PayData s 2016 ACA Webinar Series

Size: px
Start display at page:

Download "PayData s 2016 ACA Webinar Series"

Transcription

1 PayData s 2016 ACA Webinar Series Part Three: Populating the 1094/1095 Forms Part Three: Populating the 1094/1095 forms Hannah L LaFlam Training and Project Specialist PayData Workforce Solutions

2 Today s Agenda Review Company Settings & Required Report Settings. Overview of form types. Corresponding Evolution forms to the 1094 forms. Corresponding Evolution Fields to the 1095 forms. Examples

3 Purpose The Purpose of today s webinar is assist in understanding which fields correspond to which form data point and how to produce accurate forms using evolution. A recording of Part 1, and Part 2 of this webinar series is available on the PayData website under the ACA resource center. This is the final webinar in the series. Should you have unanswered questions, please see the resource page and/or submit a questions through the PayData client portal.

4 Company Settings Be sure you have ALL of the required set up complete; Company ACA Set-Up (submit ACA authorization form. Dynamic Fields Benefit Tables

5 ACA Company Settings In order for these reports to work correctly you must have submitted the updated 2016 Service Authorization Form. This form will allow for population of the Company ACA screen. For more information populating this form see part 1.

6 Dynamic Fields Allows users to see which fields should be change with effective dates. This is a workstation specific setting.

7 Benefit Table Set up Companies using the 98% offer method and companies that sponsor self-insured plans MUST have benefit tables set up in order for the 1095C to be correctly populated. If you do not know how to create benefit tables, please ask you CSR. Company> Benefits > Benefits In order for the ACA affordability report to produce an accurate result, the company benefit tables must created, noted as used for ACA and Use as HR You should also indicate if this is a selfinsured or fully funded plan.

8 1094-C Employers with 50 or more full-time employees (including full-time equivalent employees) in the previous year use Forms 1094-C and 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees. Form 1094-C must be used to report to the IRS summary information for each employer and to transmit Forms 1095-C to the IRS. Form 1095-C is used to report information about each employee. In addition, Forms 1094-C and 1095-C are used in determining whether an employer owes a payment under the employer shared responsibility provisions under section 4980H. Form 1095-C is also used in determining the eligibility of employees for the premium tax credit. Employers that offer employer-sponsored self-insured coverage also use Form 1095-C to report information to the IRS and to employees about individuals who have minimum essential coverage under the employer plan and therefore are not liable for the individual shared responsibility payment for the months that they are covered under the plan.

9 1094-C is the transmittal of the 1095-C forms. Submitted by PayData if you subscribe to our tax service. This will be submitted electronically for companies with 250+ employees in compliance the ACA regulations.

10 IDefaults to Yes F o r m C { ) ALE Member Inform on Month 23 Al 12 Months (a) Minimum Essential Coverage Offer I rdlcatcr Yes 24 Jan 0 25 Feb E l 26 Mar 27 Allr 28 May El Full-Time and Full-Lime Equivalent count All Employees count Check rf consolidated Page 2 No _ 0. (b) Full-Time Errooyee Count for ALE Member. lo) Total Employee Count for ALE Member Column (b) includes Column (c) employees who on the includes last day of the month: employees who on the last day of have a status of active the month: _ have a whose ACA status status of is full-time or full active, and time ongoing, whose current hire whose date is prior current hire date to the end of is prior to the end of the t h e m o n t h month, who do not have a safe harbor code of 21) (manually input or auto populated) (d) Aggregated, Group Indicator El (e) Section 4980H Transition Relief Indicator 29 June ao July 0 0 El 0 31 Aug Sept 0 33 Oct 0 34 Nov 0 as Dec 0 Using appropriate dates and statuses is essential to ensuring accurate counts on the 1094-C Form 104-C pm - ) PAY WORKFORCE SOLUTIONS DATA

11 Only self-insured companies need to do part III 1095-C

12 Codes to use under the Qualifying offer method: For ACA Coverage field; (line C) 1A= coverage offered every day of the month 1H= coverage not offered every day of the month For applicable section 4980H (line C) 2A= not employed any day in the month 2B= employee part time (used for employees who went from part time to full time or vice versa that need to be reported fulltime in some months but may not be eligible in part-time months) C. Employee Enrolled in coverage A. Employee in waiting period. Codes to use for the 98% Offer Method; For ACA Coverage field; (line C) 1E= coverage offered every day of the month 1H= coverage not offered every day of the month For applicable section 4980H field (line C) 2A= not employed any day in the month 2B= employee part time (used for employees who when from part time to full time or vice versa that need to be reported fulltime in some months but may not be eligible in part-time months) C. Employee Enrolled in coverage A. Employee in waiting period 2F- W2 safe harbor ** 2H- rate of pay safe harbor. *** Be sure to pull in the lowest cost benefit offered to employees so that it can be reported on line 15 of the 1095C.