www.ebms.com ACA MANAGEMENT TOOL® Navigating the Affordable Care Act Taking the confusion out of the Affordable Care Act by giving you the tools you need. Product Features TRACKING • • • • • • Minimum Essential Coverage (MEC) forecasts MEC offers and responses Company and individual measurement periods Employment status and special cases (rehires, unpaid leave, etc) New Hire Status and Eligibility Establish and monitor Initial Measurement Periods (IMP) Standard Measurement Periods (SMP) Administrative Periods (AP) and Stability Periods (SP) REPORTING • • • • • Employee’s measurement period cumulative hours Automated alerts for “at-risk” employees Trending analysis MEC offers required and follow-up Generates reports for employees and the IRS required under Sections 6055/6056 (1094-B, 1094-C, 1095-C) • Reports are available in printable and/or electronically transmittable formats ANALYSIS • Applicable Large Employer (ALE) status • Full-time employees and Full-Time equivalents • Variable & Seasonal employees to deterine Full-time status • Exposure to premium payments and assessable payment liabilities • Affordability of Minimum Essential Coverage (MEC) • Lookback Measurement Method and/or Monthly/Real-Time Measurement Method CONTROL • Establish categories for separate groups of employees (salaried, hourly, union members, and employees in different states) • Choose Measurement Method for each employee category • Create Standard Measurement Period for each Lookback Measurement Method employee category • Import from existing scheduling, payroll, and/or HRIS systems • Reports can be exported or printed • Customizable to support various import formats KNOWLEDGE Make better business decisions Gain insight into the operating resources Understand the Patient Protection and Affordable Care Act (PPACA) Understand compliance status as defined by the IRS ACA MEASUREMENT TOOL PRICING Managment Full Management EBMS Service Client Responsibility 2016 Annual Technology Fee (for up to 1000 $2,500-$5,000 Additional Applicable Large Employer Annual Technology Fee (for up to 1000 employees*) $750 Over 300 employees $1.50 per employee per month Under 300 employees $2 per employee month employees*) Self Management 1094 and 1095 Forms Only Cost Provide company and employee Includes tracking and measuring employees, demographic, hours worked, and offer importing information by spreadsheet, information on bi-weekly or monthly preparation, filing and mailing appropriate basis. Approve IRS 1094 and 1095 eFile IRS 1094 and 1095 Forms submission Includes access to software tool to track and measure employees and prepare and file IRS All administration is the responsibility 1094 and 1095 IRS Forms and initial training to of client use tool 2016 Annual Technology Fee (up to 1000 employees*) $2,500-$5,000 Additional Applicable Large Employer Annual Technology Fee (up to 1000 employees*) $750 Support/Consultation Fee $250 per hour Includes preparation, filing and mailing appropriate IRS 1094 and 1095 Forms 2016 Annual Technology Fee Provide all required information by standard spreadsheet (must be received before January 10, 2016) $1,500 * There is an additional fee for each employee over 1,000 employees. This charge varies based on group size and implementation date. per Affordable Care Act Tax Provisions for Employers from IRS.gov January 28, 2014 “The Affordable Care Act, or health care law, contains benefits and responsibilities for employers. The size and structure of your workforce –small, large, or part of a group – helps determine what applies to you. Small employers, generally those with fewer than 50 full-time employees, may be eligible for credits and other benefits. A large employer has 50 or more full-time employees or equivalents. How do I know if I am a small or large employer? Why does it matter? An employer’s size is determined by the number of its employees. Employer benefits, opportunities and requirements are dependent upon the employer’s size and the applicable rules. Generally, an employer with 50 or more full-time employees or equivalents will be considered a large employer. Employers with: l Fewer than 25 full-time equivalent employees may be eligible for a Small Business Health Care Tax Credit to help cover the cost of providing coverage. l Generally 50 or fewer employees may be eligible to buy coverage through the Small Business Health Options Program (SHOP). Learn more at HealthCare.gov. l 50 or more full-time equivalent employees will need to file an annual return reporting whether and what health insurance they offered employees. In addition, they are subject to the Employer Shared Responsibility provisions. Certain affiliated employers with common ownership or part of a controlled group must aggregate their employees to determine their workforce size.” Questions you need to Answer! • Are you working toward ACA compliance? • Are you making informed decisions? • Do you know how many hours your variable hour employees are working? • What is your exposure to Assessable Payment liabilities? • Which of your variable hour employees are required to be offered Minimum Essential Coverage (MEC)? • Do you understand Internal Revenue Code 4980H shared employer responsibilities and sections 6055/6056 reporting requirements? Please contact Sydney Wade, Business Development Coordinator, at 1-800-777-3575 ext. 1257, or your Strategic Account Manager for more information. PO Box 21367 • Billings, MT 59104-1367 P 800.777.3575 www.ebms.com