Updating ACA offer data

Select Yes if the benefit plan is a self-insured plan.

Select a priority from 1-9999. A benefit plan that offers more coverage has a higher priority than one with less coverage value.

Select an IRS offer code. The offer code describes the benefit offer that is extended to the employee. These are the valid values:

• 1A Qualified Offer

• 1B MEC & MEV Employee

• 1C MEC & MEV Employee & Dependents

• 1D MEC & MEV Employee & Spouse

• 1E MEC & MEV Employee & Spouse & Dependents

• 1F MEC not MEV

• 1G Part Time Self-Insured Offer & Coverage

• 1H No Offer or not MEC

• 1I 2015 Qualified Offer Relief & Reserved

• 1J MEC & MEV Employee & MEC Spouse

• 1K MEC & MEV Emp & MEC Spouse & Dependents

• 1L Individual coverage health reimbursement arrangement (HRA) offered to you only with affordability determined by using the employee’s primary residence location ZIP code

• 1M Individual coverage health reimbursement arrangement (HRA) offered to you and your dependents with affordability determined by using the employee’s primary residence location ZIP code

• 1N Individual coverage health reimbursement arrangement (HRA) offered to you, your spouse, and dependents with affordability determined by using the employee’s primary residence location ZIP code

• 1O Individual coverage health reimbursement arrangement (HRA) offered to you only using the employee’s primary employment site ZIP code affordability safe harbor

• 1P Individual coverage health reimbursement arrangement (HRA) offered to you and your dependents using the employee’s primary employment site ZIP code affordability safe harbor

• 1Q Individual coverage health reimbursement arrangement (HRA) offered to you, your spouse, and dependents using the employee’s primary employment site ZIP code affordability safe harbor

• 1R Individual coverage HRA that is not affordable offered to you, employee and spouse or dependents, or employee, spouse, and dependents

• 1S Individual Coverage HRA offered to an individual who was not a full-time employee

• 1T Individual coverage health reimbursement arrangement (HRA) offered to you and your spouse with affordability by using the employee’s primary residence location zip code

• 1U Individual coverage health reimbursement arrangement (HRA) offered to you and your spouse with affordability by using the employee’s primary employment site zip code

Select a safe harbor code for the benefit plan. These are the valid values:

• 2E Multiemployer Relief

• 2F W-2 Affordability

• 2G Poverty Line Affordability

• 2H Rate of Pay Affordability

• 2I 2015 Non-Calendar Relief & Reserved

• WV Waive

• ** Blank

Select an override cost.

Select Change Offer or Delete Offer.