ACA Plan Setup

20 07, 2017

Setting Up Age Banded Health Plans

2017-10-18T10:09:06+00:00 July 20th, 2017|0 Comments

KB14-064 Age banded setups are easily tracked in the ACA Cloud Solution and the 1095-C Part II will reflect accurately for each employee taking a particular band. Age Banded simply means that for different ages of the employee there is an incremental increase in the monthly health deduction. For example single employees between age 20 [...]

7 09, 2016

Criteria for Reporting Union Plans with the Multi-Employer IR Safe Harbor

2017-10-20T11:39:56+00:00 September 7th, 2016|0 Comments

KB14-051 It has nothing to do with union fees. The multi-employer plan transition relief (2E) provides that a contributing employer is treated as offering coverage, and generally protected from a penalty, if the following three criteria are met: The employer is required to contribute to a multi-employer plan on behalf of an employee pursuant to [...]

7 09, 2016

Set Up of the ACA Plan for No Offer of Coverage

2017-10-18T14:28:57+00:00 September 7th, 2016|0 Comments

KB14-048 You would have to setup at least two plans. 1) For the management and 2) For the no offer. Keep in in mind that even if you have a no offer you must have an ACA Plan setup for that scenario that would have none of the boxes click (MEC, MV, Employee, Spouse, and [...]

25 01, 2016

Safe Harbor Choice for Refusing Coverage

2017-10-18T16:45:52+00:00 January 25th, 2016|0 Comments

KB13-043 You would use either 2F, 2G or 2H – whichever safe harbor you used to determine affordability.   Questions/Resources If you have any questions or comments please email If you would like to search for information and resources for Integrity Data products check out the following site: • Knowledge Base: • Videos: Last [...]

18 11, 2015

MEWA Plans Subject to ACA

2017-10-19T09:52:56+00:00 November 18th, 2015|0 Comments

KB14-025 Below is the Department of Labor link to explain MEWA (Multiple Employer Welfare Arrangements) plans that are subject to ACA reporting because they are defined as a self-insured plans. Please keep in mind that, in the past, these plans did not have to provide minimum value; but that is now a requirement. Questions/Resources If [...]

18 11, 2015

Setting Up the Self-Insured Indicator for Dependent Coverage in the ACA Compliance Solution

2017-10-19T10:16:30+00:00 November 18th, 2015|0 Comments

KB14-020 Question: If a company is self-funded, the covered Individuals section is blank, all dependents are keyed in with beginning dates and ending dates, where does it indicate self-funded? Answer: If the plan the employer is attached to is marked as self-insured in the ACA Plan Setup, it will include individuals and dependents. If the plan [...]

23 07, 2015

Rate of Pay Safe Harbor Determination

2017-10-20T09:42:37+00:00 July 23rd, 2015|0 Comments

KB13-021 All three safe harbors represent the maximum an employee can be expected to contribute for self-only coverage. Using the lowest paid hourly workers' rate, or the state unemployment rate, in the Rate of Pay safe harbor calculation will keep coverage within the affordability criteria of the ACA. The theory here is that no one [...]

23 07, 2015

1095-C Dependent Information for Spouse and Dependent

2017-10-20T10:24:33+00:00 July 23rd, 2015|0 Comments

KB13-014 On IRS Form 1095-C, there is a section for dependent information (Part III). You will complete this section ONLY if your company’s policy is self-insured. If it is not, you do not need to put anything in Part III of Form 1095-C. Part III was added in order to track dependent coverage for self-insured [...]