During the irs group call on january 26, 2016 for developers of affordable care act reporting software, a presenter for the irs technical team brought clarity to form 1095c reporting for a qualifying offer of coverage in short, we now have a code 1a alert, because the new information is a significant departure from previous guidance for, and interpretations of, the code for a qualifying offer. The ale member was eligible for multiemployer interim rule relief for this employee. Want us to let you know when we publish new articles. Line 14 is used to identify an employers offer of coverage. Section 4980h safe harbor and other relief codes line 16 4.
Hrbenefits staffers get relief via guidance from an aca expert. Aca form 1095c line 16 applicable section 4980h safe. Code series 2 is used for line 16 for form 1095c and address. Lines 14 and 16 of form 1095c are the more difficult parts of the form to complete. It is in the best interest of the employer to enter a valid code in line 16, if applicable, to minimize any contact from the irs. Line 16 is used to identify specific situations applying to employees, which may impact either the employers need to offer health coverage or the employees requirement to have coverage. Here is a breakdown of each line and what the corresponding codes mean. You will then see the full logic as to why certain code combinations work or do not work. Employers meeting the following conditions must complete line 16 through the code series 2. Line 16 code 2f is used because the employee waived coverage and the employer is using the w2 safe harbor to determine plan affordability. Aca track automatically reports your responses for line 14, based on the employee data you provide. Prepare for lines 14 and 16 of irs form 1095 c by assigning aca attributes to your insurance.
Form 1095c, line 14, code 1a versus 1e, and when to use 1i. Under the patient protection and affordable care act aca, individuals are required to have health insurance, while applicable large employers ales are required to offer health benefits to their fulltime employees. Below is a description of the various codes in code series 2. Code series 1 for form 1095c, line 14 updated january 31, 2019 for administrators and employees line 14 of irs form 1095c lists a code that describes whether an employee was offered coverage by their employer, the type of the coverage offered, and for which months the coverage was offered. For each calendar month, enter the applicable code, if any, from code series 2. Our system will automatically generate 1095 forms with required line 14 and line 16 codes based on the data provided and current aca regulations. If you were a fulltime employee working 30 or more hours per week or enrolled in healthcare coverage from your employer at any point in 2018, you should receive a form 1095c. Code 2d is the irs aca 1095c line 16 code for employee in a section 4980h b limited nonassessment period for the month. Line 16 of form 1095c or code series 2 o addresses whether the individual was employed during the month and, if so, whether he or she was full time or part time. Enter code 2a if the employee was not employed on any day of the calendar. Act aca information returns for software developers and transmitters, specifies the. Line 16 of irs form 1095c lists a code that describes, for each month in the previous year, the kind of coverage that an employee enrolled in, and how the employer meets the employer shared responsibility safe harbor provisions of section 4980h below is a description of the various codes in code series 2. Explanation of 2d on line 16 of the irs 1095c form integrity data. Practice compile your 2018 1095c information, which grabs all available category, medical plan, payroll and health benefit data up to the current pay period.
On the form, the line 14 code would be 1h no offer of benefits for november and december 2019, and the line 16 would be. One of the biggest learning curves for almost every organization is around the code series in lines 14 and 16. Efile aca form 1095c online how to file 1095c for 2019. Line 16 of form 1095c is used to report information about the coverage that an employee enrolled in, and how the ales meet the employer shared responsibility safe harbor provisions under section 4980h. Aca form 1095c line 16 codes, section 4980h safe harbor codes and other relief for ale members. How to accurately complete lines 1416 on irs form 1095c. Minimum essential coverage providing minimum value offered to fulltime employee with employee contribution for selfonly coverage equal to or less than 9. In this example, our plan year begins on 112018 and ends on 12312018. If code 2g on line 16 oif form 1095c shows in 9 of the 12.
An employee who passes a fulltime test date of 11119, with a stability start date of 112020, would receive a form 1095c for 2019. Indicator codes for employee offer of coverage form 1095c, line 14. The toughest part about the 1095c is part 2 lines 1416. Since the irs extended deadlines into march, companies continue finalizing forms 1095c for employees. Decoding the codes form 1095 c part ii common coding combinations line 14 line 15 line 16 description code description code employer offers at least minimum value mv. On part ii of my 1095c form, under marchaugust it says 1e line 14 and 85. Do not enter code 2c in line 16 if code 1g is entered in line 14. Line 16 on the 1095c form is used to report on an individuals eligibility for health insurance coverage and his or her coverage status for the given month. Lines 14 and 16 of form 1095c benefit allocation systems. The instructions below address which code to use for a month if more than one code from series 2 could apply. What information you need to provide form 1095c is intended to provide employees with information about their medical benefits for reporting purposes.
This guide is intended as a tool for you and your employees to. Aca codes cheat sheet form 1095c code series 1 and 2. Enter only one code from code series 2 per calendar month. Line 16 of irs form 1095c lists a code that describes, for each month in the previous year, the kind of coverage that an employee enrolled in, and how the employer meets the employer shared responsibility safe harbor provisions of section 4980h. Instructions for forms 1094c and 1095c 2019 internal revenue.
Affordable care act tax reporting forms and questions. Do not enter code 2c in line 16 for any month in which the employee enrolled in coverage that was not minimum. Section 4980h safe harbor codes and other relief line 16 provides an opportunity for an. Line 16 on the 1095c is for the applicable section 4980h safe harbor. Employer a should file form 1095c for employee reporting offers of coverage using the appropriate code on line 14 for january, february, and march, should complete lines 15 and 16 per the instructions, and should include employee in the count of total employees and fulltime employees reported for those months on form 1094c. Line 16 of form 1095c or code series 2 o addresses whether the individual was employed during the month and, if so, whether. If you received a form 1095c from your employer and youre not sure what the codes mean, check out our 1095c decoder to learn more. Here is how it works simply select the codes below for lines 14 and 16 below and then press search. Line 14 specifies the type of coverage, if any, offered to an employee, spouse and dependents. An affordability safe harbor code should not be entered on line 16 for any month that the ale member did not offer minimum essential coverage to at least 95% of its fulltime employees and their dependents that is, any month for which the ale member checked the. Every applicable large employer needs to provide a form 1095c with lines 1416 completed with the correct information. Each code indicates a different scenario regarding an offer. Aca the easy way passport software provides a comprehensive aca. The only other codes that could be appropriate with code 2f on a form 1095c are codes 2a employee not employed during that month, 2b employee not a fulltime employee, 2d employee in a section 4980hb limited nonassessment period, or leaving line 16 blank.
Indicator codes for employee offer and coverage form 1095c, line 14. In addition, forms 1094c and 1095c are used in determining whether an employer owes a payment under the. Enter code 2a if the employee was not employed on any day of the calendar month. Do not enter code 2c on line 16 if code 1g is entered in line 14. Published february 29, 2016 this frequently asked questions document is a companion piece to the webinar hosted on january 11, 2016. For more information, see the instructions for form 1095c, line 14 and line 16. Indicator codes for lines 14, 15, and 16 form 1095c, part ii, line 14. Code 2d is the irs aca 1095c line 16 code for employee in a section 4980hb limited nonassessment period for the month. Mark these important dates in 2020 1095c code sheet. Form 1095c lines 14 16 codes greatland kibo software, inc. The irs has created two sets of codes in order to provide employers with a consistent way to describe their offers of health coverage. The transmittal form 1095c that must be filed with the aca form 1095c. Code series 2 is used for line 16 of form 1095c and addresses. Indicator code series 2 for applicable section 4980h safe harbor codes and other relief for employers.
These three codes mean that the coverage offered to the employee was affordable using the safe harbor. Instructions for forms 1094c and 1095c 2019 internal. A multitude of coding options for mec and mv lines 1416 can make the irs form 1095c a nightmare to complete. Form 1095c lines 1416 codes line 14 offer of coverage. New codes 1j and 1k have been added for form 1095c, line 14. Explanation of 2d on line 16 of the irs 1095c form. The code must indicate the coverage the employee was. As mentioned earlier, many companies will only use 1e and 1h for line 14. This lines codes are used to notate if the individual. Do not enter code 2c in line 16 for any month in which a terminated employee is enrolled in cobra continuation coverage or other postemployment coverage enter code 2a. You do not need to provide any additional information in order to complete line 14. The code must indicate the coverage the employee was offered.953 1553 736 514 431 930 1618 507 635 892 1089 1111 466 125 1274 922 1286 306 163 1281 626 286 1624 95 1316 1274 1552 1525 301 651 854 199 1308 693 1289 208 1189 202 1005 308 469