Additionally, the 2016 Draft Instructions for Forms 1094-C and 1095-C were recently released to help employers prepare for calendar year 2016 information reporting (draft instructions for the B-Series Forms have not yet been released).
Affected entities are required to report in early 2017 for calendar year 2016.
Who Must Report
- Providers of "minimum essential coverage" (IRC § 6055): Health insurance issuers and sponsors of self-insured group health plans report on enrollment using "B-Series" Forms. Note: NYSHIP is considered a self-insured group health plan.
- Applicable Large Employers (IRC § 6056): Employers with 50 or more full-time employees, taking into account part-time employee hours, use the "C-Series" Forms to report on their compliance with the employer shared responsibility provisions ("pay or play") and the health care coverage they have offered.
Clarification & Key Changes for 2016 Reporting
Among other changes, the 2016 draft instructions for forms 1094-C & 1095-C clarify:
- That each separate entity/member of an "Aggregated ALE Group" (determined based on employer identification number) is required to file its own Forms 1094-C and 1095-C, even if the ALE Member has fewer than 50 full-time employees of its own;
- The forms of transition relief that are no longer applicable;
- How to determine the Monthly Cost to an Employee (Line 15 of Form 1095-C);
- The indicator codes that should be used to report offers of COBRA continuation coverage on lines 14 and 16 of Form 1095-C; and
- The definitions of "full-time employee" for purposes of 1094-C/1095-C reporting.
If you have any questions or comments regarding this ACA update please contact Danielle at email@example.com.