ACA Compliance Solution

ACA Compliance Solution2017-10-16T12:59:16-06:00

ACA Compliance Solution
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Are the 1095-C Forms for Reporting Health Coverage in the Year 2019 a Requirement in 2020?2019-11-01T10:18:35-06:00

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 year, there is an argument for the Part III reporting on form 1095-C to be eliminated. The industry will have to wait for guidance on this from the IRS on tax year 2020 reporting. It’s our opinion that because the individual mandate remains (albeit with no penalty), the reporting will remain as well. It’s a given that Part II (employer mandate) reporting will remain for the 2020 tax year and beyond.

 

Questions / Resources

If you have questions or comments please email Support@integrity-data.com.

If you would like to search for information and resources for Integrity Data products check out the following sites:

Last Review:      11/1/2019 – Revision: 0

Applies To:    ACA Compliance Solution

Keywords:  Requirements, 2020

Categories:  ACA Reporting Requirements

 

Understanding the Standard Measurement Period (SMP) Setup and Report2019-06-28T09:47:32-06:00

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 setup your schedule, it is found in the Schedule ID window.  Every year you will need to update your period by clicking on ADD NEW PERIOD on the big blue line.

                                            ADD NEW PERIOD WINDOW

THE REPORT:

To run the SMP Eligibility Report you will go to Alerts and Reports>ACA Reports>Eligibility>Standard Measurement Period Analysis on the main Cloud navigation menu.  This report is designed to be run once per year at the beginning of your open enrollment period (Administrative Period).

 
The key to the SMP Report is the above setup.  The Cut Off Date should be selected from the Period ID closest to your current open enrollment beginning.  You can also change the cutoff date to measure a selected amount of time but most select the SM period that corresponds to the open enrollment. 

The Control group must also be selected from the drop down box.  If you have multiple companies then usually you would choose the Combined option although you can run the report for each company separately. 

The other options are found at the bottom of this window with check boxes to activate, as below.


Some companies want to see the hours associated with their Full Time Employees and therefore check the box Include ACA Full-Time Status.  Just remember that FT employees are already offered insurance after their Waiting Period.  The SMP report is designed to determine eligibility for your Part Time active employees.  The PT (variable hour) new hire employees go into their own Initial Measurement Period to determine their eligibility.  

If you want to only see the part time employees who are eligible for an offering, check the Show Only ACA Eligible box.  If it is unchecked the report shows all part time employees and the hours they have worked in the period. 

The other option before clicking Create is to send the report to a PDF file or to an Excel file as shown below.

Once you click Create, a pdf or excel file will be generated.  It first goes to Pending and then the link turns blue and is ready for you to click and open the file.

READING THE REPORT:

Always check to see that the Date Range is what you are anticipating. If not go back and check another SMP in the drop down box.

Columns explained:
Regular Hours – These hours are without any Unpaid Leave Hours.

Unpaid Leave Hours – This is if you track this leave using the Integrity Cloud Solution window found in Configuration>ACA Setup>Unpaid Leave.  You may be tracking all the Unpaid Leave and Hours of Service in your payroll system.  If so, the hours are included with the transactions uploaded and tally in the Regular Hours column.

Effective Hours are the total of Regular Hours and Unpaid Leave Hours.

Average Hours/Month – This is the Effective Hours divided by the number of Measurement Months that your company set on the SMP setup window in Configuration (Common is 12 months). 

Calculated ACA Eligibility – To be Eligible for a Health Insurance offer, your employees will need to have averaged 130 hours or more per month for any length of SMP.  A 12 month period would have a total of 1560 hours.  A Non-Eligible does not meet these standards for monthly average and therefore you will not need to offer these employees health insurance.

Latest Trx – This shows the last upload date for your transactions.  This is important to tell you if you have included all transactional hours for the length of the SMP.  It is wise to check the Employee Monthly Hours Breakdown Report found in Alerts & Reports>ACA Reports>Employee.  This will tell you if you are short on hours or have too many hours (both situations will give you a possible false SMP Report).

 

Questions / Resources

If you have questions or comments please email Support@integrity-data.com.

If you would like to search for information and resources for Integrity Data products check out the following sites:

Last Review:  6/26/2019– Revision: 0

Applies To:    ACA Compliance Solution

Categories:  Eligibility Reporting, Company Setup

Keywords:  Standard, SMP

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