Health Care Law: Highlights for Self-Insured Employers


HI, I’M PHYLLIS AND I WORK FOR THE
INTERNAL REVENUE SERVICE. I’M HERE TO SHARE IMPORTANT INFORMATION
WITH EMPLOYERS WHO PROVIDE HEALTH COVERAGE TO EMPLOYEES
UNDER A SELF-INSURED PLAN. UNDER THE HEALTH CARE LAW,
ALL EMPLOYERS THAT PROVIDE SELF-INSURED HEALTH
COVERAGE TO THEIR EMPLOYEES MUST REPORT
INFORMATION TO THE IRS ABOUT THE COVERAGE
THEY PROVIDED. THEY ARE ALSO REQUIRED
TO FURNISH THIS INFORMATION TO INDIVIDUALS WHO
RECEIVED THE COVERAGE. NOW, THE FORM YOU WILL USE,
FORM 1095-B OR 1095-C, WILL DEPEND ON THE SIZE OF
YOUR WORKFORCE. SOME SELF-INSURED EMPLOYERS
WILL USE 1095-B. YOU USE THIS FORM IF YOU
AVERAGED FEWER THAN 50 FULL-TIME
OR FULL-TIME EQUIVALENT EMPLOYEES IN THE PRIOR
CALENDAR YEAR. HOWEVER, MOST SELF-INSURED
EMPLOYERS WILL USE FORM 1095-C BECAUSE THEY ARE
APPLICABLE LARGE EMPLOYERS OR A-L-E. YOU ARE AN A-L-E IF YOU AVERAGED 50
OR MORE FULL-TIME EMPLOYEES, INCLUDING FULL-TIME EQUIVALENTS
IN THE PRIOR CALENDAR YEAR. NO MATTER WHICH FORM YOU USE,
YOU WILL PROVIDE IT TO YOUR EMPLOYEES AND TO THE IRS
AT THE BEGINNING OF EACH YEAR. BY THE WAY, CHECK THESE
REPORTING DEADLINES EACH YEAR. WEEKENDS AND OTHER FACTORS
AFFECT THEM. ALSO, DEADLINES ARE DIFFERENT
DEPENDING ON WHETHER YOU FILE ELECTRONICALLY
OR ON PAPER. YOU CAN GET MORE DETAILS ON THIS
AND OTHER TAX PROVISIONS AT IRS.GOV/ACA.

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