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.
Employers must be able to identify their full-time employees for ACA compliance.
Determining which employees are classified as full-time employees plays a pivotal role in an employer’s compliance with the Affordable Care Act’s (ACA) employer shared responsibility provisions. Identifying full-time employees allows employers to establish their status as an Applicable Large Employer (ALE), ascertain to whom they must offer minimum essential coverage to avoid potential penalties, and gauge the magnitude of any liability for employer shared responsibility payments.
For ACA compliance purposes, a full-time employee is defined as someone who works an average of at least 30 hours of service per week or 130 hours of service per month in a calendar month. HR professionals and employers can utilize two distinct methods to determine a full-time employee’s status:
Understanding the concept of an “hour of service” is crucial when determining full-time employee status. An hour of service includes:
Certain categories of employees or services are excluded from the definition of an hour of service, such as volunteer employees, students performing work-study, members of religious orders, and compensation received for services not sourced in the U.S.
Some categories of employees pose unique challenges when it comes to tracking their hours of service. The IRS requires employers to use reasonable methods to determine these hours in compliance with the employer shared responsibility provisions. These categories include adjunct faculty, airline industry employees working layover hours, and employees who work on-call hours.
For more comprehensive details and guidance on these subjects, the IRS Questions and Answers page and ESRP regulations are valuable resources.
For assistance with ACA data collection and reporting, contact 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.