Form 1095-C is used to indicate an offer of coverage was made to an eligible employee by an applicable large employer.
Completing 1095-C forms can be confusing, but we’re here to make it simple with this list of common 1095-C coverage scenarios and examples. We’ve even created an interactive code helper tool to help make ACA filing easier. Common 1095-C Coverage Scenarios: Full-Time Employee, Enrolled All 12 Months, qualifying offer In this example, the employee (EE) … Read more
Many states have adopted Individual Mandates. New Jersey ACA filing is required for certain employers and insurance providers. Clarifications to New Jersey ACA Requirements The NJ Market Preservation Act requires reporting to verify coverage provided by payers of NJ’s Income Tax. NJ requires employers, insurers, and other coverage providers to: Where New Jersey ACA Requirements … Read more
Many states have adopted Individual Mandates. California ACA filing is now required for certain employers and insurance providers. California ACA Filing Requirements If you are an employer of a California resident, or if you provide Minimum Essential Coverage (MEC) to a California resident, including spouses and/or other dependents, you must report ACA data to the … Read more
Before you begin to prepare your ACA reporting, it’s important that you know what information you need in preparing Form 1095-C. We’ve compiled the following 7 key topics in our Form 1095-C Guide that may help you to correctly and timely complete your filing. What’s new for Form 1095-C? The electronic filing threshold has been … Read more
In March 2010, Congress passed a comprehensive health care reform law known as the Affordable Care Act. What is the Affordable Care Act (ACA)? The Affordable Care Act is a comprehensive health care reform law that was passed in March 2010. Alternatively, known as ACA, Patient Protection and Affordable Care Act (PPACA), or Obamacare. It’s … Read more
When the IRS made reporting Affordable Care Act (ACA) a requirement back in 2015, it made employer reporting an obligation. There are two form types that can be submitted: Form 1095-B Health Coverage & Form 1095-C Employer-Provided Health Insurance Offer and Coverage. Failure to fulfill the filing and furnishing obligations with the IRS results in … Read more
ACA reporting can be very complex, but if you can use the Qualifying Offer Method then it may be a lot simpler! What is a Qualifying Offer? A Qualifying Offer is an offer that meets the following criteria: What is the Qualifying Offer Method? If the employer reports using the Qualifying Offer method, then they … Read more
If you e-file your ACA forms to IRS and later realize that you included an additional record by mistake, there is a way to fix it. Although, the IRS doesn’t have a straightforward way to void a 1095-C once it’s been filed, it can be corrected. So this raises the question: Is there a way … Read more
Health coverage affordability is an important part of complying with the ACA’s Employer Mandate. Failing to comply can result in penalties and fines. So, how do employers determine affordability? There are three affordability safe harbors that can be used: Form W-2, Federal Poverty Line (FPL), and Rate of Pay. ACA Employer Mandate The ACA Employer … Read more
The IRS sends out Letter 1865C to employers if they cannot process some of their ACA forms. This can be for a variety of reasons, including improper format, incorrect forms, and typos among other things. What is IRS Letter 1865C? The IRS Letter 1865-C, Information Return (Paper) Incomplete or Rejected for Processing, is a … Read more
Health insurance issuers and carriers must file Form 1095-B for most health coverage. When completing Form 1095-B, you will need to identify the Origin of Health Coverage being reported on Line 8 of the Form 1095-B. IRS Form 1095-B, Line 8 The Origin of Health Coverage is indicated using one of the seven IRS designated … Read more
The IRS has outlined two ACA measurement methods that can be used in determining employee status for ACA purposes. These are the Monthly Measurement Method and Look-Back Measurement Method. ACA Employer Mandate It’s important that Applicable Large Employers (ALEs) ensure that they meet all of the requirements outlined by the ACA Employer Mandate. This means … Read more
Under the Affordable Care Act (ACA), the federal and state governments, employers, and insurers were given a shared responsibility to improve the availability, quality, and affordability of health coverage in the US. The Affordable Care Act’s employer shared responsibility provisions require certain employers (called applicable large employers or ALEs) to offer affordable health coverage to … Read more
One of the first steps in preparing for ACA reporting is identifying all of your common law employees. The IRS defines an employee as anyone who performs services for you if you can control what will be done and how it will be done. This includes when you have given the employee freedom of action. … Read more
With a software provider, you can e-file PDF Forms 1095-C by converting the data into an IRS-acceptable format. Can I e-File PDF Forms 1095-C directly to the IRS? No, you cannot e-File PDF Forms 1095-C directly to the IRS. The IRS has very specific requirements for ACA Information Returns that are filed electronically. How can … Read more