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What is the
Employer Mandate?
“Employer Shared Responsibility Provision”
“Pay or Play Provision”
Coverage Requirement
“Under the Affordable Care Act’s employer shared
responsibility provisions, certain employers (ALE’s)
must either offer minimum essential coverage that is
affordable and that provides minimum value to their
full-time employees (and their dependents), or
potentially make an employer shared responsibility
payment to the IRS.”
—IRS.gov
Provide qualifying
health coverage to your
full time employees
or pay a big fine.
Reporting Requirement
“The same employers that are subject to the
employer shared responsibility provisions also have
information reporting responsibilities regarding
minimum essential coverage offered to employees.”
—IRS.gov
Submit 1095-C and 1094-C
forms to the IRS.
Provide 1095-C to employees.
Does it apply to my company?
Applicable Large Employer (ALE)
• Average of 50 or more full-time employees
per month
• Includes full-time equivalents and seasonal
employees
• Based on the prior calendar year
Definition of ALE
• Average of 30 or more hours per week (or
130 hours per month)
• Full time equivalent = total number of non-
full time hours/120
• May not match your company’s definition of
full time
Definition of full time
• Sum of full-time employees + equivalents
(for the year) / 12
• Round down to the next lowest whole
number
• New company and seasonal worker
exceptions
How to calculate
Transition relief may apply
to your company if you had
50-99 employees in 2014.
How do I report to the IRS?
Navigating the 1094-C and 1095-C
• One per company
• Summary of ACA methods (including transition relief)
• Monthly % of full time employees who received offer
of qualifying coverage
1094-C
• One per employee - like a W-2 for benefits
• Monthly codes based on coverage offered,
cost, and safe harbors
• Dependents enrollment information (self-
insured only)
1095-C
• Updated deadlines on December 28th
• Furnish 1095-C to employees by March 31st
• File 1094-C and 1095-C’s to IRS by May 31st
(paper filing) or June 30th (e-filing)
Deadlines
How BambooHR can help
ACA Features
We're not ACA consultants,
but we are employee data
experts, so we like to help
where we can.
Features that will help you
with the employer mandate:
ACA employment status tracking
New benefits tracking
ACA benefits and employment status reports
Download 1095-C (Part I auto-filled)
ACA help article
1.
2.
3.
4.
5.
Check out our help
article for more
information and links to
official ACA resources.
Follow BambooHR on social media:
bamboohr.com/blog | #bamboohr
Thank you!
How to Navigate the ACA Employer Mandate

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How to Navigate the ACA Employer Mandate

  • 1.
  • 2. What is the Employer Mandate? “Employer Shared Responsibility Provision” “Pay or Play Provision”
  • 3. Coverage Requirement “Under the Affordable Care Act’s employer shared responsibility provisions, certain employers (ALE’s) must either offer minimum essential coverage that is affordable and that provides minimum value to their full-time employees (and their dependents), or potentially make an employer shared responsibility payment to the IRS.” —IRS.gov
  • 4. Provide qualifying health coverage to your full time employees or pay a big fine.
  • 5. Reporting Requirement “The same employers that are subject to the employer shared responsibility provisions also have information reporting responsibilities regarding minimum essential coverage offered to employees.” —IRS.gov
  • 6. Submit 1095-C and 1094-C forms to the IRS. Provide 1095-C to employees.
  • 7. Does it apply to my company? Applicable Large Employer (ALE)
  • 8. • Average of 50 or more full-time employees per month • Includes full-time equivalents and seasonal employees • Based on the prior calendar year Definition of ALE
  • 9. • Average of 30 or more hours per week (or 130 hours per month) • Full time equivalent = total number of non- full time hours/120 • May not match your company’s definition of full time Definition of full time
  • 10. • Sum of full-time employees + equivalents (for the year) / 12 • Round down to the next lowest whole number • New company and seasonal worker exceptions How to calculate
  • 11. Transition relief may apply to your company if you had 50-99 employees in 2014.
  • 12. How do I report to the IRS? Navigating the 1094-C and 1095-C
  • 13. • One per company • Summary of ACA methods (including transition relief) • Monthly % of full time employees who received offer of qualifying coverage 1094-C
  • 14. • One per employee - like a W-2 for benefits • Monthly codes based on coverage offered, cost, and safe harbors • Dependents enrollment information (self- insured only) 1095-C
  • 15. • Updated deadlines on December 28th • Furnish 1095-C to employees by March 31st • File 1094-C and 1095-C’s to IRS by May 31st (paper filing) or June 30th (e-filing) Deadlines
  • 16. How BambooHR can help ACA Features
  • 17. We're not ACA consultants, but we are employee data experts, so we like to help where we can.
  • 18. Features that will help you with the employer mandate: ACA employment status tracking New benefits tracking ACA benefits and employment status reports Download 1095-C (Part I auto-filled) ACA help article 1. 2. 3. 4. 5.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23. Check out our help article for more information and links to official ACA resources.
  • 24. Follow BambooHR on social media: bamboohr.com/blog | #bamboohr Thank you!

Editor's Notes

  1. https://www.irs.gov/pub/irs-pdf/f1094c.pdf
  2. Safe harbors include how the company calculates affordability, employment status of an employee, when the company’s plans start and end (see the reference material to determine which apply to your company) https://www.irs.gov/instructions/i109495c/ar01.html#d0e1062