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us/statute/26/36B/f/3 — Information requirement · Axiom

Information requirement

Each Exchange (or any person carrying out 1 or more responsibilities of an Exchange under section 1311(f)(3) or 1321(c) of the Patient Protection and Affordable Care Act) shall provide the following information to the Secretary and to the taxpayer with respect to any health plan provided through the Exchange:

(A) The level of coverage described in section 1302(d) of the Patient Protection and Affordable Care Act and the period such coverage was in effect.

(B) The total premium for the coverage without regard to the credit under this section or cost-sharing reductions under section 1402 of such Act.

(D) The name, address, and TIN of the primary insured and the name and TIN of each other individual obtaining coverage under the policy.

(E) Any information provided to the Exchange, including any change of circumstances, necessary to determine eligibility for, and the amount of, such credit.

(F) Information necessary to determine whether a taxpayer has received excess advance payments.

in view

Whole section

▸rulespec code

Shown source

statutes/26/36B.yaml

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Rules

applicable_taxpayer_minimum_household_income_poverty_line_ratio

Parameter

source: 26 USC 36B(c)

- name: applicable_taxpayer_minimum_household_income_poverty_line_ratio
  kind: parameter
  dtype: Rate
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: household income for the taxable year equals or exceeds 100 percent
  versions:
    - effective_from: '2024-01-01'
      formula: '1.0'

applicable_taxpayer_maximum_household_income_poverty_line_ratio

Parameter

source: 26 USC 36B(c)

- name: applicable_taxpayer_maximum_household_income_poverty_line_ratio
  kind: parameter
  dtype: Rate
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: but does not exceed 400 percent
  versions:
    - effective_from: '2024-01-01'
      formula: '4.0'

employer_sponsored_coverage_affordability_ratio

Parameter

source: 26 USC 36B(c)

- name: employer_sponsored_coverage_affordability_ratio
  kind: parameter
  dtype: Rate
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: exceeds 9.5 percent of the applicable taxpayer’s household income
  versions:
    - effective_from: '2024-01-01'
      formula: '0.095'

employer_sponsored_plan_minimum_value_share

Parameter

source: 26 USC 36B(c)

- name: employer_sponsored_plan_minimum_value_share
  kind: parameter
  dtype: Rate
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: less than 60 percent of such costs
  versions:
    - effective_from: '2024-01-01'
      formula: '0.60'

qualified_small_employer_hra_affordability_ratio

Parameter

source: 26 USC 36B(c)

- name: qualified_small_employer_hra_affordability_ratio
  kind: parameter
  dtype: Rate
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: 1/12 of 9.5 percent of the employee’s household income
  versions:
    - effective_from: '2024-01-01'
      formula: '0.095'

qualified_small_employer_hra_permitted_benefit_month_count

Parameter

source: 26 USC 36B(c)

- name: qualified_small_employer_hra_permitted_benefit_month_count
  kind: parameter
  dtype: Count
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: >-
              substituting “the number of months during the year for which such arrangement was
              provided” for “12”
  versions:
    - effective_from: '2024-01-01'
      formula: '12'

qualified_small_employer_hra_monthly_permitted_benefit_fraction

Parameter

source: 26 USC 36B(c)

- name: qualified_small_employer_hra_monthly_permitted_benefit_fraction
  kind: parameter
  dtype: Rate
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: 1/12 of the employee’s permitted benefit
  versions:
    - effective_from: '2024-01-01'
      formula: 1 / qualified_small_employer_hra_permitted_benefit_month_count

applicable_taxpayer_income_percentage_test_met

Derived

source: 26 USC 36B(c)

- name: applicable_taxpayer_income_percentage_test_met
  kind: derived
  entity: TaxUnit
  dtype: Judgment
  period: Year
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: equals or exceeds 100 percent but does not exceed 400 percent
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: >-
              before January 1, 2026, subparagraph (A) shall be applied without regard to “but does
              not exceed 400 percent”
  versions:
    - effective_from: '2024-01-01'
      formula: >-
        applicable_taxpayer_household_income_as_ratio_of_poverty_line >=
        applicable_taxpayer_minimum_household_income_poverty_line_ratio

        and (taxable_year_is_in_temporary_applicable_taxpayer_upper_limit_disregard_period

        or applicable_taxpayer_household_income_as_ratio_of_poverty_line <=
        applicable_taxpayer_maximum_household_income_poverty_line_ratio)

family_size

Derived

source: 26 USC 36B(d)

- name: family_size
  kind: derived
  entity: TaxUnit
  dtype: Count
  period: Year
  source: 26 USC 36B(d)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: definition
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: >-
              family size involved with respect to any taxpayer shall be equal to the number of
              individuals for whom the taxpayer is allowed a deduction under section 151
  versions:
    - effective_from: '2024-01-01'
      formula: individuals_for_whom_taxpayer_is_allowed_section_151_deduction_count

▸citations (1)

References

This rule cites 1 other rule.

26 USC § 1311 (f)(3)inferredUS Federal › Statutes › Title 26 › § 1311 › (f)(3)

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Information requirement

Official source

(A) The level of coverage described in section 1302(d) of the Patient Protection and Affordable Care Act and the period such coverage was in effect.

(B) The total premium for the coverage without regard to the credit under this section or cost-sharing reductions under section 1402 of such Act.

(D) The name, address, and TIN of the primary insured and the name and TIN of each other individual obtaining coverage under the policy.

(E) Any information provided to the Exchange, including any change of circumstances, necessary to determine eligibility for, and the amount of, such credit.

(F) Information necessary to determine whether a taxpayer has received excess advance payments.

in view

Whole section

▸rulespec code

Shown source

statutes/26/36B.yaml

Displaying the canonical repository encoding.

This encoding covers the parent provision us/statute/26/36B; no dedicated encoding exists for this exact provision yet.

View on GitHub

Rules

applicable_taxpayer_minimum_household_income_poverty_line_ratio

Parameter

source: 26 USC 36B(c)

- name: applicable_taxpayer_minimum_household_income_poverty_line_ratio
  kind: parameter
  dtype: Rate
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: household income for the taxable year equals or exceeds 100 percent
  versions:
    - effective_from: '2024-01-01'
      formula: '1.0'

applicable_taxpayer_maximum_household_income_poverty_line_ratio

Parameter

source: 26 USC 36B(c)

- name: applicable_taxpayer_maximum_household_income_poverty_line_ratio
  kind: parameter
  dtype: Rate
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: but does not exceed 400 percent
  versions:
    - effective_from: '2024-01-01'
      formula: '4.0'

employer_sponsored_coverage_affordability_ratio

Parameter

source: 26 USC 36B(c)

- name: employer_sponsored_coverage_affordability_ratio
  kind: parameter
  dtype: Rate
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: exceeds 9.5 percent of the applicable taxpayer’s household income
  versions:
    - effective_from: '2024-01-01'
      formula: '0.095'

employer_sponsored_plan_minimum_value_share

Parameter

source: 26 USC 36B(c)

- name: employer_sponsored_plan_minimum_value_share
  kind: parameter
  dtype: Rate
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: less than 60 percent of such costs
  versions:
    - effective_from: '2024-01-01'
      formula: '0.60'

qualified_small_employer_hra_affordability_ratio

Parameter

source: 26 USC 36B(c)

- name: qualified_small_employer_hra_affordability_ratio
  kind: parameter
  dtype: Rate
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: 1/12 of 9.5 percent of the employee’s household income
  versions:
    - effective_from: '2024-01-01'
      formula: '0.095'

qualified_small_employer_hra_permitted_benefit_month_count

Parameter

source: 26 USC 36B(c)

- name: qualified_small_employer_hra_permitted_benefit_month_count
  kind: parameter
  dtype: Count
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: parameter
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: >-
              substituting “the number of months during the year for which such arrangement was
              provided” for “12”
  versions:
    - effective_from: '2024-01-01'
      formula: '12'

qualified_small_employer_hra_monthly_permitted_benefit_fraction

Parameter

source: 26 USC 36B(c)

- name: qualified_small_employer_hra_monthly_permitted_benefit_fraction
  kind: parameter
  dtype: Rate
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: 1/12 of the employee’s permitted benefit
  versions:
    - effective_from: '2024-01-01'
      formula: 1 / qualified_small_employer_hra_permitted_benefit_month_count

applicable_taxpayer_income_percentage_test_met

Derived

source: 26 USC 36B(c)

- name: applicable_taxpayer_income_percentage_test_met
  kind: derived
  entity: TaxUnit
  dtype: Judgment
  period: Year
  source: 26 USC 36B(c)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: equals or exceeds 100 percent but does not exceed 400 percent
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: >-
              before January 1, 2026, subparagraph (A) shall be applied without regard to “but does
              not exceed 400 percent”
  versions:
    - effective_from: '2024-01-01'
      formula: >-
        applicable_taxpayer_household_income_as_ratio_of_poverty_line >=
        applicable_taxpayer_minimum_household_income_poverty_line_ratio

        and (taxable_year_is_in_temporary_applicable_taxpayer_upper_limit_disregard_period

        or applicable_taxpayer_household_income_as_ratio_of_poverty_line <=
        applicable_taxpayer_maximum_household_income_poverty_line_ratio)

family_size

Derived

source: 26 USC 36B(d)

- name: family_size
  kind: derived
  entity: TaxUnit
  dtype: Count
  period: Year
  source: 26 USC 36B(d)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: definition
          source:
            corpus_citation_path: us/statute/26/36B
            excerpt: >-
              family size involved with respect to any taxpayer shall be equal to the number of
              individuals for whom the taxpayer is allowed a deduction under section 151
  versions:
    - effective_from: '2024-01-01'
      formula: individuals_for_whom_taxpayer_is_allowed_section_151_deduction_count

▸citations (1)

References

This rule cites 1 other rule.

26 USC § 1311 (f)(3)inferredUS Federal › Statutes › Title 26 › § 1311 › (f)(3)