Cost-sharing limits-Industry News

ACA Reporting Deadlines

Employers subject to Affordable Care Act (ACA) reporting under Internal Revenue Code 6055 or 6056 have reporting deadlines in early 2023. Employers with self-insured health plans and applicable large employers (ALEs) with fully insured or self-insured health plans are subject to ACA reporting. ALEs are typically employers with 50 or more full-time employees during the previous calendar year.

Deadlines

February 28, 2023—deadline for 2022 filing with the IRS in paper form.

March 2, 2023—deadline for furnishing 2022 Forms 1095-B and 1095-C.

March 31, 2023—deadline for 2022 filing with the IRS in digital form.

Section 6055 and 6056 Forms

Providers of minimum essential coverage (MEC) adhere to Section 6055 and use Forms 1094-B and 1095-B to report information regarding coverage provided the previous year. ALEs adhere to Section 6056 and use Forms 1094-C and 1095-C to report information relating to health coverage offered or not offered to full-time employees.

The 2022 forms are mostly unchanged from the 2021 forms.

6055 Alternative Method of Furnishing

As of the 2021 calendar year, the IRS allows an alternative manner for a reporting entity to furnish statements to individuals under Section 6055. The reporting entity can post a clear and conspicuous notice on its website stating that, upon request, responsible individuals are able to receive a copy of their statement. An email address, physical address, and telephone number must be included in the notice for interested employees. The notice must be posted by the due date and cannot be removed until October 15.

Please note, an ALE may not use the alternative method of furnishing for full-time employees enrolled in the self-funded plan.

 

If you have any questions about ACA reporting, please contact your dedicated Creative Benefits, Inc. team member.