The ACA: What Could Go Wrong? презентация

Notice of Coverage Options Misunderstandings
IRS Reporting Requirements by Employer Size
The Biggest Pothole of All – the 4980H(a) Penalty
Two Stops on the Road Ahead
Exchange Notices
Excise Tax on High Cost Health Plans (Effective 2018)

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Coverage Options Provide to All New Hires (not just benefits-eligible)

Employers Who Offer a Health Plan:

Employers Who Do Not Offer a Health Plan:

50-99 Full-Time Employees

Reporting required for all ALEs with 50+ full-time employees
Penalties apply if you have 100 or more employees
Employers – regardless of size – that offer self-insured plans must do Minimum Essential Coverage Reporting

© Copyright 2015 ADP, LLC.

for Employer Mandate Reporting?

Form 1094-C to the IRS
Filing electronically (>250 Forms 1095-C) by March 31 of the next year
Filing paper (<250 Forms 1095-C) by February 28 of the next year

Form 1095-C to IRS, Full-Time Employees and COBRA Participants and Retirees
Mail paper forms to last known address or electronic delivery (with consent)
By January 31 of the next year
First filing in 2016 for 2015 information

identification numbers, late filing, incorrect media, incorrect format, etc., up to $1.5 million.
No penalties in 2015 for missing or incorrect information for employers that demonstrate a good faith effort to comply.

© Copyright 2015 ADP, LLC.

All. . . .

Not offering coverage to at least 70% of full-time employees and being subject to Section 4980H(a) penalty!
$2,000 times the number of full-time employees
For 2016 and after, an Offer of Health Coverage must be made to at least 95% of full-time employees

ADP, LLC.

The Exchange must notify the employer when an employee is deemed eligible for a premium tax credit and provide the employer the right to appeal
Most state exchanges and the FFE are not yet sending notices
Are you prepared to respond?

Tax Penalty (Effective 2018)

Have you calculated your penalty risk? Most plans will be effected.
Employer is responsible for calculating.

Eye on Washington regulatory email alerts visit: www.adp.com/eyeonwashington

Please visit www.adp.com/acafaqs for a list of ACA Frequently Asked Questions or www.adp.com/health-care-reform for additional ACA insights.

Before taking any actions on the information contained in this presentation, employers and plan sponsors should review this material with internal This material is subject to change and is provided for informational purposes only and nothing contained herein should be taken as legal opinion, legal advice, or a comprehensive compliance review. The ADP Logo, ADP, ADP Research Institute, and In the Business of Your Success are registered trademarks of ADP, LLC.  All other trademarks and service marks are the property of their respective owners. Copyright © 2015 ADP, LLC. ALL RIGHTS RESERVED.

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