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ACA 6055 & 6056 Reporting

 

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Affordable Care Act:  Employer Reporting Requirements
Employers that have 50 or more full-time employees as defined by IRS Section 4980H are Applicable Large Employers (ALEs).  They must follow the requirements for ALEs that self-fund, which means that they must report and submit under both Sections 6055 & 6056 (may use combined reporting).  Each BHG ALE and Non-ALE is responsible for its own reporting.

Employers that have fewer than 50 full-time employees as defined by IRS Section 4980H are non-Applicable Large Employers (non-ALEs).  Non-ALES that are participating in a MA municipal joint purchase group that self-funds its health plans must report under Section 6055.  This means these Non-ALEs must fill out and submit IRS Forms 1094-B and 1095-B.

Sections 6055 & 6056 Decision Chart – click here to find out how your municipality is required to comply

IRS Extends Deadline for Supplying ACA Information Forms to Employees

The IRS issued Notice 2018-94, extending the deadline for insurers, sponsors of self-insured health plans, and applicable large employers (“ALEs”) to provide statements to individuals under sections 6055 and 6056 of the Internal Revenue Code.  Section 6055, which applies to insurers and sponsors of self-insured health plans, requires filing with the IRS and statements to individuals that report the months for which individuals are enrolled in minimum essential coverage (“MEC”).  Section 6056, which applies to ALEs, requires filings with the IRS and issuing statements to individuals that report offers of coverage made to full-time employees.  This notice extends the deadline for issuing forms 1095-B or 1095-C to individuals to March 4, 2019, from January 31, 2019.  No extension is provided for filing returns with the IRS; the deadlines remain February 28, 2019 for returns filed by paper, and April 1, 2019 for returns filed electronically.

NEW!!  2018 IRS FORMS & INSTRUCTIONS
 Instructions for forms 1094-b & 1095-b – (All Employers need to complete Forms 1094-b & 1095-b)
Form 1094-b – Transmittal of Health Coverage Information Returns
Form 1095-b – Health Coverage

Instructions for forms 1094-c & 1095-c(Only Employers with 50 or more full-time employees need to complete Forms 1094c-c & 1095c)
Form 1094-c – Transmittal of Employer-Provided Health Insurance Offer & Coverage Information Returns
Form 1095-c – Employer-Provided Health Insurance Offer & Coverage

PRESENTATION IRS  IRS Affordable Care Act (ACA) Information Returns (AIR) Presentation Employer Information Reporting Scenario Review – Forms 1094C & 1095C  This presentation applies only to ALEs with 50 or more full-time employees including full-time equivalent employees

Link to Q&A about Employer Shared Responsibility

 

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