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What is the Employer Mandate?
“Employer Shared Responsibility Provision”
“Pay or Play Provision”
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Coverage Requirement
“Under the Affordable Care Act’s employer shared responsibility provisions, certain employers (ALE’s) must either offer minimum essential coverage that is affordable and that provides minimum value to their full-time employees (and their dependents), or potentially make an employer shared responsibility payment to the IRS.”
—IRS.gov
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Provide qualifying health coverage to your full time employees or pay a big fine.
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Reporting Requirement
“The same employers that are subject to the employer shared responsibility provisions also have information reporting responsibilities regarding minimum essential coverage offered to employees.”
—IRS.gov
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Submit 1095-C and 1094-C forms to the IRS. Provide 1095-C to employees.
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Average of 50 or more full-time employees per month
Includes full-time equivalents and seasonal employees
Based on the prior calendar year
Definition of ALE
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Average of 30 or more hours per week (or 130 hours per month)
Full time equivalent = total number of non-full time hours/120
May not match your company’s definition of full time
Definition of full time
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Sum of full-time employees + equivalents (for the year) / 12
Round down to the next lowest whole number
New company and seasonal worker exceptions
How to calculate
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Transition relief may apply to your company if you had
50-99 employees in 2014.
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One per company
Summary of ACA methods (including transition relief)
Monthly % of full time employees who received offer of qualifying coverage
1094-C
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One per employee - like a W-2 for benefits
Monthly codes based on coverage offered, cost, and safe harbors
Dependents enrollment information (self-insured only)
1095-C
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Updated deadlines on December 28th
Furnish 1095-C to employees by March 31st
File 1094-C and 1095-C’s to IRS by May 31st (paper filing) or June 30th (e-filing)
Deadlines
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We're not ACA consultants, but we are employee data experts, so we like to help where we can.
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Features that will help you with the employer mandate:
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Check out our help article for more information and links to official ACA resources.
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Follow BambooHR on social media:
bamboohr.com/blog | #bamboohr
Thank you!
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