AFFORDABLE CARE ACT (ACA) REPORTING CONSIDERATIONS

Size: px
Start display at page:

Download "AFFORDABLE CARE ACT (ACA) REPORTING CONSIDERATIONS"

Transcription

1 AFFORDABLE CARE ACT (ACA) REPORTING CONSIDERATIONS PRESENTED BY: FELICIA BARNES-HODGE, FISCAL ANALYST ESD 113 My Partner For Learning Solutions

2 ACA - The Goal & Disclaimer The Goal The goal is to provide affordable heath care coverage available to everyone in the United States through an employer, a governmentsponsored agency or a public exchange (Marketplace). Disclaimer We share this information with our clients for general informational purposes only. It does not necessarily address all or your specific issues. It should not be construed as, nor is it intended to provide legal advice. Questions regarding specific issues and applications of these rules to your plans should be addressed by your legal counsel.

3 ACA AN OVERVIEW OF WHY? The IRS is collecting affordable care information from the employee (Individual Mandate), insurance carriers, and the employer (Employer Mandate). Individual Mandate (1095-C) informs the IRS the employee has coverage or pays a fee when taxes are filed Employer Mandate (District) informs the IRS the Offer of Coverage was/was not offered and why or pays a fee when forms 1094-C & 1095-C are transmitted by the District (similar to W2 process)

4 POSSIBLE PENALTIES If employee receives a subsidy from the marketplace: No 1095-c filed by district* $250 per unfiled return Not to exceed $3,000,000 each calendar year Incorrect return filed $250 per unfiled return Not to exceed $3,000,000 each calendar year For 2015, IRS will not impose this penalty when good faith effort is shown to comply with reporting requirements

5 POSSIBLE PENALTIES 70% Rule If no offer of coverage was given to at least 70% of all full-time employees* 1/12 of $2,000 multiplied by the number of full time employees employed for the month minus 80 Minus 30 in 2016 & beyond *For 2016 and beyond, it becomes 95% of full time employees Offer of Coverage is Inadequate (Minimum Value) Offer of Coverage is Unaffordable If employee s share of coverage would cost the employee more than 9.5% of household income Safe Harbors will apply here

6 ACA REQUIREMENTS Review hours monthly Monitor monthly measurement period Determine reportable employees Determine Offer of Coverage Identify Safe Harbors, if needed Provide 1095-C to reportable employees Submit 1094-C and 1095-C to IRS

7 CAPTURING ALL HOURS OF SERVICE Hours of Service Each hour an employee is paid for the performance of duties for a period of time Each hour an employee is entitled to be paid for a period of time during which no duties were performed due to vacation, holiday, illness, incapacity (including disability), layoff, jury duty, military duty or leave of absence (including vacation/sick leave cash outs)

8 CAPTURING ALL HOURS OF SERVICE CONT D Coaching and Stipend contracts are going to need some hours attached to it and must not be less than minimum wage ($9.47) and must be reasonable hours. EXAMPLE: Annie Oakley is a Head basketball coach paid $3,000 for a 3-month contract. If we use a rate of $10/hour it equals out to 300 hours. If we use her contract pay of $35/hour it equals 85.5 hours. Depending on the scope of work performed, both could be considered reasonable hours & above minimum wage. Consider meeting with the Athletic Director or Administrator in charge of Coaches and the same for the person in charge of stipend positions. Hours may trigger change in ACA reporting requirements

9 ESTABLISH A MEASUREMENT PERIOD The Look-Back Method is recommended for school districts however there is a monthly measurement option Measurement should be between 3 12 months Exclude school year breaks and summer break OR credit the employee with average hours during the break Must choose a consistent period for all employees

10 DEFINITIONS FOR ACA DATA COLLECTION Full-Time Employee Employees who work at least 30 hours per week or 130 service hours for more than 120 days per year With respect to any month, hired to work at least 30 hours per week or 130 hours per month (The 130 hours of service standard is equal to 30 hours of service per week times 52 weeks divided by 12 calendar months.) This includes certificated and classified substitutes NOTE: If employer has less than 50 full-time employees (by ACA standards), the district is not obligated to meet this reporting requirement although it is recommended

11 DEFINITIONS FOR ACA DATA COLLECTION CONT D PART-TIME EMPLOYEE Hired to work less than average of 30 hours per week on a consistent basis (no more than 120 hours per month) VARIABLE HOURS OR SEASONAL EMPLOYEE Hired to work a variety of different hours or hours are constantly changing

12 DEFINITIONS FOR ACA DATA COLLECTION CONT D Full-Time Equivalent Employees Hours of service for part-time employees (up to 120 hours) per person per month divided by 120 equals the number of full-time equivalent employees for the month This is needed to help capture the total number of ACA full-time employees that are reported on the 1094-C each month. What is considered a part-time employee by ACA standards? Employees hired to work less than average of 30 hours per week on a consistent basis

13 FT COUNT EXAMPLE Calendar Year 2015 Jan Feb Mar # of Employees per month # of FT Employees 130 hrs/month # of Part Time Employees (less than 30hrs per week) Variable / Seasonal Employees (don't report) Total # of Part-Time Employee Hours per month # of FT Equiv EE 120 hrs/month Total ACA FT & FT Equiv EE % Minimum 98% 96% 98%

14 DEFINITIONS FOR ACA DATA COLLECTION CONT D Offer of Coverage (What coverage was offered or not) Series 1 Codes describe the coverage that is offered to the employee and his or her spouse and dependent(s), if any exist. Safe Harbor (Why coverage was offered or not) Series 2 Codes provide the IRS with information to administer the employer shared responsibility provisions. These codes indicate that under a rule of Safe Harbor, the employer is not subject to an assessable payment under Section 4980H(b) for the month, or that the health coverage offered is treated as affordable for purposes of Section 4980H(b).

15 PROVIDING INDIVIDUAL STATEMENTS Follows the same guidelines as the W-2 process General Rule: Provide 1095-C statement by mail to last known permanent (or temporary) address Electronic statements is an option but there are certain consent requirements (Contact the ISC for assistance)

16 DUE DATES & RECORDKEEPING Furnishing Form 1095-C to Employees January 31 st of each year If this date happens to fall on a weekend/holiday, file by next business day ( For 2015 filing the due date is February 1, 2016). Furnishing 1094-C (Transmittal) and 1095-C (Individual) to IRS February 29, 2016 if filing by paper March 31, 2016 if filing electronically If filing more than 250 returns, filing electronically is required Keep copies or have the ability to reconstruct the forms 3 years from the due date of the forms

17 WHAT DISTRICTS CAN DO NOW Determine if your district is an applicable large employer (ALE) Become familiar with IRS Instructions for 1094-C and 1095-C Become familiar with Series 1 & 2 codes Register for IRS e-services account Request an IRS ACA Transmitter Control Code (TCC) Identify all employees who should receive a 1095-C form Determine if Offer of Coverage was/was not offered and why (Safe Harbor) Consider using a spreadsheet to collect all data needed to import into the system when update is released

18 ACA REPORTING TIMELINE District (Ongoing) Skyward DF Release (November 14, 2015) District (November/December) District (January March) Create ACA Spreadsheet Spreadsheet Maintenance ACA-related fields Import Spreadsheet or Manual Entry Mass Process Reporting C/1095-C ISC Printing Transmit file

19 UPCOMING ACA TRAININGS WEDNESDAY, NOVEMBER 18, 2015 WEDNESDAY, DECEMBER 9, 2015 THE FOLLOWING TRAININGS WILL INCLUDE ACA UPDATES, W2 & 1099 PROCESSING WEDNESDAY, DECEMBER 16, 2015 FRIDAY, JANUARY 8, 2016 MONDAY, JANUARY 11, 2016

20 HELPFUL RESOURCES Internal Revenue Service US Department of Labor WA State Health Care Authority SKYDOCS - WSIPC GUIDE TO AFFORDABLE CARE ACT DATA COLLECTION (UPDATING REGULARLY)

21 QUESTIONS? Contact ISC: Phone:

Pay or Play Penalty Special Rules for Temporary Staffing Firms

Pay or Play Penalty Special Rules for Temporary Staffing Firms Brought to you by Cottingham & Butler Pay or Play Penalty Special Rules for Temporary Staffing Firms The Affordable Care Act (ACA) imposes a penalty on large employers that do not offer minimum essential

More information

IRS Guidance on Employer Shared Responsibility Penalty

IRS Guidance on Employer Shared Responsibility Penalty Brought to you by Hammitt Benefits Group IRS Guidance on Employer Shared Responsibility Penalty Beginning in 2014, the Affordable Care Act (ACA) imposes pay or play requirements on large employers to help

More information

Q&A from Assurex Global Webinar. Employer ACA Reporting Requirements. Q: Where will these forms come from? will the IRS provide them?

Q&A from Assurex Global Webinar. Employer ACA Reporting Requirements. Q: Where will these forms come from? will the IRS provide them? Q&A from Assurex Global Webinar Employer ACA Reporting Requirements Questions Q: Where will these forms come from? will the IRS provide them? A: IRS has provided draft Forms 1094 and 1095 along with draft

More information

Potential Penalties for Employers under the Pay or Play Rules

Potential Penalties for Employers under the Pay or Play Rules The Affordable Care Act (ACA) brings many changes to employers and health plans. One such change essentially amounts to a requirement for some employers to offer a certain level health care to their employees

More information

Parker, Smith & Feek - ACA Update: 2014 November 2013

Parker, Smith & Feek - ACA Update: 2014 November 2013 Affordable Care Act (ACA) Background Core of law is an attempt to reduce # of uninsured Multiple approaches to expanding insurance coverage Requires most in US to have health insurance Creates state-based

More information

Patient Protection and Affordable Care Act Compliance Checklist for Employers

Patient Protection and Affordable Care Act Compliance Checklist for Employers October, 2014 Patient Protection and Affordable Care Act Compliance Checklist for Employers Under the Employer Mandate in the Affordable Care Act, effective January 1, 2015, employers with 50 or more full-time

More information

Rose & Kiernan, Inc. December, 2015. IRS Notice 2015-87

Rose & Kiernan, Inc. December, 2015. IRS Notice 2015-87 BENEFITS ALERT Rose & Kiernan, Inc. December, 2015 IRS Notice 2015-87 The Departments of Treasury (IRS), Labor (DOL) and Health and Human Services (HHS) jointly issued a notice on December 16 th to clarify

More information

What s Ahead for 2015: Preparing Your Group Health Plan for the Employer Mandate

What s Ahead for 2015: Preparing Your Group Health Plan for the Employer Mandate What s Ahead for 2015: Preparing Your Group Health Plan for the Employer Mandate May 14, 2014 1 Speakers Moderator: Lisa A. Tavares, Partner Speakers: Thora A. Johnson, Partner Harry I. Atlas, Partner

More information

THE AFFORDABLE CARE ACT: DECISIONS THAT NEED TO BE MADE NOW. April 2014

THE AFFORDABLE CARE ACT: DECISIONS THAT NEED TO BE MADE NOW. April 2014 THE AFFORDABLE CARE ACT: DECISIONS THAT NEED TO BE MADE NOW April 2014 Introduction Speakers Anne Pachciarek Partner Employee Benefits and Executive Compensation DLA Piper Mark Boxer Partner Employee Benefits

More information

Health Care Reform 2015 Update

Health Care Reform 2015 Update Health Care Reform 2015 Update Presented to: Employee Health Benefits Committee Presented by: Pamela A. Boyer Information is current as of time of presentation: Oct. 15, 2015 1 Overview of Presentation

More information

The Affordable Care Act: What Does It Mean for Agricultural and Small Business Employers?

The Affordable Care Act: What Does It Mean for Agricultural and Small Business Employers? The Affordable Care Act: What Does It Mean for Agricultural and Small Business Employers? The Patient Protection and Affordable Care Act (ACA) includes provisions that will have significant implications

More information

Employer Reporting of Health Coverage Code Sections 6055 & 6056

Employer Reporting of Health Coverage Code Sections 6055 & 6056 Brought to you by Hickok & Boardman HR Intelligence Employer Reporting of Health Coverage Code Sections 6055 & 6056 The Affordable Care Act (ACA) created new reporting requirements under Internal Revenue

More information

Helbling Benefits Consulting Your Health Care Reform Partner

Helbling Benefits Consulting Your Health Care Reform Partner Helbling Benefits Consulting Your Health Care Reform Partner Will you be hit with penalties due to health care reform? Once the employer mandate becomes effective, some employers may have to pay a penalty

More information

IRS Issues Final Rules on Large Employer Reporting Requirements

IRS Issues Final Rules on Large Employer Reporting Requirements IRS Issues Final Rules on Large Employer Reporting Requirements Provided by TRUEbenefits LLC On March 5, 2014, the IRS issued a final rule on the section 6056 reporting requirements. Reporting is required

More information

Employer-Shared Responsibility

Employer-Shared Responsibility Affordable Care Act Planning to Deal with the Pay-or-Play Penalties Effective January 1, 2015 Anne Hydorn Hanson Bridgett LLP Telephone: (415) 995-5893 Email: ahydorn@hansonbridgett.com Judy Boyette Hanson

More information

IRS Eases Employers Into Employer Mandate

IRS Eases Employers Into Employer Mandate IRS Eases Employers Into Employer Mandate February 2014 The Treasury and Internal Revenue Service (IRS) released final regulations on the employer mandate under the Patient Protection and Affordable Care

More information

Procedure: AFFORDABLE CARE ACT COMPLIANCE (AP-006) Contact: Director of Human Resources and Risk Management, Ext. 7017

Procedure: AFFORDABLE CARE ACT COMPLIANCE (AP-006) Contact: Director of Human Resources and Risk Management, Ext. 7017 ROGUE COMMUNITY COLLEGE GENERAL INFORMATION AND ADMINISTRATIVE PROCEDURES Procedure: AFFORDABLE CARE ACT COMPLIANCE (AP-006) Contact: Director of Human Resources and Risk Management, Ext. 7017 1. INTRODUCTION

More information

School District Obligations Under the New Federal Health Care Law: Is Your District Going to Play or Pay the Penalty?

School District Obligations Under the New Federal Health Care Law: Is Your District Going to Play or Pay the Penalty? TM MISSOURI SCHOOL BOARDS ASSOCIATION HELPING SCHOOL BOARDS SUCCEED School District Obligations Under the New Federal Health Care Law: Is Your District Going to Play or Pay the Penalty? Click to jump to

More information

American Farm Bureau Federation

American Farm Bureau Federation American Farm Bureau Federation Overview of Health Care Reform and its Impact on Agricultural Employers 1 (as of October 2012) This is an overview of the employer mandate contained in the Patient Protection

More information

Two New Reporting Requirements Beginning in 2016 But Are Important Now

Two New Reporting Requirements Beginning in 2016 But Are Important Now Two New Reporting Requirements Beginning in 2016 But Are Important Now Recently, the IRS published final regulations implementing two new information reporting requirements under ACA that are first due

More information

ACA Employer Mandate: The Ultimate Guide

ACA Employer Mandate: The Ultimate Guide ACA Employer Mandate: The Ultimate Guide Table of Contents Are you ready? WHO needs to comply? WHAT forms do you need to file to comply? WHEN do you need to file the forms? WHERE do you get the forms?

More information

IRS Reporting for NON-Large Employers

IRS Reporting for NON-Large Employers IRS Reporting for NON-Large Employers NMASBO Fall Conference September 24, 2015 Nura Patani, PhD Senior Actuarial Analyst npatani@segalco.com Copyright 2015 by The Segal Group, Inc. All rights reserved.

More information

March 26, 2015. Q&A from Assurex Global Webinar "Employer ACA Reporting Requirements"

March 26, 2015. Q&A from Assurex Global Webinar Employer ACA Reporting Requirements Q&A from Assurex Global Webinar "Employer ACA Reporting Requirements" Question Large employer 500+, have several health insurance coverages some self funded some fully insured so who gets it with both

More information

Treasury and IRS Issue Final Regulations for Reporting Compliance With Affordable Care Act Mandates

Treasury and IRS Issue Final Regulations for Reporting Compliance With Affordable Care Act Mandates Treasury and IRS Issue Final Regulations for Reporting Compliance With Affordable Care Act Mandates April 2014 The Treasury Department and the Internal Revenue Service (IRS) issued final regulations on

More information

Health Care Reform: Ready or Not, Here it Comes! Presented by:

Health Care Reform: Ready or Not, Here it Comes! Presented by: Broader Perspective. Business Solutions. Health Care Reform: Ready or Not, Here it Comes! Presented by: Ryan Fridborg, MAOD, SPHR Executive Vice President, Employee Benefits rfridborg@boltonco.com Marilyn

More information

Shared Responsibility: What It Means for Your Business

Shared Responsibility: What It Means for Your Business Shared Responsibility: What It Means for Your Business The provisions of the Affordable Care Act (ACA) apply to nearly all companies in the United States. The ways they apply, however, can be different

More information

A f f o r d a b l e C a r e A c t. S u s a n L. G r a s s l i, J D M a y 2 0 1 4

A f f o r d a b l e C a r e A c t. S u s a n L. G r a s s l i, J D M a y 2 0 1 4 Health Care Reform T h e B i g T h r e e P r o v i s i o n s o f t h e A f f o r d a b l e C a r e A c t S u s a n L. G r a s s l i, J D M a y 2 0 1 4 Agenda Background The Big Three o Individual Mandate

More information

Sample Employee FAQs Explaining Benefits Eligibility

Sample Employee FAQs Explaining Benefits Eligibility Sample Employee FAQs Explaining Benefits Eligibility To assist employers in providing an explanation to their employees of how measurement, administrative, and stability periods will be used to determine

More information

IRS Releases Proposed Regulations on the Affordable Care Act s Play or Pay Mandate

IRS Releases Proposed Regulations on the Affordable Care Act s Play or Pay Mandate IRS Releases Proposed Regulations on the Affordable Care Act s Play or Pay Mandate 1710/14380-001 Current/20681029v1 NETWORK smart partners Table of Contents A special report on IRS Proposed Regulations

More information

DETERMINING APPLICABLE LARGE EMPLOYER STATUS Employer Shared Responsibility Under The Affordable Care Act (ACA)

DETERMINING APPLICABLE LARGE EMPLOYER STATUS Employer Shared Responsibility Under The Affordable Care Act (ACA) DETERMINING APPLICABLE LARGE EMPLOYER STATUS Employer Shared Responsibility Under The Affordable Care Act (ACA) What employers need to know to make informed decisions about ACA compliance Employer Shared

More information

ACA: Temporary and Variable Hour Employees Presented by: Larry Grudzien

ACA: Temporary and Variable Hour Employees Presented by: Larry Grudzien ACA: Temporary and Variable Hour Employees Presented by: Larry Grudzien We re proud to offer a full-circle solution to your HR needs. BASIC offers collaboration, flexibility, stability, security, quality

More information

Legislative Brief: PAY OR PLAY PENALTIES LOOK BACK MEASUREMENT METHOD EXAMPLES. EmPowerHR

Legislative Brief: PAY OR PLAY PENALTIES LOOK BACK MEASUREMENT METHOD EXAMPLES. EmPowerHR EmPowerHR Legislative Brief: PAY OR PLAY PENALTIES LOOK BACK MEASUREMENT METHOD EXAMPLES The Affordable Care Act (ACA) imposes a penalty on applicable large employers (ALEs) that do not offer health insurance

More information

EMPLOYER MANDATE FACT SHEET

EMPLOYER MANDATE FACT SHEET EMPLOYER MNDTE FCT SHEET INFORMED ON REFORM Overview Employers must offer health insurance that is affordable and provides minimum value to their full-time employees and their children up to age 26 or

More information

Overview of Reporting Requirements. ACA Reporting. Overview. Overview of Reporting Requirements. ACA Reporting Examples

Overview of Reporting Requirements. ACA Reporting. Overview. Overview of Reporting Requirements. ACA Reporting Examples ACA Reporting August 18, 2015 Norbert F. Kugele April A. Goff 2015 Warner Norcross & Judd LLP. All rights reserved. WNJ.com Overview Overview of Reporting Requirements Why have reporting Status of forms

More information

Determining Full-Time Employees under the Affordable Care Act

Determining Full-Time Employees under the Affordable Care Act December 2013 Determining Full-Time Employees under the Affordable Care Act Information for Businesses Employing 50 Employees or More Harrisonburg, VA 22801 Phone: (800) 366-3846 Fax: (540) 434-9670 www.ldbinsurance.com

More information

Treasury, IRS Release Final Rules on Employer Information Reporting Requirements Under Health Care Law

Treasury, IRS Release Final Rules on Employer Information Reporting Requirements Under Health Care Law March 6, 2014 Treasury, IRS Release Final Rules on Employer Information Reporting Requirements Under Health Care Law The Department of the Treasury and the IRS late yesterday (March 6, 2014) released long

More information

Key Considerations in Avoiding and Calculating Penalties Pursuant to the Employer Shared Responsibility Mandate

Key Considerations in Avoiding and Calculating Penalties Pursuant to the Employer Shared Responsibility Mandate and Calculating Penalties Pursuant to the Employer Shared Compliance Practice of Arthur J. Gallagher & Co. As a preliminary step, employers must determine if their organization is subject to the mandate.

More information

Applying Pay or Play to Special Employees

Applying Pay or Play to Special Employees American Benefits Council P4P Preparing for PPACA Webinar Applying Pay or Play to Special Employees March 20, 2014 Seth Perretta Crowell & Moring LLP Overview 2 Brief refresher on the employer pay or play

More information

Health-Care Reform Employer Shared Responsibility Provisions

Health-Care Reform Employer Shared Responsibility Provisions Health-Care Reform Employer Shared Responsibility Provisions CPA EDITION... This document provides an overview of the Employer Shared Responsibility provisions of the Affordable Care Act based on guidance

More information

School District Obligations Under the New Federal Health Care Law:

School District Obligations Under the New Federal Health Care Law: A special thanks to the following who provided technical assistance in drafting this guidance: Leza Conliffe National School Boards Association Ken Mason Spencer Fane Britt & Browne LLP Don Tatman Tatman

More information

The Affordable Care Act: Summary of Employer Requirements

The Affordable Care Act: Summary of Employer Requirements The Affordable Care Act: Summary of Employer Requirements February 2013 Disclaimer Any US tax advice contained herein was not intended or written to be used, and cannot be used, for the purpose of avoiding

More information

CARE HEALTH REFORM. Rider Penalty) Regulations. HCReducation.com

CARE HEALTH REFORM. Rider Penalty) Regulations. HCReducation.com HEALTH CARE REFORM Summary of the Final Employer Shared Responsibility (Free Rider Penalty) Regulations On Monday, February 10th the Internal Revenue Service (IRS) released long-awaited final regulations

More information

Definition of Full-Time Employee and Waiting Period Part of the Patient Protection and Affordable Care Act (PPACA)

Definition of Full-Time Employee and Waiting Period Part of the Patient Protection and Affordable Care Act (PPACA) Definition of Full-Time Employee and Waiting Period Part of the Patient Protection and Affordable Care Act (PPACA) The following provides an overview of recent confirmation (through Regulations) of important

More information

IRS Final Rule Partially Delays ACA Employer Shared Responsibility Requirement

IRS Final Rule Partially Delays ACA Employer Shared Responsibility Requirement A Timely Analysis of Legal Developments A S A P February 24, 2014 IRS Final Rule Partially Delays ACA Employer Shared Responsibility Requirement By Ilyse Schuman On February 12, 2014, the Internal Revenue

More information

Guidance issued on employer shared responsibility requirements

Guidance issued on employer shared responsibility requirements Guidance issued on employer shared responsibility requirements The shared responsibility requirements are one of the most significant provisions that employers need to address under the Affordable Care

More information

COMMENTARY. The Affordable Care Act: Considerations for Employers with Unionized Workers JONES DAY

COMMENTARY. The Affordable Care Act: Considerations for Employers with Unionized Workers JONES DAY March 2014 JONES DAY COMMENTARY The Affordable Care Act: Considerations for Employers with Unionized Workers The Affordable Care Act ( ACA ) infuses new complexities into collective bargaining negotiations

More information

PENALTIES Employer Shared Responsibility under the Affordable Care Act (ACA)

PENALTIES Employer Shared Responsibility under the Affordable Care Act (ACA) PENALTIES Employer Shared Responsibility under the Affordable Care Act (ACA) What employers need to know to make informed decisions about ACA compliance. Employer Shared Responsibility Under the employer

More information

AFFORDABLE CARE ACT TRAINING SESSION ONE

AFFORDABLE CARE ACT TRAINING SESSION ONE AFFORDABLE CARE ACT TRAINING SESSION ONE Waiting Periods/Eligibility for Coverage & Determining Applicable Large Employer Status Slide 1 Presenters Alison Cline Earles, Associate General Counsel, GMA Patrick

More information

DETERMINING FULL-TIME EMPLOYEE STATUS Employer Shared Responsibility Under the Affordable Care Act (ACA)

DETERMINING FULL-TIME EMPLOYEE STATUS Employer Shared Responsibility Under the Affordable Care Act (ACA) DETERMINING FULL-TIME EMPLOYEE STATUS Employer Shared Responsibility Under the Affordable Care Act (ACA) What employers need to know to make informed decisions about ACA compliance This document is intended

More information

IRS NOTICE 2015-87: ADDITIONAL GUIDANCE ON HRAS, ACA REPORTING, HEALTH FSA CARRYOVERS AND MORE

IRS NOTICE 2015-87: ADDITIONAL GUIDANCE ON HRAS, ACA REPORTING, HEALTH FSA CARRYOVERS AND MORE Attorneys at Law Friday, January 29, 2016 IRS NOTICE 2015-87: ADDITIONAL GUIDANCE ON HRAS, ACA REPORTING, HEALTH FSA CARRYOVERS AND MORE By: Gabriel S. Marinaro, Esq. In December of 2015, the IRS issued

More information

IRS Notice Provides Additional ACA Employer Shared Responsibility Guidance

IRS Notice Provides Additional ACA Employer Shared Responsibility Guidance IRS Notice Provides Additional ACA Employer Shared Responsibility Guidance The IRS recently issued Notice 2015-87, which among other things, provides important clarification of its position on a number

More information

The Affordable Care Act: What Public Employers Need to be Doing Now

The Affordable Care Act: What Public Employers Need to be Doing Now The Affordable Care Act: What Public Employers Need to be Doing Now April 30, 2014 J. Richard Johnson IPMA-HR Webinar Copyright 2014 by The Segal Group, Inc. All rights reserved. 1 ACA Update Discussion

More information

The Affordable Care Act: Running the ACA Reporting Maze

The Affordable Care Act: Running the ACA Reporting Maze The Affordable Care Act: Running the ACA Reporting Maze National Association of State Comptrollers March 12, 2015 Prepared by: Russell Chapman Special Counsel Littler Mendelson, P.C. Dallas Office 214.880.8177

More information

PAY OR PLAY TIME TO ACT

PAY OR PLAY TIME TO ACT PAY OR PLAY TIME TO ACT Bob Blum Hanson Bridgett LLP April 2, 2013 Hanson Bridgett LLP Talk To Your Lawyer This presentation is a general discussion of the pay or play rules based on proposed regs It is

More information

State of Delaware Office of Management and Budget, Statewide Benefits Office

State of Delaware Office of Management and Budget, Statewide Benefits Office State of Delaware Office of Management and Budget, Statewide Benefits Office Patient Protection and Affordable Care Act (ACA) Notice of Coverage Options and Health Insurance Marketplace Frequently Asked

More information

Health Care Reform Employer Shared Responsibility Provisions

Health Care Reform Employer Shared Responsibility Provisions Health Care Reform Employer Shared Responsibility Provisions Safe Harbor Qualification This document provides an overview of the employer shared responsibility (ESR) provisions of the Affordable Care Act

More information

Wells Insurance. 2015 ACA Compliance Update

Wells Insurance. 2015 ACA Compliance Update Wells Insurance 2015 ACA Compliance Update Wells Insurance Today s Agenda Cost-Saving Strategies Deadlines & Implications for you Plan Design Changes Reinsurance Fees Employer Penalty Rules Reporting of

More information

IRS Releases 2015 Forms and Instructions for 6055/6056 Reporting

IRS Releases 2015 Forms and Instructions for 6055/6056 Reporting IRS Releases 2015 Forms and Instructions for 6055/6056 Reporting Background Under the Patient Protection and Affordable Care Act (ACA), individuals are required to have health insurance while applicable

More information

IRS Issues Drafts of Individual Responsibility Reporting Forms

IRS Issues Drafts of Individual Responsibility Reporting Forms IRS Issues Drafts of Individual Responsibility Reporting Forms The following is a summary of draft forms. Some of this information may change when final forms, and the instructions, are released. In order

More information

Sandy Wood, CEBS (Certified Employee Benefit Specialist) Healthcare Consultant sandy@thebenefitsacademy.com 206-669-3345

Sandy Wood, CEBS (Certified Employee Benefit Specialist) Healthcare Consultant sandy@thebenefitsacademy.com 206-669-3345 1 Sandy Wood, CEBS (Certified Employee Benefit Specialist) Healthcare Consultant sandy@thebenefitsacademy.com 206-669-3345 2 Terms you need to know Required Notices 2014 Plan Requirements The Grandfathered

More information

To enforce these penalties and properly administer the premium tax credits, ACA imposes two annual reporting requirements on employers.

To enforce these penalties and properly administer the premium tax credits, ACA imposes two annual reporting requirements on employers. Employer Health Coverage Reporting Requirements for 2015 Summary The Affordable Care Act (ACA) includes reporting requirements for health care coverage in 2015. The reports will give information to the

More information

IRS Issues final regulations on employer shared responsibility requirements

IRS Issues final regulations on employer shared responsibility requirements IRS Issues final regulations on employer shared responsibility requirements Volume 37 Issue 46 April 17, 2014 The employer shared responsibility requirements commonly called the employer mandate are one

More information

Advantage Payroll Services Presents. March 24, 2015 Presenter: Jessica Stelfox, MBA, PHR

Advantage Payroll Services Presents. March 24, 2015 Presenter: Jessica Stelfox, MBA, PHR (c )A dv an ta ge Pa yr ol l Se rv ic es 20 15 Advantage Payroll Services Presents March 24, 2015 Presenter: Jessica Stelfox, MBA, PHR We encourage you to benefit from resources and information provided

More information

Navigating the Employer Mandate

Navigating the Employer Mandate Navigating the Employer Mandate The Employer Mandate is the Health Care Reform provision that requires all employers with 50 or more full time equivalent employees to offer a certain level of health insurance

More information

Since Congress passed the Patient Protection and

Since Congress passed the Patient Protection and A Primer on New Applicable Large Employer Reporting Requirements under the ACA by Kathy A. Lawler and Madeline Sexton Lewis Since Congress passed the Patient Protection and Affordable Care Act (ACA) in

More information

ACA REPORTING WEBINAR QUESTIONS AND ANSWERS

ACA REPORTING WEBINAR QUESTIONS AND ANSWERS ACA REPORTING WEBINAR QUESTIONS AND ANSWERS The following questions on ACA reporting requirements to the IRS were collected at a series of webinars offered by ThinkHR. Introduction The Affordable Care

More information

Health Care Reform Where Are We Now? Preparing for 2015

Health Care Reform Where Are We Now? Preparing for 2015 Tuesday, July 1, 2014 2 3 p.m. Central time Health Care Reform Where Are We Now? Preparing for 2015 David Hunt, CHBC Senior Managing Consultant BKD, LLP dhunt@bkd.com Philip Floyd, CFP, CFS Senior Managing

More information

MEMORANDUM. March 5, 2014. IRS Final Rule on the Affordable Care Act s Employer Mandate

MEMORANDUM. March 5, 2014. IRS Final Rule on the Affordable Care Act s Employer Mandate 2120 L Street, NW, Suite 700 T 202.822.8282 HOBBSSTRAUS.COM Washington, DC 20037 F 202.296.8834 MEMORANDUM To: From: Re: Tribal Health Clients Hobbs, Straus, Dean & Walker LLP IRS Final Rule on the Affordable

More information

Documenting Method for Identifying Full-time Employees

Documenting Method for Identifying Full-time Employees Brought to you by Higginbotham Documenting Method for Identifying Full-time Employees Beginning in 2015, the Affordable Care Act (ACA) imposes a penalty on applicable large employers (ALEs) that do not

More information

HEALTH CARE REFORM: FREQUENTLY ASKED QUESTIONS (Group, Individual, Seasonal)

HEALTH CARE REFORM: FREQUENTLY ASKED QUESTIONS (Group, Individual, Seasonal) Group Health Insurance Q & A HEALTH CARE REFORM: FREQUENTLY ASKED QUESTIONS (Group, Individual, Seasonal) 1. Will small employers continue to have 12 month rates as they exist today? a. Yes. Employer groups

More information

Health Care Reform: Health Plans Overview. Presented by: Brian Lenzo, Preferred Benefits Services

Health Care Reform: Health Plans Overview. Presented by: Brian Lenzo, Preferred Benefits Services Health Care Reform: Health Plans Overview Presented by: Brian Lenzo, Preferred Benefits Services Agenda What is the legal status of the law? Which plans must comply? Grandfathered plans Reforms currently

More information

IRS Form 1095-C: Indicator Codes for Lines 14, 15, and 16

IRS Form 1095-C: Indicator Codes for Lines 14, 15, and 16 IRS Form 1095-C: Indicator Codes for Lines 14, 15, and 16 Form 1095-C, Part II, Line 14: Indicator Code Series 1 for Offer of Coverage 1A. Qualifying Offer: Minimum essential coverage providing minimum

More information

5 Steps to Take Now: Preparing for the Affordable Care Act Shared Responsibility Excise Tax

5 Steps to Take Now: Preparing for the Affordable Care Act Shared Responsibility Excise Tax 5 Steps to Take Now: Preparing for the Affordable Care Act Shared Responsibility Excise Tax By Gregory L. Needles, Morgan, Lewis & Bockius LLP gneedles@morganlewis.com 202-739-5448 This article is a companion

More information

What Texas School Officials Should Understand About the Affordable Care Act

What Texas School Officials Should Understand About the Affordable Care Act What Texas School Officials Should Understand About the Affordable Care Act The Patient Protection and Affordable Care Act (ACA), also known as ObamaCare, enacted sweeping changes to the healthcare system.

More information

HEALTH CARE REFORM: PLAY OR PAY?

HEALTH CARE REFORM: PLAY OR PAY? The Ultimate Guide to HEALTH CARE REFORM: PLAY OR PAY? Calculate Your Health Benefits Savings 23 DISCLAIMER The information provided herein by Health Insurance Brokers is general in nature and should not

More information

Affordable Care Act (ACA) What You Need to Do Now

Affordable Care Act (ACA) What You Need to Do Now Affordable Care Act (ACA) What You Need to Do Now Presented By: Five Points Who is Five Points? Been in business since 1989 Specialize in benefits and HR apps for schools, government, and hospitals: ACA

More information

Health Care Reform: 2015 Refresher of the Affordable Care Act (ACA)

Health Care Reform: 2015 Refresher of the Affordable Care Act (ACA) Health Care Reform: 2015 Refresher of the Affordable Care Act (ACA) Brought to you by Aon Presented by: Ryan Comstock & Shawna Brown This information is provided for informational purposes only and is

More information

Health Care Reform (HCR)

Health Care Reform (HCR) Health Care Reform Effects on the Wood County Employee Health Benefits Plan For Plan Year 2013 Employee Health Benefits Committee October 18, 2012 1 Health Care Reform (HCR) Affordable Care Act (ACA) The

More information

Updated January 2016 WHAT COUNTS AS AN HOUR OF SERVICE?

Updated January 2016 WHAT COUNTS AS AN HOUR OF SERVICE? Updated January 2016 WHAT COUNTS AS AN HOUR OF SERVICE? Under the Patient Protection and Affordable Care Act ( PPACA ), an employee s status for purposes of the Employer Shared Responsibility requirement

More information

Health in a Handbasket What Employers Need to Know Now

Health in a Handbasket What Employers Need to Know Now Health in a Handbasket What Employers Need to Know Now Presented by Steven J. Friedman Littler, New York 212-583-2687 Agenda Full Speed Ahead: Again? Pay-or-Play: What is the optimal strategy for you?

More information

Health Care Reform Key Points

Health Care Reform Key Points Health Care Reform Key Points Contact Us 855.220.8634 HealthCareReform@eidebailly.com Individual Implications Individual mandate to have health insurance Penalties applies if NO health insurance 2014 -

More information

Contingent Workers: Is the Staffing Agency or the Client

Contingent Workers: Is the Staffing Agency or the Client Contingent Workers: Is the Staffing Agency or the Client Employer Liable under the Employer Mandate? The Issues by Lisa Klinger, JD Many employers hire temporary and contract workers (often called contingent

More information

IRS Releases Final Forms and Instructions for Affordable Care Act Reporting

IRS Releases Final Forms and Instructions for Affordable Care Act Reporting IRS Releases Final Forms and Instructions for Affordable Care Act Reporting March 24, 2015 In February 2015, the IRS released final forms and instructions related to information reporting under the Affordable

More information

Affordable Care Act Compliance and IRS 1094/95 Filings: Are YOU Ready??

Affordable Care Act Compliance and IRS 1094/95 Filings: Are YOU Ready?? Affordable Care Act Compliance and IRS 1094/95 Filings: Are YOU Ready?? REQUIREMENTS UNDER IRC SECTIONS 6055 AND 6056 Presented by: This Presentation Is Not Legal or tax advice The final word on ACA A

More information

Employer Shared Responsibility (ESR) Questions and Answers.

Employer Shared Responsibility (ESR) Questions and Answers. Employer Shared Responsibility (ESR) Questions and s. Recent ESR Questions asked by members of the accounting community, answered by senior members of Paychex Compliance Department. Question 1. When using

More information

The Affordable Care Act:

The Affordable Care Act: The Affordable Care Act: An Update on the Employer Mandate William A. Dombi, Esq. MARCH ON WASHINGTON Conference & Exposition March 24, 2014 Health Care Reform Framework Health insurance reforms Expanded

More information

Office Hours. ACA Potluck: IRS Provides Full Serving of New ACA Guidance. Recording

Office Hours. ACA Potluck: IRS Provides Full Serving of New ACA Guidance. Recording Recording Office Hours ACA Potluck: IRS Provides Full Serving of New ACA Guidance Guest Host Brian Gilmore, ABD Lead Benefits Counsel, VP Elizabeth Loh, Director, Trucker Huss, APC MARCH 24, 2016 ACA Potluck:

More information

Affordable Care Act (ACA) Violations Penalties and Excise Taxes

Affordable Care Act (ACA) Violations Penalties and Excise Taxes Brought to you by The Insurance Exchange Affordable Care Act (ACA) Violations Penalties and Excise Taxes The Affordable Care Act (ACA) includes numerous reforms for group health plans and creates new compliance

More information

} 1095&1094 SOLUTION }

} 1095&1094 SOLUTION } } 1095&1094 SOLUTION } ACA Services Print & mail IRS Form 1095-C and 1094-C to employees Print & mail IRS 1095-B for self-funded employers E-file IRS Form 1094-C for employers HR Webinar Training (Optional:

More information

Preparing for 2016: How the Obamacare Employer Insurance Mandate Can Make Open Shop Companies More Competitive

Preparing for 2016: How the Obamacare Employer Insurance Mandate Can Make Open Shop Companies More Competitive Updated as of August 2015 Preparing for 2016: How the Obamacare Employer Insurance Mandate Can Make Open Shop Companies More Competitive by Jeffrey Bennett, MBA, QPFC and Thomas Santa Barbara, QPFC 2015

More information

What to do about health care coverage and excise taxes

What to do about health care coverage and excise taxes What to do about health care coverage and excise taxes Eddie Adkins, Technical Tax Practice Leader The Affordable Care Act (ACA) has led to debates about specific provisions and political wrangling, but

More information

Calculating Hours of Service Under the Affordable Care Act

Calculating Hours of Service Under the Affordable Care Act Calculating Hours of Service Under the Affordable Care Act Compliance with the federal Patient Protection and Affordable Care Act (ACA) will necessitate accounting for work and leave time for all employees.

More information

The New Definition of a Full-time Employee Under the Affordable Care Act and What It Means to Your Business

The New Definition of a Full-time Employee Under the Affordable Care Act and What It Means to Your Business The New Definition of a Full-time Employee Under the Affordable Care Act and What It Means to Your Business CONTENTS From the Managing Partner... 3 Executive Summary... 4 Background...5 Qualifying for

More information

The Affordable Care Act: What s next for employers?

The Affordable Care Act: What s next for employers? The Affordable Care Act: What s next for employers? Prepared by: Jill Harris, Director, Washington National Tax, McGladrey LLP 507.226.0482, jill.harris@mcgladrey.com Bill O Malley, Director, Washington

More information

What s News in Tax Analysis That Matters from Washington National Tax

What s News in Tax Analysis That Matters from Washington National Tax What s News in Tax Analysis That Matters from Washington National Tax IRS Issues Final Regulations Concerning Reporting of Health Care Coverage by Plan Sponsors and Health Insurers Employers are required

More information

IRS Health Coverage Reporting Instructions Leave Many Questions Unanswered

IRS Health Coverage Reporting Instructions Leave Many Questions Unanswered September 23, 2014 If you have questions, please contact your regular Groom attorney or one of the attorneys listed below: Katie Bjornstad Amin kamin@groom.com (202) 861-2604 Christine L. Keller ckeller@groom.com

More information

Working With a Staffing Company. What clients need to know about compliance

Working With a Staffing Company. What clients need to know about compliance Working With a Staffing Company Under the Affordable Care Act What clients need to know about compliance The Staffing Industry s Position on the ACA Members of the American Staffing Association, the industry

More information

Concurrent Session Knowledge How you can Prepare for the Affordable Care Act. Andrew Braswell, Research Analyst, Staffing Industry Analysts

Concurrent Session Knowledge How you can Prepare for the Affordable Care Act. Andrew Braswell, Research Analyst, Staffing Industry Analysts TUES, OCT 7 4:15 PM JAMAICA Concurrent Session Knowledge How you can Prepare for the Affordable Care Act Andrew Braswell, Research Analyst, Staffing Industry Analysts DIGITAL SURVEYS How you can Prepare

More information