How will the government know who has coverage through their job? Simple, sort of. Employers are required to complete the 1094C ACA Compliance draft form. It is called the transmittal of employer provided health insurance offer and coverage information returns. It will be used to identify employees on payroll that are receiving health coverage. It is also accompanied by a 1095C form to be filed by ALE members which is the Applicable Large group Employer(50+ employees on payroll). The Internal Revenue Service has issued draft versions of the reporting forms. Most employers will begin using the forms next year to show that their group health insurance plans comply with the health care reform law.
The long-awaited draft forms are the first practical application of employers' health care coverage and enrollment reporting obligations under the Patient Protection and Affordable Care Act since the regulations were finalized in March.
The forms are the primary mechanism through which the government intends to enforce the health care reform law's minimum essential coverage and shared responsibility requirements for employers.
Beginning in 2015, employers with at least 100 full-time employees will be required to certify that benefits-eligible employees and their dependents have been offered minimum essential coverage. Their employees' contributions to their premiums must comply with cost-sharing limits established under the reform law. Smaller employers with 50-99 full-time employees are required to begin reporting in 2016.
Additionally, self-insured employers will be required to submit documentation to ensure compliance with minimum essential coverage requirements under the reform law's individual coverage mandate. Download the 1094C ACA Compliance Form Draft below.
This form is a draft and not to be used for filing. The purpose is to give employers a better understanding of the program requirements and prepare them for compliance in 2015. As always Mainline Insurance is on your side and ready to assist in form preparation and enrollment.
Mainline President Vincent Reda is a Healthcare specialist with 40 years of experience in providing healthcare coverage to individuals and organizations.