ACA Compliance Solution

1 11, 2019

Are the 1095-C Forms for Reporting Health Coverage in the Year 2019 a Requirement in 2020?

2019-11-01T10:18:35-05:00November 1st, 2019|, |0 Comments

KB14-070 Question: Are the 1095-C forms for reporting health coverage in the year 2019 a requirement in 2020? Answer: Yes, Applicable Large Employers are required to comply with the existing reporting requirements for the 2019 tax year reporting by the deadlines in 2020. Given that the individual mandate penalty is zero for the 2020 tax [...]

28 06, 2019

Understanding the Standard Measurement Period (SMP) Setup and Report

2019-06-28T09:47:32-05:00June 28th, 2019|, , |0 Comments

KB14-089 THE SMP SETUP:   It all begins with the SMP setup found in the Cloud navigation menu under Configuration>ACA Setup>Standard Measurement Period.  If you are new to the solution, you will need to use the New Schedule entry window.  We usually use Standard SMP 1 as the entry, then Save.  For those that have already [...]

26 11, 2018

Full-Time Temporary Employees – When are they eligible under the ACA?

2018-11-26T16:09:52-06:00November 26th, 2018|, , |0 Comments

KB14-088 Employees should be eligible for coverage after a full-time waiting period, not to exceed 90 days. There are some allowances for “seasonal” employees & workers, however, this does not apply to assignments via a staffing company. The seasonal limitation of 6 months of employment is generally accepted. There is a great SHRM article that [...]

16 10, 2018

Let’s Look At The Most Common 1095-C Coverage Scenarios

2018-10-17T08:11:43-05:00October 16th, 2018|, |0 Comments

KB14-087 Please review the most common coverage scenarios below. Full-Time Employee: Enrolled All Year In this example, the employee was offered & enrolled in a minimum essential coverage with minimum value for all twelve months AND the lowest-cost, self-only plan cost increased in the month of June due to it being a mid-year plan. Line [...]

16 10, 2018

1095-C Form Review – Line 14, 15, 16 & Part III

2018-10-17T07:53:55-05:00October 16th, 2018|, |0 Comments

KB14-086 The purpose of this document is to assist in reviewing the accuracy of your 1095 forms. Line 14 – Offer of Coverage Line 14 on the 1095-C form provides details of the coverage that was offered throughout the year, including: • Whether or not health insurance coverage was offered • The type of coverage [...]

27 08, 2018

IRS CODES FOR LINE 14 OF THE 1095-C

2018-10-02T13:28:40-05:00August 27th, 2018||0 Comments

KB14-082 Line 14: • 1A. Qualifying Offer: Minimum essential coverage providing minimum value offered to full-time employee with Employee Required Contribution equal to or less than 9.56% (as adjusted) of mainland single federal poverty line and at least minimum essential coverage offered to spouse and dependent(s). Note.  This code may be used to report for specific [...]

12 07, 2018