What do the “Series 1” and “Series 2” codes on Form 1095-C represent, and how should they be used?
The “Series 1” and “Series 2” codes on Form 1095-C are used to indicate specific details about the health coverage offered to employees and the employer’s compliance with the Affordable Care Act (ACA). These codes are reported in Part II of the form and are critical for determining compliance with the employer mandate and the […]
Are employers with international employees subject to ACA requirements?
Employers with international employees may be subject to Affordable Care Act (ACA) requirements if they are classified as Applicable Large Employers (ALEs). An ALE is defined as an employer that had an average of at least 50 full-time employees (or equivalent) during the previous calendar year. In determining ALE status, employers must count all employees […]
The Rise of ACA State Mandates
The rise of ACA (Affordable Care Act) state mandates reflects a growing trend among states to reinforce or expand upon the federal ACA’s provisions, often in response to federal rollbacks or regional health care needs. Background The ACA, enacted in 2010, aimed to make health insurance more accessible and affordable. It introduced provisions like: Individual […]
Do businesses with 49 employees or fewer have any ACA compliance obligations?
Businesses with 49 or fewer employees have no obligations under the Affordable Care Act (ACA) to provide health insurance or meet other mandates required of larger employers. No ACA Employer Mandate Businesses with fewer than 50 full-time equivalent employees (FTEs) are not required to: Offer health insurance to employees. File ACA forms such as 1095-C […]
Are seasonal or temporary workers included in the ACA employee count?
Yes, seasonal and temporary workers are generally included in the Affordable Care Act (ACA) employee count when determining whether an employer is subject to the ACA’s employer mandate to provide health insurance. Key Considerations: Seasonal Workers: The ACA requires that all full-time employees (those working 30 or more hours per week on average) are counted […]
What is the “employer mandate” under the ACA?
The employer mandate under the Affordable Care Act (ACA), also known as the Employer Shared Responsibility Provision, requires certain employers to offer health insurance to their employees or face potential penalties. It is aimed at ensuring that larger employers provide affordable health coverage to their workforce. Here’s a breakdown: Key Elements of the Employer Mandate: […]
Do employers have to offer health insurance to dependents under the ACA?
Yes, under the Affordable Care Act (ACA), employers with 50 or more full-time employees (or full-time equivalents) are required to offer health insurance coverage to their employees’ dependents, but not to spouses. The coverage offered to dependents must meet the ACA’s minimum essential coverage requirements. Key points: Dependents are typically defined as children under the […]
Are businesses with 49 employees subject to the ACA?
The Affordable Care Act (ACA) generally applies to businesses with 50 or more full-time employees (or full-time equivalent employees). If a business has 49 or fewer employees, it is not subject to the ACA’s Employer Shared Responsibility provisions, which require employers to provide health insurance to their full-time employees or face penalties. Key points for […]
Who is considered a full-time employee under ACA?
Under the Affordable Care Act (ACA), a full-time employee is defined as someone who works, on average, 30 hours or more per week. This threshold is used primarily to determine whether an employer is required to offer health insurance to their employees under the Employer Shared Responsibility provisions of the ACA. Here are some key […]
What employees should do when they receive Form 1095-C
You do not need Form 1095-B or Form 1095-C to file your tax return. While these forms provide information about your health coverage, they are not required to be attached to your tax return. However, you may still need them to verify your health coverage and to ensure that you are compliant with the Affordable […]
