TANGO HEALTH BLOG
By - January 22, 2015

Affordable Care Act (ACA) Requirements for IRS Reporting

Affordable care act requirements for IRS reporting

 

What The IRS Requires You Report for the Affordable Care Act

As we start 2015, it’s time to asses your compliance concerns around the ACA requirements for IRS reporting. With so many critical details – over 200 pages worth – how do you know what to report and when? Here’s is an overview of the information that will need to be included in the ACA reporting.

Who needs to file for ACA Compliance?

Self-insured group health plans, Health Plan Issuers, Multi-employer plans (as defined under Section 414(f) of the Internal Revenue Code), and Government employers will all be responsible for reporting the type and period of coverage to the IRS, as well furnishing a statement to the covered individuals. The reporting will also be used for determining whether the coverage offered meets affordability and minimum value criteria for determining employer penalties.

Which form needs to be used for reporting (6055 or 6056)?

The 6055 requires that providers of minimum essential coverage to individuals must report the type and period of coverage to the IRS and furnish a statement to the individuals covered.  The purpose is to allow the IRS to verify minimum essential coverage and administer the premium tax credit.

6056 reporting is for determining which applicable large employers (ALEs) offered minimum essential coverage to their full-time employees, if the coverage was affordable and provides minimum values, and if any of the full time employees received a premium tax credit through the public exchanges which would trigger the employer penalties. Applicable large employers are employers who employed an average of at least 50 full time employees on business days during the previous calendar year.

How do we file?

Large employers will file on Forms 1094C and 1095C, and others will use Forms 1094B and 1095B (final forms have yet to be issued by the IRS). Any entity required to file at least 250 returns of any specific form for 6055 or 6056 reporting must file electronically, while all others will file manually.

What are the filing due dates for ACA?

Employers must file on or before February 28 if non-electronic and before March 31 if electronic.

What needs to be filed with the IRS?

There are different requirements between the 6055 and 6056 legislation, with over 40 individual fields of data (some per employee or per covered individual). For more information check out these links:

http://www.irs.gov/pub/irs-pdf/p5196.pdf

http://www.irs.gov/Affordable-Care-Act/Employers/Questions-and-Answers-on-Employer-Shared-Responsibility-Provisions-Under-the-Affordable-Care-Act

Tango helps organizations like yours – don’t wait too long.

As you can see, the reporting requirements are fairly complicated. Whether you handle benefits administration at a large company or are self-insured, you’ll want an expert to help you navigate the many complexities in the ACA employer mandate to ensure you are prepared for reporting.

Need help with ACA Compliance? Visit our ACA Compliance Solution page to learn more.

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