Article written by EricBank
The Affordable Care Act has provisions that come due in 2016 affecting
small businesses with at least 50 full-time employees or equivalents. These
provisions are an extension of existing ones covering businesses with 100+
employees. Although 2016 is a while off, the preparations are occurring right
now, because employers have to keep track of the monthly costs per employee of employer-sponsored health plans.
Employers must report the out-of-pocket health care expenses of each employee,
a daunting task to say the least.
Form 1095-C
The new tax form, 1095-C "Employer-Provided Health Insurance Offer
and Coverage," is formatted such that one copy is needed for each
employee, and only one employee's information is reported on each copy. The
form has three sections:
I. Identification Information: The identity of the employee and
employer, including Social Security Number and Employer Identification Number.
II. Employee Offer and Coverage: A three-row table with entries for
each month and for the total year. Row 1
records two-character codes (e.g. 1A, 1B, etc.) that denote the type coverage
offered (or not offered) to the employee and the employee's family. If the same
coverage was offered all 12 months, you can enter the code in the 12-month box
only. For example, you would enter 1A for a qualifying offer of minimum
coverage that met certain criteria. Row
2 reports the employee share of lowest cost monthly premium for self-only
minimum value coverage. This is the amount the employee would have to pay to get minimum coverage, not the amount the
employee actually paid if electing better-than-minimum coverage. Row 3 reports a "safe harbor
code" explaining why a particular was or wasn't offered health care
insurance for all or part of the year, for reasons such as not being employed
in a particular month.
III. Covered Individuals: This part pertains only to employers who
provide self-insured coverage. A six-row matrix identifies the months in which
the employee and enrolled spouse and/or dependents were actually covered by the
health plan. Each row identifies one individual, including Social Security
number or date of birth, and a block of monthly check boxes. If the individual
was covered the entire year, you check just the 12-month box. Use additional
forms if the employee has more than five dependents.
Nightmare or Torment?
However you conceive of it, Form 1095-C and the work it represents is no
day at the beach. The IRS instruction booklet for the form is 14 pages of tiny
print, which is an improvement over the 84-pages of guidelines issued by the
Treasury Department in 2014. To make matters worse, few tax-preparation
services are stepping up to the plate and offering to take responsibility for
preparing these forms. If outsourcing isn't available, a small business owner's
accountant will need to have one good spreadsheet program to track all the
information required. That might be hard enough to do month by month as 2015
progresses, but it becomes a tormenting nightmare if employers put it off until
the end of the year. Hence the need for employers to scramble now to record all
the required information while its freshly obtainable.
Intuit Bugs Out
Intuit, maker of the top-selling TurboTax and QuickBooks software, has
decided not to support Form 1095-C. According to Intuit spokesperson Stephen
Sharpe, "The vast majority of our customers are not required to comply
with this mandate, and the data required by these forms is not fully collected
in our payroll application." Cold comfort! However, some payroll services
are providing outsourced support. One expert cites typical fees of $400 to set
up the service and $0.40 to process each employee. That might sound pretty
steep, but for many small business owners, the alternative of doing it
themselves is far, far worse.
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