This page (revision-43) was last changed on 08-Feb-2023 14:49 by Lilia Urtan

This page was created on 26-Nov-2021 10:22 by kparrott

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Version Date Modified Size Author Changes ... Change note
43 08-Feb-2023 14:49 37 KB Lilia Urtan to previous
42 08-Feb-2023 14:34 37 KB Lilia Urtan to previous | to last
41 26-Nov-2021 10:22 37 KB Kevin Higgs to previous | to last

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AFFORDABLE CARE ACT...nobody
AFFORDABLE CARE ACT

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If using the Look-back method as your ACA Hours Rule setting, the following fields apply:
Lookback Months: Must contain a number of months from 3 to 12.\\
Measure Period Start: Optional field. This date will define the day in a month that the measurement period will start\\
Admin Period: Optional field. May not be more than 90 days.\\
Stability Period: Optional field. Defines the length of the stability period and must be between 6 and 12 months.\\
Service Break Rule: This is for future development.\\
Leave Element: This is for future development.
If using the Look-back method as your ACA Hours Rule setting, the following fields apply:\\
| Lookback Months | Must contain a number of months from 3 to 12.
| Measure Period Start | Optional field. This date will define the day in a month that the measurement period will start
| Admin Period | Optional field. May not be more than 90 days.
| Stability Period | Optional field. Defines the length of the stability period and must be between 6 and 12 months.
| Service Break Rule | This is for future development.
| Leave Element | This is for future development.
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Certain settings for ACA processing may be overridden at employee levels, on the IEAS screen.
ACA Category: Optional field. You may enter an ACA Category (IBACA) here which will be an override to the one inherited from the employee’s group.
ACA Excluded: Optional field. You may enter a value here to override the line 14 value for this employee
No offer … This will result in a Line 14 code of 1H and no calculations will be performed.
Transition … This will result in a Line 14 code of 1I and no calculations will be performed.
Hours per Day and Week
Certain settings for ACA processing may be overridden at employee levels, on the IEAS screen.\\
| ACA Category | Optional field. You may enter an ACA Category (IBACA) here which will be an override to the one inherited from the employee’s group.
| ACA Excluded | Optional field. You may enter a value here to override the line 14 value for this employee\\__No offer__ … This will result in a Line 14 code of 1H and no calculations will be performed.\\__Transition__ … This will result in a Line 14 code of 1I and no calculations will be performed.
| Hours per Day and Week|
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It is recommended that you copy this template definition and a create copy (or copies) of your own, so that it is not overwritten in subsequent patch updates.
__It is recommended that you copy this template definition and a create copy (or copies) of your own, so that it is not overwritten in subsequent patch updates.__
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UBACA will only process employees whose assignment employment status is associated to the Status Types Active, Pending, Leave or Unpaid Leave
Note: If the option Generate for 1095C is set to YES, then all employees in the selected Entity will be included in the report, filters are ignored, and the results are saved to the database for reporting at year-end. If you have previously processed a month with this flag set to YES, then subsequent runs with the flag to NO will just report the data (again) and will not re-compute the data.// The only intent of this toggle is to provide a performance aid in the scenario where you need to run the UBACA report for multiple groups of people, but want to only show subsets of employees. Once there is a record for any employee with the “Final” toggle turned on, UBACA does not go through the data for that month, but rather simply reports on the data that is in the database.//You Do Not need to run UBACA with this toggle on in order to produce 1095C/1094C output.
UBACA will only process employees whose assignment employment status is associated to the Status Types Active, Pending, Leave or Unpaid Leave.
|If the option Generate for 1095C is set to YES, then all employees in the selected Entity will be included in the report, filters are ignored, and the results are saved to the database for reporting at year-end. If you have previously processed a month with this flag set to YES, then subsequent runs with the flag to NO will just report the data (again) and will not re-compute the data.\\ \\The only intent of this toggle is to provide a performance aid in the scenario where you need to run the UBACA report for multiple groups of people, but want to only show subsets of employees. Once there is a record for any employee with the “Final” toggle turned on, UBACA does not go through the data for that month, but rather simply reports on the data that is in the database.\\ \\You Do Not need to run UBACA with this toggle on in order to produce 1095C/1094C output.
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|Generate for 1095C | No/Yes. If set to YES, all report filters are ignored and all employees will be processed by UBACA. If set to NO, then report filters can be used to select subsets of employees.
If you have previously processed a month with YES, then running with NO will simply report on the data previously saved. You can always replace the saved data by running again with YES. See the detail above on the intent of this toggle// Recommendation: Leave it as NO unless you have a requirement to provide UBACA reports for different subsets of employees
|Generate for 1095C | No/Yes. If set to YES, all report filters are ignored and all employees will be processed by UBACA. If set to NO, then report filters can be used to select subsets of employees. If you have previously processed a month with YES, then running with NO will simply report on the data previously saved. You can always replace the saved data by running again with YES. See the detail above on the intent of this toggle.\\Recommendation: Leave it as NO unless you have a requirement to provide UBACA reports for different subsets of employees
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There are three tabs at the bottom of the spreadsheet:
The PARAMETERS tab will show the report parameters that were selected in UBACA
The RUN LOG tab will show the execution trace and other diagnostic message.
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There are three tabs at the bottom of the spreadsheet:\\The __PARAMETERS__ tab will show the report parameters that were selected in UBACA
The __RUN LOG__ tab will show the execution trace and other diagnostic message
The __REPORT__ tab will show the data in the report in the same manner as this example
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The Year and Month are derived from the Year (YYYY) and Month (MM) fields in UBACA
The Year and Month are derived from the Year (YYYY) and Month (MM) fields in UBACA.
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;1A. Qualifying Offer: Minimum essential coverage providing minimum value offered to full-time employee with employee contribution for self-only coverage equal to or less than 9.5% mainland single federal poverty line and at least minimum essential coverage offered to spouse and dependent(s).
;1B. Minimum essential coverage providing minimum value offered to employee only.
;1C. Minimum essential coverage providing minimum value offered to employee and at least minimum essential coverage offered to dependent(s) (not spouse).
;1D. Minimum essential coverage providing minimum value offered to employee and at least minimum essential coverage offered to spouse (not dependent(s)).
;1E. Minimum essential coverage providing minimum value offered to employee and at least minimum essential coverage offered to dependent(s) and spouse.
;1F. Minimum essential coverage NOT providing minimum value offered to employee, or employee and spouse or dependent(s), or employee, spouse and dependents.
;1G. Offer of coverage to employee who was not a full-time employee for any month of the calendar year and who enrolled in self-insured coverage for one or more months of the calendar year.
;1H. No offer of coverage (employee not offered any health coverage or employee offered coverage that is not minimum essential coverage). This is set on IEAS.
;1I. Qualifying Offer Transition Relief 2015: Employee (and spouse or dependents) received no offer of coverage, received an offer that is not a qualifying offer, or received a qualifying offer for less than 12 months. This is set on IEAS.
*1A. Qualifying Offer: Minimum essential coverage providing minimum value offered to full-time employee with employee contribution for self-only coverage equal to or less than 9.5% mainland single federal poverty line and at least minimum essential coverage offered to spouse and dependent(s).
*1B. Minimum essential coverage providing minimum value offered to employee only.
*1C. Minimum essential coverage providing minimum value offered to employee and at least minimum essential coverage offered to dependent(s) (not spouse).
*1D. Minimum essential coverage providing minimum value offered to employee and at least minimum essential coverage offered to spouse (not dependent(s)).
*1E. Minimum essential coverage providing minimum value offered to employee and at least minimum essential coverage offered to dependent(s) and spouse.
*1F. Minimum essential coverage NOT providing minimum value offered to employee, or employee and spouse or dependent(s), or employee, spouse and dependents.
*1G. Offer of coverage to employee who was not a full-time employee for any month of the calendar year and who enrolled in self-insured coverage for one or more months of the calendar year.
*1H. No offer of coverage (employee not offered any health coverage or employee offered coverage that is not minimum essential coverage). This is set on IEAS.
*1I. Qualifying Offer Transition Relief 2015: Employee (and spouse or dependents) received no offer of coverage, received an offer that is not a qualifying offer, or received a qualifying offer for less than 12 months. This is set on IEAS.
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;2A. Employee not employed during the month.
;2B. Employee not a full-time employee
;2C. Employee enrolled in coverage offered.
;2D. Employee in a section 4980H(b) Limited Non-Assessment Period. Enter code 2D for any month during which an employee is in a Limited Non-Assessment Period for section 4980H(b).
;2E. Multiemployer interim rule relief. Enter code 2E for any month for which the multiemployer interim guidance applies for that employee.
;2F. Section 4980H affordability Form W-2 safe harbor.
;2G. Section 4980H affordability federal poverty line safe harbor.
;2H. Section 4980H affordability rate of pay safe harbor.
*2A. Employee not employed during the month.
*2B. Employee not a full-time employee
*2C. Employee enrolled in coverage offered.
*2D. Employee in a section 4980H(b) Limited Non-Assessment Period. Enter code 2D for any month during which an employee is in a Limited Non-Assessment Period for section 4980H(b).
*2E. Multiemployer interim rule relief. Enter code 2E for any month for which the multiemployer interim guidance applies for that employee.
*2F. Section 4980H affordability Form W-2 safe harbor.
*2G. Section 4980H affordability federal poverty line safe harbor.
*2H. Section 4980H affordability rate of pay safe harbor.
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;Administration Period
;Initial Period
;;For new hires, starting on the fourth full calendar month to the end of the Lookback month
;Non Assessment Period
;;For new hires, their first partial month and the first three full calendar months
;Stability Period
;;A full time employee is put into a stability period and will remain so for a year, based upon the date that is stamped in IEEI. To remove them from a stability period, clear out this date. When an employee is in a stability period, no computations are made with regard to hours worked or wage – as the previous month’s values will be used.
;Standard measurement Period
*Administration Period
*Initial Period
**For new hires, starting on the fourth full calendar month to the end of the Lookback month
*Non Assessment Period
**For new hires, their first partial month and the first three full calendar months
*Stability Period
**A full time employee is put into a stability period and will remain so for a year, based upon the date that is stamped in IEEI. To remove them from a stability period, clear out this date. When an employee is in a stability period, no computations are made with regard to hours worked or wage – as the previous month’s values will be used.
*Standard measurement Period
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| h) Employee (not Cobra/Retiree) is enrolled in a benefit plan | Value comes from IBPN coverage
(1A, 1B, 1C, 1D, 1E, 1G, 1H) | Determined below
| h) Employee (not Cobra/Retiree) is enrolled in a benefit plan | Value comes from IBPN coverage 1A, 1B, 1C, 1D, 1E, 1G, 1H | Determined below
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There may be situations where the data generated by UBACA does not exactly match the needs for the employee. The Jan 11 release of the ACA software provides the means for you to edit the generated data.
The 1095C and 1094C reports read from this data and do no further computation, so what you see in the VBACAE/IBACAE screens represent what will be output.
NOTE: There are no edits in this screen beyond the basics required for database integrity. You have the opportunity to enter any values that you wish, including the linking of employee contacts who may not be associated to the ACA-identified health plan.
There may be situations where the data generated by UBACA does not exactly match the needs for the employee. The Jan 11 release of the ACA software provides the means for you to edit the generated data.\\The 1095C and 1094C reports read from this data and do no further computation, so what you see in the VBACAE/IBACAE screens represent what will be output.
|Important Note: There are no edits in this screen beyond the basics required for database integrity. You have the opportunity to enter any values that you wish, including the linking of employee contacts who may not be associated to the ACA-identified health plan.
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||Report Filters||
You may use these filters to produce a subset of 1095C forms for specific employees or groups of employees.
||Report Filters|You may use these filters to produce a subset of 1095C forms for specific employees or groups of employees.
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NOTE: You may apply for, and receive, a Transmitter Control Code (TCC) to eFile your ACA submission. You must also submit a test form to the IRS for approval of the file format.
__NOTE: You may apply for, and receive, a Transmitter Control Code (TCC) to eFile your ACA submission. You must also submit a test form to the IRS for approval of the file format.__
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||Report Filters||
You can use these filters to restrict the employees that are included in the 1094C report/file
||Report Filters|You can use these filters to restrict the employees that are included in the 1094C report/file
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The 1094C File is named using the following naming convention
1094C_Request_XXXXX_20151018T18103200Z.xml
The 1094C File is named using the following naming convention\\
;: 1094C_Request_XXXXX_20151018T18103200Z.xml\\
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This page (revision-43) was last changed on 08-Feb-2023 14:49 by Lilia UrtanTop