ACA MANAGEMENT TOOL®

advertisement
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
Download