March 2024

 

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Healthcare Reform; ACA Annual Reporting

3/28/24

Author: Taneil Jaeger/Wednesday, October 6, 2021/Categories: Compliance Corner , Federal Compliance Update

Employers with 50 or more full-time employees, including full-time equivalents, are required to report on health coverage offered to full-time employees under the Affordable Care Act (ACA). The IRS requires these employers to file two forms annually: Forms 1094-C and 1095-C, and provide a copy of Form 1095-C to each full-time employee. 

Because you’re with ADP TotalSource we’re going to help you complete the required reporting and file on your behalf.*


Just two ACA forms: simple, right?


It is with ADP TotalSource.

Completing two forms may seem easy, but the data and classifications needed are complex and time consuming. Good thing you have ADP TotalSource by your side.

 

 


ADP TotalSource has been tracking the data you need for ACA reporting all year and we'll use it to complete your required reporting.**

 

ADP TotalSource ACA Timeline


  
Throughout 2023 

If this is your first year with ADP TotalSource, your Compliance Analyst will reach out to schedule an initial meeting to gather the information necessary to complete your ACA filing on your behalf. Learn more about what to expect and when for the 2023 Reporting Season. 

  
December

Beginning December 13, 2023 you can log in and approve your forms. 1095-C forms must be approved by January 31, to meet the IRS deadline. 

Confused about the forms? Here’s a breakdown. 

Need help with the approval process? Check out this guide. 

  
J
anuary 

TotalSource will mail 1095-C Forms to employees, on your behalf.

You have this web site to learn about ACA and the required forms, but what should you tell your employees? Don’t worry; we have you covered. Your employees have access to information about the forms on MyLife.

   
February

Starting on February 15, we recommend reviewing your filing errors. Did some of your employees have Social Security Number (SSN) or Name mismatch errors? Read the latest guidance on resolving this issue. 

  
April 1

ADP TotalSource completes filing of Forms 1094-C and 1095-C on your behalf on or prior to this date.


Frequently Asked Questions


Who is considered a full-time employee?     
IRC Section 4980H and the applicable regulations provide that a full-time employee for any calendar month is an employee who is credited with an average of at least 30 hours of service per week during the calendar month, or at least 130 hours of service during the calendar month. Hours of service include paid time off due to vacation, holiday, illness, incapacity (including disability), layoff, jury duty, military duty or family and medical leave of absence.

What are the reporting deadlines for ALEs?  
Similar to the Form W-2 reporting deadline, Form 1095-C statements must be provided annually to employees by March 1 of the year following the year to which the statement relates. You will meet the requirement to furnish Form 1095-C to an employee if the form is properly addressed and mailed on or before the due date. Forms 1094-C and Forms 1095-C must be provided to the IRS by March 31, of the year following the year to which the statement relates. For years where the regular due date falls on a Saturday, Sunday, or legal holiday, the due date will move to the next business day.

What is an Applicable Large Employer (ALE)?
An Applicable Large Employer (ALE) is an employer that employed an average of 50 or more full-time employees (as defined by the ACA), including full-time equivalent employees, during the preceding calendar year. An ALE is subject to the Employer Shared Responsibility provisions under Internal Revenue Code (IRC) Section 4980H and the annual reporting obligation under IRC Section 6056. 
Here’s a full list of frequently asked questions.



Additional Resources


We want to help you remain in compliance by monitoring throughout the year and navigate the reporting system. Check out the links below for more information on things you can be doing throughout the year and more information on areas of interest. 

SSN Name Mismatch Errors

Measurement Periods


*Services available for ADP TotalSource clients with Applicable Large Employer (ALE) status. Some exclusions apply.
** If you haven’t been with TotalSource all year, we have a team of ACA experts to help determine the missing data you will need to collect to complete your Forms.
*** ADP TotalSource recommends that ALL clients subject to the Employer shared responsibility provisions of the Affordable Care Act review and approve their Forms 1095-C and 1094-C. Forms 1095-C that are not on hold will be auto approved for print and distribution on 02/01/2024.

 


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