ACA – 6055 & 6056 Employer Reporting

Affordable 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 SMHG 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

Providers and certain employers must now furnish Individuals with either Form 1095-B or 1095-C by January 31, 2018.  The due dates for issuers filing these forms and the associated Form 1094 with the IRS are February 28, 2018 for paper filers and March 31, 2018 for electronic filers.

PRESENTATION ACA Sections 6055 & 6056 Health Coverage Reporting by Zywave brought to you by Group Benefits Strategies
Click here for August 19th, 2015 recorded presentation.

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:

– 2017 Newsletter – ACA reporting information

– Link to IRS Question & Answer


Benefit Summaries and Plan Rates

Benefit Summaries and Plan Rates