How You can Prepare for ACA Reporting in 2022

ACA Form Filing Fees:

$175 per transmittal Form 1094-C (per EIN)                                                                                                 $4.95 per employee Form 1095-C

State Filing Fees:

$175 per state Filing                                                                                                                           $7.50 per applicable employee

 

How to determine if your company needs to report for ACA in 2022

ACA reporting is required for ‘Applicable Large Employers’ also known as ALEs that have 50 or more full time/ fulltime equivalent employees. The purpose of the annual ACA reporting requirement is to certify that employers are offering minimum essential coverage (MEC) to at least 95% of eligible employees. To determine if your company needs to report for ACA in 2022, you would have had to have 50 or more full time/fulltime equivalent employees that worked for your company in the prior calendar year.

There is a report that you can pull in Certipay called ‘Fulltime/Fulltime Equivalent Employees’ that calculates hours worked for all employees during each month of the calendar year. This report will tell you if you had 50 or more fulltime employees in the previous year.

To locate the ‘Fulltime/Fulltime Equivalent Employees’ report in Certipay, please follow the steps below:

  1. Click on the Reporting tab and where you see ‘Report Sub Type’, select ‘Affordable Care Act’.

  2. Under the Affordable Care Act Sub Type select the ‘Fulltime/Fulltime Equivalent Employees’ report

  3. Update the Date Range to reflect ‘Previous Year’ and then click ‘Interactive View’. You also have the option to click ‘Summary’ to generate a summarized report

  4. On this report, you will see all employees’ average hours worked per week and when you scroll all the way down, you will see the total average number of fulltime employees for the year. That number is what you can go by to determine whether you need to ACA report for the current year. If it’s under 50, then you are not required to ACA report, if it’s 50 or more, then you are required to report.

 

My Company is Required to report for ACA – Now What?

Now that you have determined your company is required to report for ACA, it is imperative that you go through the proper steps to ensure all medical benefits are setup correctly in Certipay. Elected as well as waived medical benefits will also need to be attached to employee profiles to ensure ACA compliance. Please review the ACA Compliance Medical Benefit set Up guide located in the Benefits section that offers step by step instructions on how to update Certipay. You may also want to refer to the ‘How to use the ACA Section 6056 Form 1095-C Employee Audit report’ to certify you are auditing Certipay correctly. You can also call in or email Client Solutions for questions you may have as it relates to maintaining ACA compliance.

If you do not wish to do this on your own, Certipay offers two types of services for all your ACA compliance needs. If you would like to enroll in one of our services, please send an email to clientservices@certipay.com so that the Benefits team can review your control(s) and provide you with a quote.

 

ACA Services Offered By Certipay

  1. ACA/Benefits Setup & 4th Quarter ACA Audit

$1750 base fee in addition to standard ACA filing fees (finalized quote will be provided once the Benefits team has reviewed your control(s) plan structure and company size). The following is included with this service:

  • Enter new plan year benefits that fall within the reporting year at the company level

  • Update employee payroll deductions/earnings

  • Attach employee benefit elections to HR profile

  • Overview of Offer of Coverage and Safe Harbor Codes

  • Profile update to report for non-benefit eligible employees in a Limited Non-Assessment Period

  • Personalized training to maintain compliance for New Hires and Terminated employees

  • Assist with completion of the ACA Electronic Transmittal (required to have Certipay report on your behalf)

  • 4th quarter audit of ACA data prior to generating and submitting ACA forms to the IRS

  1. 4th Quarter ACA Audit

$700 base fee in addition to standard ACA filing fees (finalized quote will be provided once the Benefits team has reviewed your control(s) plan structure and company size). The following is included with this service:

  • Review medical benefits setup to verify all required fields are populated

  • Review Section 6056 Form 1095-C Employee Audit report to determine any employees that need to be addressed for accurate reporting

  • Advised the client on any updates that are needed and how to update the company level/employee profile properly

Note:

The above 4th quarter ACA audit does not include data entry. The benefits specialist will notify the client on any items that need to be reviewed and updated.

**Please also Note: If you use I-Enroller or any Benefit Interface, your benefits are already setup for you as a part of your renewal process, however ACA compliance is not guaranteed. If you choose to enroll in one of our ACA compliance services as an I-Enroller or Benefit Interface client, a discount will be applied for those ACA services.