Collect employee profile data including SSN and wages
2
Verify the total time each employee has worked for the company
3
Check if there are any changes in the employee's family status (Marriage, Children, etc.)
4
Examine if there are any changes in the coverage of the company's health insurance plan
5
Check if the minimum essential coverage threshold is fulfilled by the company’s health insurance plan
6
Review employee hours to determine full-time status based on ACA guidelines
7
Calculate total number of full time equivalent (FTE) employees
8
Check if the company has offered coverage to at least 95% of its full-time employees
9
Approval: Employees Coverage
10
Examine if the company's insurance is affordable according to the ACA guidelines
11
Review if the company's insurance covers at least 60% of the total allowed cost of benefits
12
Approval: Insurance Policy
13
Prepare and provide the IRS forms 1095-C and 1094-C
14
Provide copies of IRS forms 1095-C to all full-time employees
15
Submit all the necessary documents to the IRS
16
Keep a record of all the submitted documents for at least 3 years
17
Approval: HR Manager
18
Review and update the company's Healthcare strategies and policies according to ACA rules
19
Monitor for changes in ACA rules and regulations
Collect employee profile data including SSN and wages
Collect employee data including their Social Security Number (SSN) and wages. This information is essential for ACA compliance and helps ensure accurate reporting. In addition, it is important to keep this data safe and secure to protect employee privacy. Are there any challenges or concerns with collecting this information?
Verify the total time each employee has worked for the company
Verify the total time each employee has worked for the company to determine their eligibility for ACA compliance. This involves reviewing records and tracking hours worked. Are there any challenges or concerns with this verification process?
Check if there are any changes in the employee's family status (Marriage, Children, etc.)
Check if there have been any changes in the employee's family status such as marriage, birth of a child, or divorce. These changes can impact their eligibility for ACA coverage. What methods will be used to check for changes in family status?
1
Marriage
2
Children
3
Divorce
Examine if there are any changes in the coverage of the company's health insurance plan
Examine the company's health insurance plan to check for any changes in coverage. Changes in coverage may impact ACA compliance. What methods will be used to examine the health insurance plan?
1
No Changes
2
Added Coverage
3
Reduced Coverage
4
Changed Providers
Check if the minimum essential coverage threshold is fulfilled by the company’s health insurance plan
Check if the company's health insurance plan meets the minimum essential coverage threshold required by the ACA. This ensures that employees have access to a basic level of coverage. What methods will be used to check if the threshold is fulfilled?
1
Fulfilled
2
Not Fulfilled
Review employee hours to determine full-time status based on ACA guidelines
Review employee hours to determine their full-time status based on ACA guidelines. This is important in determining eligibility for ACA coverage. Are there any challenges or concerns with determining full-time status?
Calculate total number of full time equivalent (FTE) employees
Calculate the total number of full-time equivalent (FTE) employees. This calculation is used to determine ACA compliance. Are there any challenges or concerns with this calculation process?
Check if the company has offered coverage to at least 95% of its full-time employees
Check if the company has offered health insurance coverage to at least 95% of its full-time employees. This is a requirement for ACA compliance. Are there any challenges or concerns with meeting this requirement?
1
Yes
2
No
Approval: Employees Coverage
Will be submitted for approval:
Check if the company has offered coverage to at least 95% of its full-time employees
Will be submitted
Examine if the company's insurance is affordable according to the ACA guidelines
Examine if the company's health insurance premiums are affordable for employees based on the ACA guidelines. Affordable coverage is essential for ACA compliance. What methods will be used to examine affordability?
1
Affordable
2
Not Affordable
Review if the company's insurance covers at least 60% of the total allowed cost of benefits
Review the company's health insurance plan to ensure it covers at least 60% of the total allowed cost of benefits. This is a requirement for ACA compliance. Are there any challenges or concerns with meeting this requirement?
1
60% or More
2
Less than 60%
Approval: Insurance Policy
Will be submitted for approval:
Examine if the company's insurance is affordable according to the ACA guidelines
Will be submitted
Review if the company's insurance covers at least 60% of the total allowed cost of benefits
Will be submitted
Prepare and provide the IRS forms 1095-C and 1094-C
Prepare and provide the required IRS forms 1095-C and 1094-C. These forms are used to report employee health insurance coverage to the IRS. Are there any challenges or concerns with preparing these forms?
Provide copies of IRS forms 1095-C to all full-time employees
Provide copies of the IRS forms 1095-C to all full-time employees. These forms provide employees with information about their health insurance coverage for tax reporting purposes. Are there any challenges or concerns with providing these forms?
Submit all the necessary documents to the IRS
Submit all the necessary documents, including the IRS forms 1095-C and 1094-C, to the IRS for ACA compliance. Are there any challenges or concerns with submitting these documents?
Keep a record of all the submitted documents for at least 3 years
Keep a record of all the submitted documents, including the IRS forms 1095-C and 1094-C, for at least 3 years. This is important for record-keeping and potential audits. Are there any challenges or concerns with keeping these records?
Approval: HR Manager
Will be submitted for approval:
Submit all the necessary documents to the IRS
Will be submitted
Review and update the company's Healthcare strategies and policies according to ACA rules
Review and update the company's healthcare strategies and policies according to ACA rules. This ensures compliance with the latest regulations and best practices. What methods will be used to review and update these strategies and policies?
Monitor for changes in ACA rules and regulations
Monitor for any changes in ACA rules and regulations. This is important to ensure ongoing compliance and avoid any penalties or violations. What methods will be used to monitor for changes?
