Reached the 50-employee threshold and freaking out about regulations? The Affordable Care Act stipulates that small businesses with fewer than 50 employees are not required to offer health insurance benefits to their employees or pay a tax penalty. 19. How the Affordable Care Act affects employers - Aetna Workest is here to empower small business with news, information, trends, and community. You are not required to offer an ACA compliant health plan for your employees (take a deep breath). However, due to an Affordable Care Act (ACA) reform, insured health plans in the small group market must also comply with federal parity requirements for MH/SUD benefits. Sen. Landrieu joins with other Democrats to extend small business tax According to the report, the average premium percent change for an employee of a business with fewer than 50 employees was just 3.1 percent between 2011 and 2015, down from 5.1 percent between 2006 and 2010 (Exhibit 3).16. Of those, 19.4 percent were uninsured.4, There have been similar gains in coverage for self-employed individuals. As the craziness of 2020 begins to come to a close, most everyone, including small businesses, are looking forward to a better year in 2021 and are planning in all kinds of ways to make that happen. "2023 health plan affordability thresholdused to determine if an employer's lowest-premium health plan meets the Affordable Care Act . Streamline and simplify time tracking for you and your workforce. Even if you offer such minimum essential coverage to all full-time employees and their children, if that coverage is not affordable (generally less than 9.5% of the employees pre-tax wages) or does not provide minimum value, you could be liable for a $3,480 penalty if your employee goes to the marketplace and receives a premium tax credit. As this issue brief shows, the creation of the individual marketplaces and the expansion of Medicaid have resulted in more small-business owners and employees accessing health coverage than before the ACA was implemented. Overview. Now, if this seems like a headache for your organization to take on at this time, I remind you that the ACA requires applicable larger employers (defined as those with 100 or more employees in 2015; 50 or more employees in 2016) to offer coverage to "substantially all" of its full-time employees. Joanna is the Chief Legal Officer and Executive Vice President of Regulatory Affairs at Trusaic. The U.S. Congratulations! Your small business is growing and getting very close to reaching the 50-employee mark. Read through this FMLA FAQ to learn what else you need to do in relation to this labor law. What Laws Apply When Businesses Reach 50 Employees? - Strategic HR Transmittal Form 1094-C is much more complex - you can learn more on the IRS page, Information Reporting by Applicable Large Employers, and the Instructions for Form 1094-C and 1095-C. An Applicable Large Employer (ALE) is defined as having an average of at least 50 full-time employees, including FTEE, during the previous year. <> CCSB Mandate - Covered California Be sure to check out the rules in your particular state. You will need to withhold an additional 0.9 percent on employee wages or compensation that exceeds $200,000 in a tax year. PDF Affordable Care Act 101: What The Health Care Law Means for Small The ACA employer mandate applies to more organizations than you might think. Beginning in 2018, "Cadillac" or high-value health plans will be subject to a 40 percent excise tax on premium amounts exceeding $10,200 for single coverage and $27,500 for families. Employees who come on board after Oct. 1, 2013 must get the notice within 14 days of their start date with the company. The penalty for each month the employers fails to offer coverage is $2,320 divided by 12, times the number of full-time employees (minus up to 30). Patient Protection and Affordable Care Act | Darnall, Sikes & Frederick Get it done quickly and accurately, every time. Small business health care tax credits are available to employers of 25 or fewer full-time employees who pay average annual wages of no more than $50,800 for 2014 ($51,600 for 2015) per full-time employee and who . E.g. All rights reserved. Many small businesses that provide coverage to their employees have also seen costs stabilize during this time. Employers face penalties on health plans under the Affordable Care Act At this point, employers must offer up to 12 weeks of unpaid, job-protected leave to eligible employees following the birth, adoption, or foster placement of an employees child, or for serious family illness. A "small employer" is defined as . Under the ACAs employer mandate, an ALE is defined as an employer with 50 or more full-time employees and full-time equivalent employees. Join Justworks partners to get access to free HR tools, resources, and savings that will allow you to offer your clients more. Affordable Care Act: Effects on small business - VEGAS INC A husband and wife own a fast food restaurant. The Basics of the Affordable Care Act If Your Business Has at Least 50 Full-Time/FTE Employees Be aware of Employer Shared Responsibility penalties. In order for individuals to receive the premium tax credit under the ACA, they must not have access to affordable health coverage under an employer-sponsored plan and must not be eligible for coverage under Medicare or another government-sponsored program. . As New Englands premier PEO, Genesis can assist you in identifying compliance requirements and providing an action plan to meet them. Current Population Survey, Annual Social and Economic Supplement, HI-01. EEO-1 Reporting - The Equal Employment Opportunity Commission (EEOC) requires all federal contractors who have 50 employees or more to fill out and submit the EEO-1 Report. More small-business employers and their employees have health coverage since the ACAs insurance marketplaces and Medicaid expansion took effect, The ACA helped stabilize health costs for many small businesses that provide coverage, with the rate of premium increases falling by half since 2010, Since its implementation, the Affordable Care Act has provided health insurance to more than 20 million people who couldnt otherwise get coverage. Affordable Care Act - OCHIA - New York City 6.10, p. 81. The ACAs market regulations ban insurers from setting premiums based on the health and demographic profile of a company. Data show that offer rates have stayed roughly the same post-ACA, and that slight declines have been in line with national trends that predate the ACA. If you have less than 50 employees, youre exempt from the mandate, but that doesnt mean that Obamacare isnt something you should look into. Explaining Health Reform: How will the Affordable Care Act affect Small What is important for small business owners such as you to keep in mind is that regardless of changes that may still . Small businesses may be eligible for an IRS tax credit for providing their employees with affordable health insurance coverage, known as the Small Business Health Care Tax Credit. The content displayed is for information only and does not constitute an endorsement by, or represent the view of, The Hartford. Perhaps the best feature of the Affordable Care Act (ACA) for small businesses is what it does not do: require them to choose between offering their full-time employees ACA-compliant coverage or making Employer Shared Responsibility payments. 11. This tax credit is designed to help families with low to moderate-income afford health insurance coverage. Whether youre requesting time or tracking it, time management takes no time at all. However, if they have common ownership, for example, these smaller organizations may be required to be aggregated under the ACA, which can make the total aggregated employee count to 50 or more full-time and full-time equivalent count required to be considered an ALE. Henry J. Kaiser Family Foundation, The Uninsured: A Primer Key Facts About Health Insurance and the Uninsured Under the Affordable Care Act: Supplemental Tables (KFF, Dec. 2017), p. 10. endobj <>>> Additionally, most insurance companies charged higher rates to people with preexisting conditions or discriminated based on health status, gender, or other characteristics, such as industry type. If you have no employees, the information in the section below does not apply to you. Affordable Care Act | U.S. Department of Labor - DOL Gary Claxton et al., Employer Health Benefits Survey 2017 Figure 2.2: Percentage of Firms Offering Health Benefits, by Firm Size, 19992017 (Henry J. Kaiser Family Foundation and Health Research and Educational Trust, Sept. 2017). You are eligible for the premium tax credit if: State Laws Federal Laws Topics Articles Resources. ACA Fact Sheet-Controlled Group Overview. Overall, there was roughly a 50 percent increase in the number of small-business employees (firms with 99 or fewer employees) enrolled in Medicaid between 2013 and 2016 (Exhibit 1).13. Affordable Care Act: The Affordable Care Act is a federal statute signed into law in March, 2010 as a part of the healthcare reform agenda of the Obama administration. tNi(pv}cT6t[-yQqpYdantzoB>5YZ$aA2APmp/?J&}7B?x-(-2OET^ Q;nPc2hb9#Am0c6\DmgYLj}KR,_=^_4".+LYJ p}kQhUW%Zvh406]WWKgq_ Rep. Davis: Hire More Heroes Act Headed for House Vote If your organization is determined to be out of compliance with the ACA, it will receive IRS Letter 226J. Nearly 32% of small businesses with fewer than 50 employees offered health insurance in 2021, compared to about 25% of microbusinesses with fewer than ten employees. We do this with a simple and friendly platform, expert support from real people when its needed, and access to corporate-level benets that ensure people feel secure and valued. Affordable Care Act Requirements - Paycor Ownership is an even 50% split between the two of them. The Affordable Care Act, also known as "Obama Care," was signed into law March 23, 2010. How Has the Affordable Care Act Affected Work and Wages? For business owners, its important to understand the basic requirements of the ACA for both small employers (SE) and applicable large employers (ALE). Penalties are $100 per day, per incident, with a maxim. As a company with more than 50 employees, the U.S. government requires you to submit the EEO-1 report, which discloses the makeup of your employee demographic. As always, consulting with employment counsel is a best practice. 1. Or take acomplete tour of our PEO servicesto learn about our complete employee solution. More data from the Kaiser Family Foundations 2017 Employer Health Benefits Survey show that premiums continue to be stable for small businesses that offer coverage to their employees. (See notes 3 and 4 above.). Some of the provisions of the ACA apply only to large employers, which are generally those with 50 or more full-time equivalent employees. Wed love to meet them. Small employers are not subject to the employer shared responsibility provisions of the Patient Protection and Affordable Care Act. While certain provisions of the law need to be strengthened, this brief reviews the evidence and finds that the ACA has helped small businesses and their employees access more affordable and comprehensive health insurance. Learn more about Letter 226J and how to respond here. Work with a SHOP-registered agent or broker. When performing an aggregate employer analysis, it may be in your interest to perform the aggregate employer analysis working with outside help who is familiar in dealing with the IRS on ACA issues, specializes in ACA compliance and has expertise in data consolidation. The notification requirement applies to any business regulated under the Fair Labor Standards Act. The Affordable Care Act mandates that any employers with 50 full-time or full-time equivalent (FTE) employees offer their full-time employees and their eligible dependents health insurance. What Parts of the Affordable Care Act Apply to Your Ministry? What is the 50-employee threshold? | GenesisHR Solutions Equal Employment Opportunity Commission collects this company employment data by type and level of position, and the requirements can be complex for employers to navigate. At that time, uninsured small-business employees accounted for 40 percent of all uninsured workers in the U.S.3, There have been significant decreases in the uninsured rates since the implementation of the ACA. 14. Small Business Health Options Program (SHOP). Learn about Justworks, our investors, industry certifications and qualifications, and company history. You can find information about this requirement on the U.S. Department of Laborwebsite. But even if employers have fewer than 50 full-time employees, they may still be required to comply with the ACA. If you have less than 50 employees, you're exempt from the mandate, but that doesn't mean that Obamacare isn't something you should look into. Medicaid expansion has directly benefitted small-business owners and their employees. Here is what you, as an employer, need to know about the ACA to make sure your company stays legal. To calculate, total the number of hours worked by all non-full-time employees for the month and divide by 120. The vast majority of Lancaster County and Pennsylvania employers. If the government provides a model, we usually recommend you use it. 2 0 obj Small Business Perks of the Affordable Care Act - Big Think "Small businesses in Kentucky are defined as those that have 50 or less employees and under the Affordable Care Act, they're not required to provide health insurance coverage to their employees . SHOP will offer small businesses increased purchasing power to obtain a better choice of high- According to a June 2018 report from the Kaiser Family Foundation, among states that did not expand Medicaid coverage, an estimated 2.2 million adults are in the so-called coverage gap.14 This means they currently do not qualify for Medicaid nor do they earn enough to purchase their own coverage in the individual marketplace, but would qualify for Medicaid if their state were to expand. ObamaCare Small Business Facts As of 2018, 33 states and the District of Columbia have expanded Medicaid, resulting in significant decreases in uninsured rates within these states.9, In Medicaid expansion states, uninsured rates declined on average from 18.4 percent in 2013 to 9.1 percent in 2017.10 In states that did not expand Medicaid, the percentage of uninsured adults decreased from 22.7 percent in 2013 to 19 percent in 2017, a significantly smaller decline. Employers with less than 50 employees heres what you need to know about the Affordable Care Act (Obamacare) mandate. Depending on which state or states your organization operates in, you may be required to comply with other laws upon reaching the 50-employee threshold. So celebrate your win, but also make sure your organization is prepared to handle the intricacies of HR compliance for 50+ employees. Reaching 50 employees is a sign your company is growingbe proud of that accomplishment! For more information, visit www.whistleblowers.gov. Under the ACA, companies with more than 50 full-time equivalent employees (often referred to as applicable large employers or ALEs) are required to either provide health insurance to their employees or pay a tax penalty for not offering affordable health coverage. More than 5.7 million small-business employees or self-employed workers are enrolled in the ACA marketplaces; more than half of all ACA marketplace enrollees are small-business owners, self-employed individuals, or small-business employees.1. The Affordable Care Act mandates that any employers with 50 full-time or full-time equivalent (FTE) employees offer their full-time employees and their eligible dependents health insurance. The ACA marketplaces are critical for small-business owners and self-employed individuals with low-to-moderate incomes. Employment and Payroll Characteristics of Employer Firms, 2011 . gp=upFRk#Xn[C Small businesses exempt from ACA mandate - WLKY You may not HAVE to offer a plan, but below we list 5 reasons you should still WANT to. The premium tax credit under the ACA is a refundable tax credit. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 29 0 R 30 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Affordable Care Act Small Business Dental | Benefits 3 0 obj The Affordable Care Act imposes two tax-reporting requirements on employers: If you issue 250 or more Forms W-2 during the previous calendar year, you must report the total annual cost of employer-provided coverage on each workers Form W-2 for the following year. . 4. To simplify this reporting, Genesis produces the EEO-1 on behalf of our partners and provides it to the government. Had the analysis not been performed, the owners would be exposed to potentially significant IRS penalties that could impact the financial well-being of their organization. Understanding the details of the employer shared responsibility provisions under the Affordable Care Act (ACA) can be difficult. Understand the characteristics of primary ACA controlled group types and how this impacts your applicable large employer status. Regardless of the size, all employers offering an employer-sponsored group health plan must report the cost of health care benefits on each employee's Form W-2 at the end of the year. Since 2010, the increase in small-business health care premiums has been at the lowest level in years, following regular double-digit increases prior to the laws enactment (Exhibit 2). Affordable Care Act Countdown: Pros and Cons for Small Business Lets schedule a free discovery call now to talk about how Genesis HR Solutions can help relieve you of the burden of HR, payroll, benefits administration, and more. Critics of the Affordable Care Act argued that it would cause a large number of employers to stop offering health insurance, but the data do not support this assertion. Small businesses power the economy. Pick a SHOP plan, apply, enroll, manage coverage, and pay premiums through an insurance company without using HealthCare.gov. Through the Marketplace your nonprofit: 1.can offer a single plan for all employees; 2.can decide how much it wants to contribute towards premiums; 3.receive one monthly invoice, and pay with one monthly payment; Visit the next page to find more information about this requirement and whether it affects you. The Affordable Care Act (ACA) established new standards and opportunities for access to health care in the United States. Jean Abraham and Anne Beeson Royalty, How Has the Affordable Care Act Affected Work and Wages? 16. Affordable Care Act (ACA) Employment And Labor Laws FED This means all companies with at least one employee and $500,000 in annual revenue. Although the Affordable Care Act employer requirements only apply to employers with 50 or more employees, small businesses with fewer than 50 employees are also encouraged to provide health care coverage for their employees. Affordable Care Act small business tax and compliance Read the report to see how your state ranks. Do You Have More Than 50 Employees? Understanding Obamacare's Employer If your business employs at least 50 full-time-equivalent (FTE) workers, it will soon have to offer health insurance or pay a tax penalty. Small businesses to be hit with higher healthcare costs next year What Employers Should Know About the Affordable Care Act Recent Insight | 6 min read. Small businesses with 1-50 employees are generally eligible for SHOP. Though large companies may face penalties if they do not offer coverage under the Affordable Care Act, small businesses with fewer than 50 full-time-equivalent employees will not be penalized if they do not provide coverage. A PEO solution gives you this opportunity. To determine whether the employer meets the ACA minimum employee threshold, the Employer must first determine how many full-time equivalent employees it has. At that time, uninsured small-business employees accounted for 40 percent of all uninsured workers in the U.S. 3 4 0 obj 2022 Copyright Trusaic All Rights reserved. The split there also is 50/50. NK-pRdQJz_]vZ!>akd2yiDU[WH"XZ1g=GhWATUMRk Timing matters. (The amount reported is for information purposes only and doesnt result in any additional tax liability for you or the employee.) Providing Health Benefits in 2021: The Good, the Bad, the Ugly (and the Answers!). 2,400 divided by 120 equals 20. To determine how many full-time equivalent employees it has, Employer would take the total number of hours worked by its part-time employees in the month, 2,400, and divide it by the legally recognized number of hours a full-time employee works in a month, 120 hours. Here are some advantages of offering health insurance: Once employers determine how many full-time equivalent employees they have, they must combine that number with the number of their actual full-time employees to determine whether they meet the ACAs 50 full-time employee threshold. A survey of employees showed that 71% say its essential to work somewhere supportive of volunteering. See also: Urban Institute and Robert Wood Johnson Foundation, Small Business Health Insurance and the ACA: Views from the Market 2017 (Urban and RWJF, July 2017), p. 5. Staffed by knowledgeable, experienced individuals, our PEO is an asset to small and midsize businesses looking to navigate complex HR regulations and requirements. 120 120= 1. Employers of more than 50 full-time employees must offer affordable health insurance that provides reasonable value and coverage to employees and their families. The Affordable Care Act (ACA) offers incentives, such as tax breaks and tax credits via the Small Business Health Options Program (SHOP), to small businesses with the equivalent or less than 25 full-time workers, making less than $50,000 in average annual wages, to help them provide health benefits to employees. However, many . Almost 12 percent of these individuals found coverage through Medicaid, with additional insurance gains coming from marketplace enrollment.6. How can I help my hiring team provide a great candidate experience? Learn more at HealthCare.gov. This means all companies with at least one employee and $500,000 in annual revenue. You pay at least 50% of your full-time employees' premium costs You offer coverage to your full-time employees through the SHOP Marketplace. 3474, the Hire More Heroes Act, incentivizes small businesses to hire veterans by exempting veterans who already receive health insurance through the Department of Veterans Affairs or reservists covered under TRICARE from being counted towards the number of employees required by the employer mandate under the Affordable Care Act. An Affordable Care Act case study - Florida Trend Learn how we are creating equitable access to entrepreneurship for underrepresented founders. currently, smaller businesses are less likely to offer health insurance coverage to their employees than larger companies: 57% of small businesses with 50 or fewer workers offered health. We can help you get the right coverage with an online quote. Benefits, payroll, HR, and compliance all in one place with 24/7 support. Safe Harbor Playbook for Calculating ACA Affordability. Sen. Mary Landrieu, D-La. Henry J. Kaiser Family Foundation, The Uninsured: A Primer Key Facts About Health Insurance and the Uninsured in America: Supplemental Tables (KFF, Dec. 2014), p. 11. But even if employers have fewer than 50 full-time employees, they may still be required to comply with the ACA. Conducting an aggregate employer analysis may surprise business owners who thought they did not have to comply with the ACA, but also protect them from financial risk. Small Business Health Options Program (SHOP), Questions and Answers on Employer Shared Responsibility Provisions Under the Affordable Care Act, ACA Information Center for Applicable Large Employers (ALEs), If they do not offer health insurance coverage to at least 95 percent of its full-time workers, If at least one full-time employee received a premium tax credit or cost-sharing subsidy in the federal or state Marketplace, If the insurance does not pay for at least 60 percent of the covered health care expenses for a standard population, If the employees have to pay more than 9.56 percent of their household income for the employer coverage. Additional tax liability for you or the employee. ) requirement on the health demographic. Setting premiums based on the U.S. Congratulations ; small employer & quot small. To reaching the 50-employee threshold and freaking out about regulations Chief Legal and. Constitute an endorsement by, or represent the view of, the Ugly ( and the Answers )... Employers, which are generally those with 50 or more full-time employees must offer Affordable health insurance provides! The Bad, the information in the United States 1, 2013 must get the right coverage an! Help you get the right coverage with an online quote meet them for self-employed individuals with low-to-moderate.! Benefitted small-business owners and their families at all help families with low moderate-income... Also seen costs stabilize during this time manage coverage, and compliance all in one with... With 50 or more full-time employees and their employees, total the number of hours worked by non-full-time. Its essential to Work somewhere supportive of volunteering a href= '' https: //www.legalconsumer.com/obamacare/topic.php? TopicID=67 '' <... Sure your company stays Legal those with 50 or more full-time employees they! Has at Least one employee and $ 500,000 in Annual revenue FAQ to learn else... The content displayed is for information only and does not apply to you 50! Provides it to the government provides it to the employer shared responsibility provisions under the ACAs employer mandate, ALE... Time or tracking it, time management takes no time at all percent on Wages... 2021: the Good, the Hartford premium tax credit is designed to help families with low to moderate-income health... The details of the Patient Protection and Affordable Care Act if your business Has at Least one employee $... Take acomplete tour of our PEO servicesto learn about our complete employee solution ban insurers from setting premiums based the. Current Population Survey, Annual Social and Economic Supplement, HI-01, Genesis produces the EEO-1 behalf. 1-50 employees are generally eligible for SHOP withhold an additional 0.9 percent employee... Small employers are not subject to the government provides a model, we usually recommend you use.. Learn about Justworks, our investors, industry certifications and qualifications, savings. And does not apply to you and freaking out about regulations additional percent! Royalty, how Has the Affordable Care Act ( ACA ) can be difficult use it their.... And does not constitute an endorsement by, or represent the view of, the Bad the. ( the amount reported is for information purposes only and does not apply to you owners self-employed... Reached the 50-employee threshold and freaking out about regulations its essential to Work supportive... Liability for you or the employee. ), an ALE is as... Employers of more than 50 full-time employees, they may still be required to an... Affected Work and Wages insurance coverage liability for you and your workforce an,... //Www.Justworks.Com/Blog/Aca-Affordable-Care-Act-Key-Requirements-Small-Businesses '' > what Laws apply When businesses Reach 50 employees Genesis can assist you in identifying requirements... Any business regulated under the Fair labor Standards Act, Payroll, HR and... Based on the health and demographic profile of a company > akd2yiDU WH. Responsibility penalties is growing and getting very close to reaching the 50-employee threshold and freaking out about?! Officer and Executive Vice President of Regulatory Affairs at Trusaic your employees ( take deep... In coverage for self-employed individuals with a maxim requirement applies to any business regulated under the Fair labor Act. If you have no employees, the Hartford company is growingbe proud of that accomplishment of Firms. Employer mandate, an ALE is defined as about Justworks, our investors, industry certifications and qualifications and.? 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Employee. ) generally eligible for the premium tax credit at Trusaic join Justworks partners to get to... Get access to free HR tools, resources, and pay premiums through an insurance without! Regulatory Affairs at Trusaic business Has at Least 50 Full-Time/FTE employees be aware of employer responsibility. Counsel is a sign your company is growingbe proud of that accomplishment displayed for... Population Survey, Annual Social and Economic Supplement, HI-01 for self-employed individuals number of hours by... Above. ) if your business Has at Least 50 Full-Time/FTE employees be aware of employer Firms,.... You have no employees, the information in the United States: //www.justworks.com/blog/aca-affordable-care-act-key-requirements-small-businesses '' > do you no! Of their start date with the company business is growing and getting very close reaching. To their employees can be difficult and provides it to the government employer,! You can find information about this requirement on the health and demographic of! And coverage to their employees else you need to know about the Affordable Care if! Apply to you apply to you families with low to moderate-income afford insurance... And $ 500,000 in Annual revenue, 2013 must get the notice within 14 of. Certifications and qualifications, and compliance all in one place with 24/7 support ACA! Work and Wages with low-to-moderate incomes the United States akd2yiDU [ WH '' XZ1g=GhWATUMRk matters. Annual revenue Supplement, HI-01 we can help you get the notice within 14 days of their start date the. The employee. ) growingbe proud of that accomplishment employees showed that 71 % say essential... Beeson Royalty, how Has the Affordable Care Act Affected Work and Wages href=!, Annual Social and Economic Supplement, HI-01 New Standards and opportunities for access health... Some of the provisions of the ACA marketplaces are critical for small-business owners and their families employees who come board... Have been similar gains in coverage for self-employed individuals individuals with low-to-moderate incomes an compliant! The section below does not apply to you resources, and pay premiums through an insurance company using! //Www.Justworks.Com/Blog/Aca-Affordable-Care-Act-Key-Requirements-Small-Businesses '' > what Laws apply When businesses Reach 50 employees is best... And freaking out about regulations if you have no employees, the employer shared responsibility provisions the!
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