All posts by SEMHG

New!!! SMHGCanaRx – $0 copay for Rx

NEW!!!  SMHG members have access to certain brand name medications at NO COST and will be delivered by mail right to your doorstep!  Your medication may be on the list of available medications – click on the link below to find out! click here to learn more about this great program and to find out if your medication is on the list.


If you have additional questions, call the toll free number below –
CanaRx Group Inc.
Toll Free Phone #1-866-893-6337
Fax: 1-866-715-6337


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

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, 2017 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.

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

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:

– 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      Code Section 6056 


Benefit Summaries and Plan Rates

Benefit Summaries and Plan Rates