Affordable Care Act Large Employer Determination Worksheet 1 The Affordable Care Act requires “large employers” to offer coverage to their full-time employees or pay a penalty. Employers determine whether they are required to offer coverage for any given year by looking back to the number of fulltime equivalent employees they employed on average during the prior year. The formula is shown below. The following worksheet is intended to assist you in determining whether you are a large employer under the ACA. Aggregate # hours worked by part-time employees # of Full-Time Employees # of Full-Time Equivalent Employees Divided by 120 Special Rule for 2014 Calendar Year Only A special “transitional relief” rule permits employers to determine whether they are a large employer by only considering the average number of full-time equivalent employees during any six consecutive calendar months during 2013. In subsequent years, employers must consider the full 12 months (e.g. for 2015, the employer must consider the average number of full-time equivalent employees during the 12 months of 2014). Control Group Note Under the IRS “controlled group” rules, employers must count and aggregate full-time equivalent employees of their company and of any related company for purposes of determining whether they exceed the 50 full-time equivalent employee threshold. Most companies rely on their accountant, legal advisor, or consultant for assistance with this determination. Control Group Example COMPANY A determines that it averaged only 49 fulltime equivalent employees during 2013. COMPANY A’s owner also owns 80% of COMPANY B that employs 2 individuals on a full-time basis. COMPANY A and COMPANY B are considered part of a “controlled group” of employers. The owner must combine the full-time equivalent employee count for purposes of the Affordable Care Act. As a result, the owner is considered to employ more than 50 full-time equivalent employees in both businesses. Both businesses are required to offer health coverage in 2014 to avoid a penalty. This information is provided for general guidance purposes only and is not intended as legal advice. Please consult your legal advisor for additional information. 1 DO NOT DISTRIBUTE - INTERNAL USE ONLY Affordable Care Act Large Employer Determination Worksheet Action Item Process/Definition 1. Count your “full-time employees” for each month of the year (or partial year for 2013). A full-time employee is any individual working 30 or more hours per week, on average. Determination is made on a monthly basis, so an individual might be considered a fulltime employee in January, but only a part-time employee in February. Example: COMPANY X has five employees Place that number in the correct box. A averages 35 hours per week, B averages 45 hours per week C averages 31 hours per week, D averages 29 hours per week and E averages 20 hours per week COMPANY X would be considered to have 3 “full-time” employees for the month. STEP 1: Count Your Full Time Employees January May September February June October March July November April August December 2. Add up all hours worked by your parttime employees for each month of the year (or partial year for 2013). Then divide by 120. A “part-time employee” is any individual working less than 30 hours per week, on average. Add together all of the hours worked by part-time employees for the month. Don’t count more than 120 hours per month for any part-time employee. Divide this number by 120. This gives you a full-time equivalency. Example: COMPANY Y has four part-time employees A worked 100 hours in January, B worked 30 hours in January C worked 65 hours in January, and D worked 90 hours in January 100 + 30 + 65 + 90 = 285 hours worked by part-time employees in January 285 ÷ 120 = 2.375 STEP 2: Full Time Equivalency Calculation January ÷120 = May ÷120 = September ÷120 = February ÷120 = June ÷120 = October ÷120 = March ÷120 = July ÷120 = November ÷120 = April ÷120 = August ÷120 = December ÷120 = DO NOT DISTRIBUTE - INTERNAL USE ONLY Affordable Care Act Large Employer Determination Worksheet Action Item Process/Definition 3. Add the numbers from Step #1 and Step #2. Add the number of full-time employees (determined in Step #1) to the full-time equivalency (determined in Step #2) and insert them in the box below. This is your number of “full-time equivalent” employees for the month. Example: COMPANY Z has 3 full-time employees in January and 2.375 full-time equivalencies in January. COMPANY Z has 5.375 full-time equivalent employees in January. Step 3 = Step 1 + Step 2 Your Full Time Equivalent Employees January May September February June October March July November April August December 4. Determine your yearly average of fulltime equivalent employees. Add up the numbers for each month in Step #3. Divide by 12 (if you did not count all 12 months, divide by the number of months actually counted). Disregard any fractions and round down. Example: COMPANY X averaged 49.9 full-time equivalent employees for the 2013 plan year. COMPANY X is considered to have employed only 49 full-time equivalent employees during the year. Employers who averaged 50 or more full-time equivalent employees during the 2013 calendar year will be considered a “large employer” for the 2014 calendar year. Be sure to consider the seasonal employee rule in step #5. Employers who averaged less than 50 full-time equivalent employees should make sure they are considering all full-time equivalent employees within the controlled group of employers. Step 4 = Step 3 divided by 12 (or number of months counted) Your Yearly Average of Full Time Equivalent Employees Add up numbers for months in Step 3 Divide by 12 (Or divide by number of months counted in Step 3) Yearly Average of Full Time Equivalent Employees (Disregard any fractions and round down) DO NOT DISTRIBUTE - INTERNAL USE ONLY Affordable Care Act Large Employer Determination Worksheet Action Item 5. Determine whether you may disregard seasonal employees in determining whether you are a large employer. Seasonal Employees If you determine that: You employed in excess of 50 full-time equivalent employees in the prior year, and… Your workforce exceeded 50 full-time equivalent employees for 120 days or fewer, and… The spike was due to an influx of seasonal workers, then… You may disregard your seasonal workers for purposes of determining whether you exceeded the 50 full-time equivalent employee threshold. Example: January - May June - August October December January December COMPANY Z employed 30 full-time equivalent employees. COMPANY Z employed 100 full-time equivalent employees, due to an influx of seasonal employees. COMPANY Z once again only employed 30 full-time equivalent employees. COMPANY Z employed 53 full-time equivalent employees during the year. COMPANY Z only exceeded 50 full-time equivalent employees for less than 120 days, due to an influx of seasonal workers. COMPANY Z may disregard the 70 full-time equivalent seasonal workers it hired over the summer. COMPANY Z is only considered to have 30 full-time equivalent employees during those summer months. COMPANY Z will not be required to offer coverage to avoid a penalty. DO NOT DISTRIBUTE - INTERNAL USE ONLY