             original selection of either the data year              request comments regarding whether                    Adoption of Amendments to the
                                             or the fee year (its test year) to                      there are any circumstances in which an               Regulations
                                             determine whether it qualifies for an                   entity should be permitted by the IRS to                Accordingly, 26 CFR part 57 is
                                             exclusion under section 9010(c)(2) for                  change its test year, and if so, what                 amended as follows:
                                             the 2015 fee year and each subsequent                   conditions and limitations should apply
                                             fee year. For example, if an entity                     to any such change.                                   PART 57—HEALTH INSURANCE
                                             selects the 2014 data year as its test year             Reporting for Controlled Group                        PROVIDERS FEE
                                             for the 2015 fee year, it must use the                  Members
                                             data year as its test year for the 2016 fee                                                                   ■ Paragraph 1. The authority citation
                                             year and each subsequent fee year.                         Notice 2014–47 provided that a                     for part 57 continues to read in part as
                                                Second, the temporary regulations                    controlled group must report net                      follows:
                                             impose a special rule for an entity that                premiums written only for each person                   Authority: 26 U.S.C. 7805; sec. 9010,
                                             uses the fee year as its test year. A                   who is a controlled group member at the               Public Law 111–148 (124 Stat. 119 (2010)).
                                             special rule is important in this context               end of the day on December 31st of the
                                             because the fee is due by September                     data year and who would qualify as a                  *     *     *     *     *
                                             30th of the fee year, and it may not be                 covered entity in the fee year if it were             ■ Par. 2. Section 57.2 is amended by:
                                             clear until the end of the fee year                     a single-person covered entity (that is,              ■ 1. Redesignating paragraph (b)(3) as
                                             whether an entity will in fact qualify for              not a member of a controlled group).                  paragraph (b)(4).
                                             an exclusion. If an entity using the fee                The temporary regulations incorporate                 ■ 2. Adding paragraph (b)(3).
                                             year as its test year does not report its               this rule for the 2015 fee year and each              ■ 3. Revising paragraph (c)(3)(ii).
                                             net premiums written because it expects                 subsequent fee year. Therefore, a                       The addition and revision read as
                                             to qualify for an exclusion under section               controlled group must not report net                  follows:
                                             9010(c)(2), but the entity ultimately                   premiums written for any controlled
                                             does not qualify for an exclusion, the                  group member who would fail to be a                   § 57.2   Explanation of terms.
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                                             temporary regulations require the entity                covered entity in the fee year if it were             *     *    *     *     *
                                             to use the data year as its test year in                not a member of a controlled group.                     (b) * * *
                                             all subsequent fee years. In this                       Although that person’s net premiums                     (3) [Reserved]. For further guidance,
                                             circumstance, the entity will necessarily               written are not taken into account, it                see § 57.2T(b)(3).
                                             be a covered entity that is required to                 remains a member of the controlled                    *     *    *     *     *
                                             report its net premiums written for the                 group and is jointly and severally liable               (c) * * *


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                                                              Federal Register / Vol. 80, No. 38 / Thursday, February 26, 2015 / Rules and Regulations                                       10335

                                               (3) * * *                                               (b) Paragraphs (b)(3) and (c)(3)(ii) of             that would result in a contrary
                                               (ii) [Reserved]. For further guidance                 § 57.2T. Paragraphs (b)(3) and (c)(3)(ii)             determination. Comments will be
                                             see § 57.2T(c)(3)(ii).                                  of § 57.2T apply on February 26, 2015.                accepted on or before April 27, 2015.
                                             *      *    *     *     *                                 (c) Expiration date. Paragraphs (b)(3)              ADDRESSES: You may submit comments,
                                                                                                     and (c)(3)(ii) of § 57.2T expire on                   identified by docket number and/or
                                             ■ Par. 3. Section 57.2T is added to read
                                                                                                     February 23, 2018.                                    Regulatory Information Number (RIN)
                                             as follows:
                                                                                                     John Dalrymple,                                       and title, by any of the following
                                             § 57.2T   Explanation of terms (temporary).                                                                   methods:
                                                                                                     Deputy Commissioner for Services and
                                                (a) through (b)(2) [Reserved]. For                   Enforcement.                                             • Federal Rulemaking Portal: http://
                                             further guidance, see § 57.2(a) through                   Approved: February 19, 2015.                        www.regulations.gov. Follow the
                                             (b)(2).                                                 Mark J. Mazur,                                        instructions for submitting comments.
                                                (3) Application of exclusions—(i) Test               Assistant Secretary of the Treasury (Tax                 • Mail: Federal Docket Management
                                             year. An entity qualifies for an                        Policy).                                              System Office, 4800 Mark Center Drive,
                                             exclusion described in § 57.2(b)(2)(i)                  [FR Doc. 2015–03944 Filed 2–23–15; 4:15 pm]           East Tower, Suite 02G09, Alexandria,
                                             through (iv) if it so qualifies in its test             BILLING CODE 4830–01–P                                VA 22350–3100.
                                             year. The term test year means either the                                                                        Instructions: All submissions received
                                             entire data year or the entire fee year.                                                                      must include the agency name and
                                                (ii) Consistency rule. For purposes of               DEPARTMENT OF DEFENSE                                 docket number or RIN for this Federal
                                             paragraph (b)(3)(i) of this section, an                                                                       Register document. The general policy
                                             entity must use the same test year as it                Department of the Army                                for comments and other submissions
                                             used in its first fee year beginning after                                                                    from members of the public is to make
                                             December 31, 2014, and in each                          32 CFR Part 505                                       these submissions available for public
                                             subsequent fee year. Thus, for example,                                                                       viewing on the Internet at http://
                                             if an entity used the 2014 data year as                 [USA–2014–0006]
                                                                                                                                                           www.regulations.gov as they are
                                             its test year for the 2015 fee year, that               RIN 0702–AA65                                         received without change, including any
                                             entity must use the data year as its test                                                                     personal identifiers or contact
                                             year for each subsequent fee year.                      Army Privacy Program                                  information.
                                                (iii) Special rule for fee year as test              AGENCY:   Department of the Army, DoD.                FOR FURTHER INFORMATION CONTACT:     Ms.
                                             year. For purposes of paragraph (b)(3) of
                                                                                                     ACTION:   Direct final rule.                          Tracy Rogers, Chief, FOIA/PA,
                                             this section, any entity that uses the fee
                                                                                                                                                           telephone: 703–428–6513.
                                             year as its test year but ultimately does               SUMMARY:   The Department of the Army
                                             not qualify for an exclusion described in               is amending the Army Privacy Program                  SUPPLEMENTARY INFORMATION:
                                             § 57.2(b)(2)(i) through (iv) for that entire            Regulation. Specifically, Army is                     Direct Final Rule and Significant
                                             fee year must use the data year as its test             reinstating exemptions that were                      Adverse Comments
                                             year for each subsequent fee year.                      mistakenly deleted when the Army’s
                                                (b)(4) through (c)(3)(i) [Reserved]. For             Privacy Program Regulation was last                      DoD has determined this rulemaking
                                             further guidance, see § 57.2(b)(4)                      revised. These rules provide policies                 meets the criteria for a direct final rule
                                             through (c)(3)(i).                                      and procedures for the Army’s                         because it involves changes dealing
                                                (ii) A person is treated as being a                  implementation of the Privacy Act of                  with DoD’s management of its Privacy
                                             member of the controlled group if it is                 1974, as amended.                                     Programs. DoD expects no opposition to
                                             a member of the group at the end of the                    This direct final rule makes changes               the changes and no significant adverse
                                             day on December 31st of the data year.                  to the Department of the Army’s Privacy               comments. However, if DoD receives a
                                             However, a person’s net premiums                        Program rules. These changes will allow               significant adverse comment, the
                                             written are included in net premiums                    the Department to exempt records from                 Department will withdraw this direct
                                             written for the controlled group only if                certain portions of the Privacy Act. This             final rule by publishing a notice in the
                                             the person would qualify as a covered                   will improve the efficiency and                       Federal Register. A significant adverse
                                             entity in the fee year if the person were               effectiveness of DoD’s program by                     comment is one that explains: (1) Why
                                             not a member of the controlled group.                   preserving the exempt status of the                   the direct final rule is inappropriate,
                                                (d) through (n) [Reserved]. For further              records when the purposes underlying                  including challenges to the rule’s
                                             guidance, see § 52.7(d) through (n).                    the exemption are valid and necessary                 underlying premise or approach; or (2)
                                                                                                     to protect the contents of the records.               why the direct final rule will be
                                             ■ Par. 4. Section 57.10 is revised to read
                                                                                                        This rule is being published as a                  ineffective or unacceptable without a
                                             as follows:                                                                                                   change. In determining whether a
                                                                                                     direct final rule as the Department of
                                             § 57.10   Effective/applicability date.                 Defense does not expect to receive any                comment necessitates withdrawal of
                                                                                                     adverse comments, and so a proposed                   this direct final rule, DoD will consider
                                               (a) In general. Except as provided in
                                                                                                     rule is unnecessary.                                  whether it warrants a substantive
                                             paragraph (b), §§ 57.1 through 57.9
                                                                                                        The revisions to these rules are part              response in a notice and comment
                                             apply to any fee that is due on or after
                                                                                                     of DoD’s retrospective plan under                     process.
                                             September 30, 2014.
                                               (b) [Reserved]. For further guidance,                 Executive Order 13563 completed in                    Executive Summary
                                             see § 57.10T(b).                                        August 2011. DoD’s full plan can be
                                                                                                     accessed at http://www.whitehouse.gov/                I. Purpose of This Regulatory Action
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                                             ■ Par. 5. Section 57.10T is added to read
                                                                                                     sites/default/files/other/2011-regulatory               a. These rules provide policies and
                                             as follows:                                             -action-plans/department                              procedures for Army’s implementation
                                             § 57.10T Effective/applicability date                   ofdefenseregulatory                                   of the Privacy Act of 1974, as amended.
                                             (temporary).                                            reformplanaugust2011a.pdf.                              b. Authority: Privacy Act of 1974,
                                               (a) [Reserved]. For further guidance,                 DATES: The rule will be effective on May              Public Law 93–579, Stat. 1896 (5 U.S.C.
                                             see § 57.10(a).                                         7, 2015 unless comments are received                  552a).


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Document Created: 2015-12-18 13:04:58
Document Modified: 2015-12-18 13:04:58
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionFinal and temporary regulations.
ContactRachel S. Smith, (202) 317-6855 (not a toll-free number).
FR Citation80 FR 10333 
RIN Number1545-BM52
CFR AssociatedHealth Insurance and Reporting and Recordkeeping Requirements

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