We help with education and with automation. We believe both are needed for organizations to be confident with their level of ACA compliance.
We provide a lot of education, including informing employers that even if they believe they are ACA compliant by having offered quality health care coverage all along – as many have – they will not be fully ACA-compliant until they file the new federally required IRS forms documenting that they offer coverage. This detail is one of those fine points lost amid headlines over the political drama.
We also educate employers on the mechanics in the law that trigger penalties. We show them that we have quick-to-install, easy-to-use automation that monitors these triggers.
Briefly, the law is about providing offers of coverage to eligible employees and making sure that coverage meets the ACA standards for minimum value and affordability. In plain talk, we demo how our ACA Compliance Solution monitors both of these triggers.
Our automation does both the regulatory reporting that is required annually and the deep internal reporting that is needed monthly for ACA penalty management. Identifying newly eligible employees is tricky – and we have that process covered.
The yearly regulatory reporting mandated by the ACA boils down to the challenging 1095-C form that must be sent to ACA-eligible employees. It is often compared with the W-2, however population of Form 1095-C is far more complex. Unlike a W-2, it does not go to every employee. And it is not based on summary data for an entire year but must be provide a monthly breakdown of data for each employee.
Form 1095-C is the ACA return that tells the IRS whether an employer offered health insurance to every eligible employee and if the offering was ACA-compliant. There is a science to identifying which employees need to get Form 1095-C and how to populate it for distribution to them. We have the logic for this science built into our ACA solution. We simplify production of the necessary 1095-Cs for employees and we also handle generation of the employer transmittal – Form 1094-C – for the IRS.
Internal monthly tracking is also important – both because that is what the yearly IRS reporting is based on, and because you need this business intelligence to manage risk of ACA penalties. Our software handles this as well.