Enabling benefit plans for ACA reporting

All health plans reporting Affordable Care Act (ACA) benefits, and any associated waive plans, must be enabled for ACA reporting.

  1. Open the benefit plan in Benefits > Plans > Benefit Plans.
  2. On the Main tab, scroll down to the ACA Reporting section and specify this information:
    ACA Reporting
    Select this check box to enable ACA reporting for the benefit plan and make ACA information available on the contribution rule.
    Self Insured
    Select this check box to identify the benefit plan as self-insured. This means that covered individuals are reported on the Form 1095-C. This rule is applicable only at the plan level and cannot vary for different contribution rules.
    ACA Waive
    Select this check box to identify the benefit plan as a waive plan even if it was not identified as such in the initial set up.
    Priority
    This field indicates which benefit plan is the "best" offer extended and is used for regulatory reporting. The Highest Priority = 1 and the Lowest Priority = 9999. Waive plans would be set up with the lowest priority. If ACA Waive is checked, the default priority is 9999. The highest priority offer to an individual is used to determine their ACA reported data.
    Offer Of Coverage
    Select the IRS offer code that corresponds with the benefit plan offered. If you select an offer code that requires the employee's home or work zip code, or birth date, that field shows on the offer in Benefits > Reports > ACA > Offers and you must specify that information. You can determine which offer codes are applicable to your benefit plans with your benefits and legal team. See KB Article 1950668 on the Infor Support Portal for more information on IRS codes.
    Override Employee Cost
    This cost is used on the Form 1095-C, Line 15. It is the individual's share of lowest cost monthly premium for self-only minimum value coverage. This only needs to be specified if the calculated monthly cost differs from what will be used on the forms. If you are using Offer of Coverage codes 1A, 1G, or 1H, a cost cannot be specified here.
    Report Zero Cost
    Select this check box if the cost to be reported for the individual is 0.00. If the calculated cost is zero, it will show is blank unless this check box is selected. If you are using Offer of Coverage codes 1A, 1G, or 1H, this field cannot be selected.
    Safe Harbor
    Safe Harbor codes describe the affordability or relief (multi-employer or transition) associated to the benefit plan that has benefit coverage. Definitions are located in the IRS regulations. It is the end user responsibility to assign a Safe Harbor code that is representative of their benefit plan. When an employee enrolls in benefit coverage, a Safe Harbor code is generated for the months of coverage. If the employee waives the benefit coverage, or if relief is in effect, the Safe Harbor codes from the “best offer” plan are used for the months of waived coverage. If you are using relief, select the 2E or 2I Safe Harbor code. If this is a Waive Health Plan, leave this field blank. Your benefits and legal team must determine which Safe Harbor codes are applicable to your benefits plans.
  3. On the Contributions tab, open each contribution rule that is reporting ACA and repeat Step 2 to specify the required ACA reporting information. This information will populate newly created contribution rules, but not existing ones. Similarly, changes to contribution rules will not be applied to existing offers, only offers created after changes were made.