Complete ACA Reporting Services at No Additional Cost

COMPLETE ACA REPORTING An overview of 6055 and 6056 reporting and how DATIS will help your organization ensure compliance without any additional fees or modules.

ACA REPORTING SERVICES

Information is general. No legal advice is provided or intended.

6055 REPORTING

§  6055 Reporting is required to be completed by the provider of insurance – includes Forms 1094 B and 1095 B

§  Fully insured groups – insurance carrier will complete this reporting §  Self insured groups – required to complete this reporting with exceptions

§  Combined Reporting for self-insured employers except those who cover non-employees, multiemployer plans, and small employers with self-insured plans

6056 REPORTING

§  Both fully insured and self funded applicable large employers must complete:

§ 1094-C: Transmittal cover/summary § 1095-C: “W-2” Equivalent for Healthcare

§  Required for any employee who was full-time in any month of the calendar year. §  To be submitted to both the employee and IRS.

§  A full-time employee who works for more than one employer that is a member of the same aggregated ALE group (works for 2 separate ALE members) must receive a separate Form 1095-C from each employer.


FILING RULES


§  Filing Deadlines: §  Forms 1094-C and 1095-C §  Paper Returns: Due to IRS by February 28th of following year. §  Electronic Returns: Due to IRS by March 31st of following year.

§  Form 1095-C §  Must be furnished to the employee by January 31 of following year. §  For the 2015 filing year, the 1095-C forms are due to employees by

February 1, 2016.

NO ADDITIONAL COSTS OR MODULES

§  With DATIS, you will not need to purchase any additional features, services, or modules to complete your 6056 reporting or other ACA requirements

§  DATIS will automatically provide all of the monitoring and reporting tools necessary

to maintain compliance with ACA as part of their fully unified HR and Payroll Software.

§  The 6056 ACA Reporting will be handled electronically within DATIS’ e3 system,

allowing for a streamlined process and ensured compliance §  DATIS will generate the pre-filled 1094-C and 1095-C forms and employers will be

able to preview the documents electronically, ensuring all information is correct §  Electronic submission is processed as soon as employers click the “Approve”

button.


ELECTRONIC FORM DISTRIBUTION

§  After the forms are approved by the employer, each employee will have access to view their 1095-C form from their own Mye3 self-service portal

§  The employees will be able to review and accept the electronic version of the 1095-

C form, instead of a paper version, using our cloud-based solution §  Upon electronic review and approval, DATIS will file both the 1094-C and 1095-C

forms with the IRS


MORE DETAILS: ACA FORMS REQUIREMENTS

1094–C : IRS TRANSMITTAL

§  Part I: General employer information and contact information

§  Part II: Total number of 1095–C forms that will be filed

§  Part III § Offer minimum essential coverage? §  Full- time employee count per months (not employees in waiting period) §  Total number of employee count (FT, PT, waiting period) §  Transition Relief




1095–C : IRS & EACH EMPLOYEE

§  Part I: General employee information

§  Part II: Employee Offer and Coverage §  Line 14: Type of coverage offered codes §  Line 15: Employee only monthly share of lowest costing plan §  Line 16: Applicable safe harbor codes



§  Line 14 Codes §  1A: Qualifying Offer – minimum essential coverage to employee and spouse and

dependents that is equal to or less than 9.5% mainland federal poverty line §  1E: Minimum essential coverage providing minimum value to employee and at least

minimum essential coverage to dependents and spouse

§  Line 16 Codes § Code 2C: Employee enrolled in coverage: outweighs all other options § Code 2A: Not an employee during the month § Code 2B: Not a full-time employee § Code 2D: Waiting period § Code 2F: Affordability W-2 Safe Harbor § Code 2G: Federal Poverty Line Safe Harbor § Code 2H: Affordability Rate of Pay Safe Harbor



§  Part III: Self insured employers ONLY § Covered employee & dependents, SSN, DOB, months they were covered



HAVE QUESTIONS? WE HAVE ANSWERS.

Contact us today to discuss your ACA reporting needs and learn how DATIS’ fully unified solution can enable your organization to ensure compliance easily and seamlessly, without any additional fees or modules.

(877) 386-1355 | [email protected] |www.datis.com

Recruiting & HR

Complete ACA Reporting Services at No Additional Cost