ACA – 6055 & 6056 Employer Reporting

aca logoAffordable 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 CCMHG ALE and Non-ALE is responsible for its own reporting.  See Slide #15 in “Presentation by Zywave”, below.

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 Due Dates for 2016 Information Reporting Requirements
Providers and certain employers must now furnish Individuals with either Form 1095-B or 1095-C by March 2, 2017.  The due dates for issuers filing these forms and the associated Form 1094 with the IRS are February 28, 2017 for paper filers and March 31, 2016 for electronic filers.

On November 18, 2016, the IRS issued Notice 2016-70 to:
– Extend the due date for furnishing forms under Sections 6055 and 6056 for 2016
– Extend good-faith transition relief from penalties related to 2016 information reporting under Sections 6055 and 6056

NEW!!  2016 IRS FORMS & INSTRUCTIONS
Instructions for 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
Form 1094-c – Transmittal of Employer-Provided Health Insurance Offer & Coverage Information Returns
Form 1095-c – Employer-Provided Health Insurance Offer & Coverage

Other Reporting Resource documents/links:
2015 PRESENTATION ACA Sections 6055 & 6056 Health Coverage Reporting by Zywave brought to you by Group Benefits Strategies
Click here for the August 19, 2015 Recorded Presentation 

2015 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 IRS Question & Answer
HCR: Employer Reporting of Health Coverage – Code Sections 6055 & 6056
Health Care Reform: Q&As on Reporting by Health Coverage Providers (Section 6055)
Health Care Reform: Q&As on Employer Reporting of Health Coverage (Section 6056)
Penalties Increased for Section 6055 and Section 6056 Reporting Violations
– What Information Must Be Reported? Code Section 6055      CodeSection 6056 

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