The Affordable Care Act (ACA) Reporting Requirements

2015 is the first year that reporting is required under the ACA for Applicable Large Employer s (ALE).  An ALE is an employer who has at least 50 full time equivalent employees, on average, during the previous year.  An ALE must file a return with the IRS that reports each full time employee for one or more months and information on the health coverage that was provided and/or offered to that employee.  ALE’s are also required to furnish a statement to each employee listed on the above report.  The forms required are Form 1094-C, Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns and Form 1095-C Employer-Provided Health Insurance Offer and Coverage.  Form 1094-C is sent to the IRS by the ALE and 1095-C is sent to the employee of the ALE.

A full time employee is an employee who has at least 30 hours of service per week on average during a calendar month or 130 hours of service during a calendar month.

One exception to this requirement is any self-insured employer is subject to reporting requirements regardless of the number of employees.