ACA Compliance Lessons Learned From Recent Reporting Seasons
Common themes emerge when reflecting on recent ACA reporting seasons that can help employers reduce administrative burdens and improve accuracy.
Questions about your benefits? Contact your HR administrator.
There are two different formulas an employer may use to determine if an employee must be offered health coverage.
The Affordable Care Act (ACA) has specific requirements for determining full-time employee status which is important for ensuring compliance with employer shared responsibility provisions. Two primary methods exist for making this determination: the Monthly Measurement Method and the Look-Back Measurement Method. This article will explore each method, highlighting their respective procedures and implications for employers.
Overview: The Monthly Measurement Method evaluates an employee’s full-time status on a month-to-month basis. This method is straightforward and best suited for businesses with stable, predictable employee work hours.
How It Works:
Advantages:
Disadvantages:
Overview: The Look-Back Measurement Method is designed for employers with variable-hour and seasonal employees. This method stabilizes the determination of full-time status over a longer period, reducing frequent status changes.
How It Works:
Administrative Period: An optional period of up to 90 days following the measurement period, used for calculating and notifying employees of their status. Stability Period: After determining full-time status during the measurement period, this period (which must be the same length as the measurement period or longer) dictates the duration for which the employee is considered full-time or part-time, regardless of hours worked.
Advantages:
Disadvantages:
Considerations:
Implementation:
Understanding and correctly implementing the Monthly Measurement Method and the Look-Back Measurement Method are important for ACA compliance and effective employee benefits management. Evaluate your workforce’s needs and choose the method that offers the most clarity and stability for both your business and employees.
BAS’ robust MyEnroll360 system and ACA Data Collection and Reporting Service can handle either measurement approach. For information about BAS’ ACA services, contact your account manager or solutions@basusa.com.
Benefit Allocation Systems (BAS) provides online solutions for: Employee Benefits Enrollment; COBRA; Flexible Spending Accounts (FSAs); Health Reimbursement Accounts (HRAs); Leave of Absence Premium Billing (LOA); Affordable Care Act Record Keeping, Compliance & IRS Reporting (ACA); Group Insurance Premium Billing; Property & Casualty Premium Billing; and Payroll Integration.
MyEnroll360 integrates with major insurance carriers for enrollment eligibility management (e.g., Blue Cross, Blue Shield, Aetna, United Health Care, Kaiser, CIGNA and others), and with leading payroll platforms for enrollment deduction management (e.g., Workday, ADP, Paylocity, PayCor, UKG, and others).
This article is for informational purposes only and is not intended as legal, tax, or benefits advice. Readers should not rely on this information for taking (or not taking) any action relating to employment, compliance, or benefits. Always consult with a qualified professional before making decisions based on this content.