Affordable Care Act Resources
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ACA reporting information for 2020 Tax Year
If you are an employer who provides minimum essential coverage to an individual during a calendar year, certain information must be reported to the IRS about the coverage provided. If your organization is an applicable large employer, information must be reported to the IRS information about the health care coverage, if any, that was offered to full-time employees.
Filing Deadlines for the 2020 Tax Year
Below are the due dates you should mark on your calendar for reporting. You will meet the IRS reporting requirements to file if the form is properly addressed and mailed on or before the due date.
|January 31, 2021||Supply Forms 1095-C to employees.|
|February 28, 2021||File paper Forms 1095-C with transmittal Form 1094-C.|
|March 31, 2021||e-File Forms 1095-C with transmittal Form 1094-C.|
Preparing for ACA Annual Reporting
Determine if you had 50 or more full-time and full-time equivalent (FTE) employees in the previous calendar year. Also, determine if you are self-insured or full-insured. If your provider offers an FTE Calculator, use it to calculate how many full-time and FTE employees you had in the previous calendar year.
Forms to be Filed
- 50 or More Employees – Complete and file Forms 1095-C and 1094-C.
- Less Than 50 Employees (Self-Insured) – Complete and file Forms 1095-B and 1094-B.
- Less Than 50 Employees (Fully Insured) – Insurer is responsible for filing on behalf of the employer.
- Less Than 50 Employees (No Insurance) – Reporting is not required.
NOTE: When the combined total of full-time and FTE employees in a controlled group is 50 or more, each individual employer is subject to reporting.
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REPORTING BY APPLICABLE LARGE EMPLOYERS
Employers with 50 or more full-time employees, including full-time equivalent employees, use transmittal Form 1094-C and information return Form 1095-C to report the information required under the Affordable Care Act about offers of health coverage and enrollment in health coverage for their employees. In addition to reporting the coverage that they offer, applicable large employers who sponsor self-insured group health plans will use Forms 1094-C and 1095-C to report information about the coverage they provide to the covered individuals.
Small employers with fewer than 50 full-time employees are exempt from some of the reporting requirements, but not all. Small employers must provide the following:
- Complete and file Forms 1094-B and 1095-B with the IRS.
- Provide full-time employees with a copy of Form 1095-B.
- File Forms 1094-C and 1095-C if they are members of a controlled or affiliated service group that collectively has at least 50 full-time employees.
For more information, see the IRS’s questions and answers about Information Reporting by Health Coverage Providers and Reporting of Offers of Health Insurance Coverage by Employers.
Information required for aca reporting
Collect all the information needed to complete applicable forms and determine which reporting method to use. Depending on the reporting method used, you will need to gather information like:
- Employee’s name, SSN or date of birth (if SSN is unavailable), and address.
- Employer’s name, EIN, telephone number, and address.
- The months in which the employer offered coverage.
- The employee’s share of the monthly premium for self-only coverage (in certain cases).
- The months in which a safe hardbor (or other situation) applied (i.e. the employee was not a full-time employee).
ACA Articles for Employers
ACA Form Links
Below are links to the ACA information reporting forms and instructions on the IRS website:
- Form 1095-B, Health Coverage.
- Form 1094-B, Transmittal form accompanying Form 1095-B information returns.
- Form 1095-C, 2020 Draft of Employer-Provided Health Insurance Offer and Coverage.
- Form 1094-C, 2020 Draft transmittal form accompanying Form 1095-C information returns.
- Instructions for Forms 1094-B and 1095-B.
- Instructions for Forms 1094-C and 1095-C.
Notable changes to the forms include:
- The individual coverage HRA (ICHRA) is a new type of health reimbursement account (HRA) introduced in 2020. The revisions may require employers to alter existing reporting systems, as they add a second page to Form 1095-C.
- Codes (1L - 1S) have been added to Form 1095-C to help employees understand how their employers are determining affordability for ICHRA reporting.
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