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ACA Report

An ACA Report refers to the comprehensive summary and analysis of an organization’s compliance with the provisions set forth by the Affordable Care Act (ACA) in the United States. The ACA, also known as Obamacare, is a federal law enacted in 2010 with the aim of reforming the American healthcare system. It imposes various requirements on employers, including providing affordable health insurance coverage to their employees and reporting on that coverage.

The ACA Report is a critical document that provides insights into an employer’s compliance with the ACA regulations. It enables organizations to assess their adherence to the law and avoid potential penalties or fines. Employers with 50 or more full-time employees or equivalent are generally obligated to provide ACA Reports.

To create an ACA Report, organizations typically rely on data collection mechanisms such as the Form 1095-C, which is used to provide information about the health insurance coverage offered to employees. This form contains details about the employer, employee, and the coverage offered, including the months of coverage during the reporting year.

The ACA Report offers vital information for both employers and the Internal Revenue Service (IRS). Employers rely on the report to assess whether they have met their ACA obligations, such as offering affordable and adequate healthcare coverage to their eligible employees. On the other hand, the IRS utilizes ACA Reports to verify the accuracy of the information provided by employers and to determine compliance.

Key elements included in an ACA Report are:

  1. Employer Identification Information: This section provides details about the employer, including the business name, address, and Employer Identification Number (EIN).
  2. Employee Information: This section lists information about each employee, such as their name, social security number, and the total months for which they were offered health coverage during the reporting year.
  3. Offer of Coverage: This section outlines the coverage options provided by the employer to its employees. It includes information on the type of coverage offered and the cost associated with it.
  4. Affordability: The ACA mandates that the employer’s coverage must be affordable for employees. This section of the report demonstrates compliance by measuring the affordability of the coverage options based on the employee’s income.
  5. Reporting Requirements: This section details the reporting procedures, timelines, and forms used to submit the ACA Report to the IRS.

It is important to note that the ACA Report is separate from the Form 1095-C, which is provided to individual employees. The Form 1095-C serves as an employee’s proof of health insurance coverage and contains information specific to their employment.

Failure to submit accurate and timely ACA Reports can result in penalties imposed by the IRS. Penalties can be substantial and can be triggered by non-compliance, late filing, or incorrect information. Therefore, it is crucial for organizations to carefully collect, validate, and report the necessary data to produce an accurate ACA Report.

In conclusion, an ACA Report is a comprehensive documentation of an employer’s compliance with the provisions of the Affordable Care Act. It enables organizations to assess their adherence to the law, while also providing the IRS with crucial information to verify compliance. By accurately and timely filing the ACA Report, employers can avoid penalties and demonstrate their commitment to providing affordable health insurance coverage to their employees in accordance with the ACA regulations.