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Affordable Care Act Individual Rights & Responsibilities #291426

Course Overview

Credit

Amount

CPA

1.5

EA / OTRP

Course Author: Paul J. Winn CLU ChFC Field of Study (CPA): Taxes Field of Study (EA/OTRP): Federal Tax Law

Course Description

Course publication/revision date: This course was updated on 2/25/2026.

By changing many of the rules traditionally applicable to health insurance and imposing healthcare-related requirements on virtually every individual, the Patient Protection and Affordable Care Act (PPACA) is likely to affect virtually every person in the United States in some way.

The Patient Protection and Affordable Care Act (PPACA) imposes various tax increases in order to generate revenue and uses a carrot and stick approach to ensure individuals comply with its provisions by offering tax credits for compliance and, until 2019, by imposing tax penalties for non-compliance. This course will review the principal provisions of the law affecting individuals and will consider the:

Coverage-related provisions of the PPACA addressing –
- Plan grandfathering pursuant to which health coverage in force at the time of the law’s passage may be continued,
- The prohibition of pre-existing condition exclusions,
- The proscription of lifetime and annual benefit limits,
- The limitation of health coverage rescissions,
- The requirement for certain patient protections, and
- The requirement that plans covering children extend child coverage until age 26;
Various personal income tax changes affecting taxpayers; and
Tax credits authorized under the law to assist taxpayers by helping them purchase and maintain health insurance coverage.

Table of Contents

Introduction1

Chapter 1 – Overview of PPACA Provisions Affecting Individuals2

Introduction	2
Chapter Learning Objectives	2
Grandfathered Health Plans	2
Losing Grandfathered Status	2
Pre-Existing Condition Exclusions Prohibited	4
Two Criteria Present in Pre-Existing Condition Exclusion	4
Benefit Limits Generally Prohibited	5
Benefit Limit Prohibition Applicable only to Essential Health Benefits	5
Contract Rescission Limited	5
Patient Protections	6
Requirement to Maintain Minimum Essential Coverage	6
Minimum Essential Coverage	6
Short-Term Health Insurance Plans	7
Adult Children Coverage	7
Eligibility for Extended Dependent Coverage	7
Summary	8
Chapter Review	9

Chapter 2 – PPACA-Mandated Personal Tax Changes10

Introduction	10
Chapter Learning Objectives	10
Tax-Favored Health Plans	10
Over-the-Counter Drug Costs	11
Nonqualified Distributions from Archer MSAs and HSAs	11
FSA Contributions Limited	11
Unreimbursed Medical Expense Deduction Threshold	11
Social Security Taxes	12
HI Component Increased for High Earners	12
3.8% Additional Tax on Net Investment Income for Higher-Income Taxpayers	12
Refundable Tax Credits to Assist in Purchase of Qualified Health Plan	13
Amount of the Credit	15
Summary	18
Chapter Review	21

Glossary22

Answers to Chapter Reviews25

Chapter 1	25
Chapter 2	26

Index29

Course Details

Author: Paul J. Winn CLU ChFC

Paul J. Winn CLU ChFC — Financial Writer, Editor & Trainer. Education: B.A., St. John’s University (1961–1964); Law School, University of Virginia (1964–1965); MBA program Binghamton University (1986–1989); CLU (1985); ChFC (1987). Experience: Thirty years in the life insurance and investment industry (1965–1995). Thirty-one years as a financial writer, editor and trainer (1995–2026). Paul held positions at Mutual Life Insurance Company of New York as product developer and compensation officer; at Security Mutual Life Insurance Company as general agent, marketing vice president, and agency vice president; at Principal Financial Group as agency manager; and as president of Maryland Financial Corporation, managing a financial adviser corporation providing tax, investment and financial planning. As a writer and editor, Paul is a published book author whose books include Tax Planning from the Heart, Business Succession Planning, and Dominating Obamacare. He served as writer and editor of a major mutual life insurance company’s agent training university, created more than 200 insurance, securities and tax training courses in online, print and scripted classroom formats, and is the founder and CEO of Winn Publications LLC, a tax and insurance continuing education course licensor.

Publication/Revision Date: 2/25/2026

Course Exam Questions (online): 15 (multiple-choice)

Program Delivery Method: Self-Study (NASBA QAS Self-Study)

Available Formats of Course Text: Downloadable PDF, Printed/Mailed

Course Level, Prerequisites, and Advance Preparation Requirements

License	Course Level	Prerequisites	Advance Preparation Requirements
CPA	Overview	None	None
EA/OTRP	Overview	None	None

* This program is appropriate for professionals at all organizational levels.

Sponsor ID Numbers

National Registry of CPE Sponsors I.D.: 107615

IRS Qualified Sponsor I.D.: FWKKO

State CPA Board Sponsor ID Numbers (where applicable)

Florida Division of Certified Public Accounting: 0004761

Hawaii Board of Public Accountancy: 14003

New York State Board for Public Accountancy: 002146

Ohio Accountancy Board: CPE .51 PSR

Pennsylvania State Board of Accountancy: PX178025

Texas State Board of Public Accountancy: 009349

Learning Objectives

As a result of studying the course material, you should be able to meet the objectives listed below:

List the principal healthcare provisions of the PPACA affecting individuals;
Identify those individuals who may be exempt from the individual mandate; and
Calculate the tax credits designed to help ensure that individuals are able to purchase and maintain health insurance coverage.

Online Book, Online Exam

$15.00

Hardcopy Book, Online Exam

$27.00