ACA Reporting Solutions

The Affordable Care Act (ACA) created the requirement for yearly 1095 reporting. As a self-insured employer, you are required to file either form 1095-B or 1095-C with the IRS each year. These forms have to be delivered to the IRS and to your employees as evidence of compliance with the ACA.

The filing of 1095-C forms is required by the Internal Revenue Service (IRS) for employers with 50 or more Full Time Equivalents (FTEs) on average during the prior year. A 1095-C is filed for each full-time employee who worked for the employer during the year, indicating all offers of coverage in Part II of the form. Also, for self-insured employers, all coverage provided for employees and their dependents must be reported on the 1095-C forms in Part III. All employers utilizing the State Health Plan are self-insured employers.

The filing of 1095-B forms is required for self-insured employers with less than 50 FTEs on average during the prior year. All coverage provided for employees and their dependents must be reported via the 1095-B forms for these employers.

The State Health Plan has identified solution options for those employers looking for a complete or “Full Service” solution and for those who only need the data to support their own reporting solution.  

The Plan is accepting sign-ups for the “Full Service” solutions. Please respond to before June 30, 2018, if you wish to participate. Please indicate which solution you need, 1095-C or 1095-B. If we do not hear from you, we will assume you are “Data Only” and that you have identified your own reporting solution.