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.
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Guidance on aca reporting administration and compliance — practical resources for employers, brokers, and benefits teams navigating real operational questions.
Common themes emerge when reflecting on recent ACA reporting seasons that can help employers reduce administrative burdens and improve accuracy.
The IRS has released a draft of the 2026 Form 1095-C with few substantive changes from 2025, giving employers an early look and a timely reminder to review ACA reporting processes.
The 2027 ACA employer shared responsibility amounts reflect another increase in potential penalties for ALEs that fail to comply with ACA employer mandate requirements.
California has its own health coverage reporting requirements with an upcoming compliance deadline.
The IRS has released a draft of the 2026 Form 1095-B, which is used to report minimum essential health coverage under the Affordable Care Act (ACA).
Employers sponsoring certain self-insured health plans must generally file and pay the PCORI fee by July 31, 2026.
Employers managing ACA compliance often reach a point where the Monthly Measurement Method no longer provides the predictability or administrative control they need,...
Affordability is a main factor in determining whether an employer may be subject to penalties under the ACA employer shared responsibility rules.
Leaves of absence can create challenges for employers when managing ACA compliance.
While changes are a normal part of business operations, they can have a significant impact on ACA tracking and reporting.
Finalizing ACA Forms 1094-C and 1095-C is a major compliance milestone, but the process may not end once files are transmitted to the IRS.
For employers subject to the Affordable Care Act (ACA) reporting requirements, filing Forms 1094-C and 1095-C is only part of the process.
One of the most important ACA compliance questions employers must answer is whether they are considered an Applicable Large Employer.
Payroll records help determine if employees qualify as full-time under ACA rules and if coverage must be offered.
With the March 2 furnishing deadline behind us, most Applicable Large Employers (ALEs) have distributed Forms 1095-C to full-time employees.
Each year after Forms 1095-C are distributed, HR teams receive questions from employees who believe the information is incorrect.
By February, most Applicable Large Employers (ALEs) have furnished Form 1095-C to employees or are preparing to do so.
The newly released 2026 Federal Poverty Level updates and higher ACA affordability percentage impacts health coverage affordability.
For HR professionals seeking an efficient and hassle-free solution for Affordable Care Act (ACA) data collection and reporting, look no further than MyEnroll360.
Employers should be preparing for federal and state Affordable Care Act reporting deadlines for 2025 health coverage.
Line 16 of Form 1095-C explains whether an employer met ACA requirements or qualified for relief, making accurate coding essential to avoid IRS penalties and reporting errors.
Take a close look at Line 14 of Form 1095-C to confirm coverage offers are reported correctly and consistently.
Q.- I know we have to offer medical coverage to our full-time employees. We define full-time as an employee who works 37.5 or more hours a week. Will we comply with the Affordable
As 2026 ACA reporting season begins, taking the time now to review Forms 1095-C helps protect against future compliance exposure.
Employers now have the option to post notice of Form 1095 instead of distributing it to employees.
Many employers bring on short-term or part-time help at the end of the year to support holiday operations.
HR administrators play an important role in ensuring that Affordable Care Act reporting is accurate and complete.
This reminder is for administrators who use BAS for ACA data collection and reporting services.
The PCORI fee was established under the Affordable Care Act (ACA) to fund the Patient-Centered Outcomes Research Institute, which supports research comparing the...
One of the most important responsibilities during open enrollment is making sure that all employees who must be offered health coverage under the Affordable Care Act (ACA)...
As employers prepare for open enrollment, it is important to ensure health plan offerings meet MEC, MV and affordability.
Determining who qualifies as a full-time employee under ACA rules is not just an administrative task, it is a compliance requirement.
As HR professionals begin preparing for ACA reporting season, there’s an important new development that may simplify the process for 2025 coverage reporting.
Early fall is the most important time to review and reconcile employee data to ensure accurate Form 1095-C reporting
The IRS issued draft versions of Forms 1094-C and 1095-C with instructions for the 2025 tax year.
The Department of Labor has a user-friendly resource to help HR professionals navigate laws impacting employer-sponsored health plans.
As employers continue to adapt their workforce models, including the use of gig workers and independent contractors, it's important to understand how these arrangements...
Employers must collect Social Security Numbers for everyone with health coverage.
These penalties apply to applicable large employers (ALEs) (employers with 50 or more full-time or full-time equivalent employees) that fail to offer qualifying health...
ACA reporting rules differ depending on whether an employer sponsors a fully insured or a self-insured plan.
with Our Affordable and Accurate Solution Multi-location employers face a unique ACA compliance challenge: maintaining consistent, compliant benefits administration across...
BAS’ ACA Data Collection and Reporting Service can manage monthly or look-back measurement of full-time status helping HR teams stay compliant while reducing administrative
A recent change in IRS rules now offers a much simpler option for ACA compliance.
Employers subject to the Affordable Care Act must understand how to treat employees who terminate and are later rehired.
In 2026, employers may be able to charge more for health coverage and still satisfy affordability requirements.
Department of Health and Human Services (HHS) issued final regulations designed to strengthen the integrity of the Affordable Care Act (ACA) Health Insurance Marketplace and...
For HR professionals seeking an efficient and hassle-free solution for Affordable Care Act (ACA) data collection and reporting, look no further than MyEnroll 360 .
The annual deadline to report and pay the Patient-Centered Outcomes Research Institute (PCORI) fee is fast approaching.
Whether your organization hires interns, part-time staff, or other short-term workers to cover increased demand, understanding how these hires affect your ACA obligations is...
A mid-year ACA checkup helps ensure that your organization is on track to meet employer mandate requirements, avoid penalties, and simplify year-end reporting.
Employers must collect Social Security Numbers for both employees and covered dependents.
When employees take extended leave, HR must navigate overlapping responsibilities under the ACA, FMLA and employer-sponsored benefit plans.
With its user-friendly compliance tools, BAS takes the stress out of ACA administration, providing robust support for record-keeping, tax forms, and IRS e-filing.
Beyond standard benefits integration, M&A activities trigger specific ACA employer mandate considerations that require careful navigation.
A recent Texas court ruling could change how ACA Employer Mandate penalties are enforced and may allow some employers to claim refunds.
The intersection of FMLA, disability leave, and other absence types with ACA requirements creates numerous compliance pitfalls that require careful navigation.
Important follow-up activities should be considered after distributing and transmitting 1094/1095 forms.
With proper review and response, many organizations successfully reduce or eliminate proposed ESRP assessments.
Receiving an Employer Exchange Notice from the Health Insurance Marketplace can be concerning.
Transmitting information to the IRS properly is an important part of satisfying ACA obligations.
Employers with a national workforce must comply with federal and state-specific health care reform rules.
Employers must ensure timely filing of Forms 1094-B/C and 1095-B/C to remain compliant with the Affordable Care Act (ACA) reporting requirements.
Employers now have guidelines on how to post notice of Form 1095-C and provide it by mail only upon request.
Under the Employer Reporting Improvement Act, Congress established a six-year statute of limitations for assessing ACA penalties related to an employer’s failure to provide...
Q.- What do employees do with the Form 1095-C we send to them? Do they have to file the forms with their taxes?
Employers can use the new 2025 federal poverty guidelines to determine affordability of health coverage.
As employers comply with federal ACA reporting, it’s important to also understand the state-specific rules that may apply.
It provides information about the health insurance coverage offered to full-time employees and is used by the IRS to ensure compliance with ACA requirements.
Coding Line 14 properly is one of the most difficult parts of completing Form 1095-C.
Some employers must report the cost of employer-sponsored health coverage on W-2 Forms.
These landmark changes, effective immediately, are designed to reduce administrative burdens while maintaining compliance with ACA mandates.
Employers may soon be able to provide ACA forms upon request instead of automatically furnishing them to all employees.
Q: Is an employer required to offer health plan coverage to an employee’s domestic partner?
Employers that don’t offer affordable, minimum value coverage to full-time employees risk incurring large monetary penalties.
Many plans offered by insurance companies fail to meet Minimum Essential Coverage, Minimum Value, and Medicare Part D standards despite appearing to provide robust benefits.
Tracking employee work hours is an important part of Affordable Care Act (ACA) compliance.
Accurate reporting is important to avoid penalties and ensure compliance. Here are some common challenges in ACA reporting and tips to navigate them effectively.
Employers who use BAS for ACA data collection and reporting should pay close attention to upcoming compliance dates.
Two common codes used on Line 14 of the form are Code 1A and Code 1E , which refer to different types of offers and reporting requirements.
Employers should review their affordability safe-harbor designations for ACA compliance.
Proposed new rules will expand access to preventive services under the Affordable Care Act.
It's important for employers to ensure that all employee hours are accurately captured for ACA compliance.
As these forms play an important role in Affordable Care Act (ACA) reporting, it’s important for HR professionals to familiarize themselves with any changes and begin...
These forms must be distributed to employees and filed with the IRS by early next year, making fall the ideal time to start organizing and ensuring compliance with ACA...
Some employers may incur penalties if they fail to provide health coverage to at least 95% of their full-time employees.
The IRS released the percentage number health plans must use in 2025 to determine if the cost of coverage is affordable for ACA compliance.
These forms are used to report information about individuals who are covered by minimum essential coverage (MEC) during the tax year.
With teachers returning from summer break, this is a good time to recall the educational exception for counting full-time hours under the ACA.
ALEs must offer affordable minimum essential coverage that provides minimum value to their full-time employees (and their dependents) or potentially make an employer shared
The size and structure of your workforce play an important role in determining which provisions of the ACA apply to your business.
There are two different formulas an employer may use to determine if an employee must be offered health coverage.
Employers can follow these tips to ensure they collect accurate and comprehensive data for ACA reporting.
with Our Affordable and Accurate Solution One of the key administrative aspects of the Affordable Care Act (ACA) that HR professionals must navigate is the requirement to...
Sponsors of self-funded health plans must pay the required PCORI fee by July 31.
The IRS released draft versions of IRS Forms 1095-B, 1095-C, 1094-B, and 1094-C for the 2024 reporting year.
With its user-friendly compliance tools, BAS takes the stress out of ACA administration, providing robust support for record-keeping, tax forms, and IRS e-filing.
The ACA sets specific guidelines that employers must follow to ensure their health plans comply, particularly when it involves the timing of employee enrollment.
Certain employers must offer health coverage to their employees or pay tax penalties.
These forms, which report health coverage information to the IRS and communicate whether employers are meeting their obligations under the ACA, carry significant implications...
Understanding how the ACA works with temporary summer employees is important to avoid penalties and ensure smooth HR operations.
It is important to review open enrollment offers and elections to ensure ACA compliance.
with Our Affordable and Accurate Solution The Internal Revenue Service (IRS) is the key player in the administration of the Affordable Care Act (ACA), primarily through its...
Employers should understand ACA compliance and look out for common mistakes that may lead to tax penalties.
Test results in 48-hours*! The government has finalized updates to Section 1557 of the Affordable Care Act (ACA), focusing on enhancing and reinstating nondiscrimination policies.
Applicable Large Employers (ALEs) are required to offer affordable health coverage to their full-time employees or pay a tax penalty.
Q.- We transmitted our Forms 1095 to the IRS timely, but our vendor just told us the submission was “Accepted with Errors.” What does that mean?
with Our Affordable and Accurate Solution The HealthCare Reform Special Enrollment Period (SEP) allows individuals to enroll in an Affordable Care Act Marketplace plan or...
One of the most prevalent issues is data discrepancies, where inconsistencies or inaccuracies arise between different sources of information.
Q.- We didn’t realize we had to file our ACA forms electronically and our paper forms were not accepted by the IRS. Are there penalties for filing late?
Employers subject to the employer shared responsibility provisions of the Affordable Care Act should have distributed their 1095 Forms to full-time employees and covered...
Some employers may have to transmit information about offers of health coverage to their state in addition to the federal ACA reporting requirement.
These provisions mandate that certain employers offer affordable health insurance coverage to their full-time employees and their dependents.
Most employers will have to transmit their 2023 Forms 1095 to the IRS electronically.
Applicable Large Employers and Employers with self-funded health plans must prepare and distribute Forms 1095.
Streamline ACA compliance with BAS' MyEnroll360 for easy tracking, error reports, and real-time updates.
Here are common questions employees may ask and suggestions on how to respond: What is Form 1095-C?
with Our Affordable and Accurate Solution As the deadline for furnishing Form 1095-C approaches, HR professionals are gearing up for the meticulous task of completing Lines...
with Our Affordable and Accurate Solution As the deadline for furnishing Form 1095-C approaches, HR professionals are gearing up for the meticulous task of completing Lines...
Q.- Is there a penalty if we don’t distribute Forms 1095-C to our full-time employees by the due date?
Understanding the reporting timeframes is critical to ensure accurate and timely form distribution and IRS submissions.
Employers should know their ACA compliance responsibilities for COBRA continuants.
In California, compliance with health coverage regulations is important for residents and employers alike.
with Our Affordable and Accurate Solution In the intricate realm of HR management, ensuring compliance with the Affordable Care Act (ACA) is not just a legal obligation but a...
BAS’ MyEnroll360 includes an ACA Central repository for Affordable Care Act data collection and reporting clients.
Q.- We send about 55 Forms 1095-C to our employees. We have always mailed copies of the forms to the IRS with Form 1094-C. Someone mentioned that we might not be able to mail the
At the beginning of the new year, businesses must gear up for Affordable Care Act compliance.
Q.- Do our teachers become part-time employees for Affordable Care Act purposes when they are out of school for winter break?
If you use BAS for your ACA data collection and reporting, please pay close attention to upcoming compliance dates.
Employers should review their affiliated companies to determine if they are part of a controlled group and subject to ACA requirements.
Employers offering opt-out payments to employees who decline health coverage must verify that these employees have alternative insurance.
One of the important aspects of ACA compliance is documenting offers of health coverage made to employees.
Employers must offer minimum essential, affordable health coverage to their full-time employees or pay a tax penalty.
Employers must disclose coverage and offers of coverage on an IRS form furnished to full-time employees and covered employees.
As HR professionals navigate the intricate landscape of healthcare compliance, one term that frequently arises is the PCORI fee.
Employers must be able to identify their full-time employees for ACA compliance.
These forms are used for the Affordable Care Act (ACA) reporting requirements. Staying ahead of the game is essential to ensure compliance.
Proper data collection and accurate reporting are essential components of ACA compliance.
Employers considering giving employees money to opt-out of employer-provided health coverage must navigate ACA rules carefully.
Understanding IRS Forms 1095-B/C and 1094-B/C: Essential ACA Reporting for HR Professionals
For HR professionals seeking an efficient and hassle-free solution for Affordable Care Act (ACA) data collection and reporting, look no further than MyEnroll 360 .
Staying updated with IRS regulations is vital for HR professionals to ensure compliance in offering affordable health coverage.
As HR professionals, staying informed about crucial IRS forms is essential for ensuring compliance with applicable rules and regulations.
As summer brings a surge in temporary employees, HR professionals must ensure compliance with the Affordable Care Act.
Master IRS Form 1095-C: Ensure ACA Compliance & Employee Understanding. Key Elements & Importance Explained. Trust BAS for Expert ACA Data Services.
Learn about ACA Compliance for HR: Affordable Care Act (ACA) explained, Safe Harbors, & IRS guidelines. Stay compliant with our expert insights!
No need to file or pay the PCORI fee for fully-insured group health plans. The insurer takes care of it. Learn more here.
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Applicable large employers must offer coverage to full-time employees, while small employers may have state-specific rules.