The ACA Is Here to Stay: Best Practices for the Affordable Care Act for Employers

Key points about ACA best practices:

  • The ACA employer mandate requires certain employers to provide affordable health insurance to their full-time employees.
  • Recent IRS announcements have placed stricter requirements on employers’ reporting this year.
  • Leveraging ACA best practices can help you stay compliant while making the best benefits decisions for your business.
  • Easily prepare for ACA reporting with our ACA Reporting Prep Checklist.

The Affordable Care Act (ACA), which aims to give more people access to affordable healthcare, appears to be here to stay. Earlier this year, the Supreme Court upheld the Act, and the Internal Revenue Service (IRS) announced additional employer requirements and penalties.

If your organization is required to file, you need to understand these changes and how they may affect you in order to stay compliant. While certain forms and requirements may change, general best practices can help you stay compliant from year to year. 

If you want to learn more about ACA reporting specifically, check out our blog How to Prepare for ACA Reporting and Compliance. It covers:

  • Relevant deadlines
  • Differences between ACA forms
  • Eligibility and how to determine if you have enough full-time equivalent employees
  • Additional considerations

What’s Changed: Stricter ACA Penalties

Under the ACA, the IRS requires applicable large employers to gather and submit information regarding the employee healthcare coverage they offer each calendar year. There are two major changes to ACA reporting this year:

No statute of limitations for ACA penalties 

A notice issued by the IRS states that there is no statute of limitations for an Employer Shared Responsibility Payment (ESRP). In essence, this means that your business may be penalized by the IRS for any year in which you did not complete your ACA reporting correctly, no matter how long it’s been since that inaccurate or incomplete report.

For example, let’s say your business did not comply with the ACA in 2016. In general, the IRS’s statute of limitations is 3 years. This means that they would have until 2019 to audit your business and issue a penalty for that 2016 report. Without a statute of limitations, though, the IRS can audit your 2016 reporting any year after 2016 and issue a penalty. 

Good Faith Transition Relief expired

The IRS also announced that the 2020 reporting year would be the last year of the Good Faith Transition Relief. The Good Faith Transition Relief was a transition measure used to help employers get used to ACA reporting requirements. Even if you filed incomplete or inaccurate reports, you wouldn’t be penalized so long as you could show that you made a “good faith” effort and did your best to complete the forms correctly.

Without this relief, you will now be responsible for incomplete or inaccurate Forms 1094-C and 1095-C. These penalties can be quite hefty, so it’s important to make sure you stay compliant and complete the forms as required. 

ACA Best Practices for Applicable Employers

While the increased risk of penalties can be scary, there are several things you can do to stay one step ahead. If you’re required to file under the ACA employer mandate, a few best practices can help you stay compliant and decide the best course of action for your business each year. You can also leverage businesses like Sentric that provide comprehensive ACA services to ensure your reporting is accurate and compliant. 

Consider your organization’s strategy and goals

First, decide if you’ll even offer affordable health insurance coverage as described under the ACA. Staying compliant is important, but you should also consider how the benefits you offer contribute to your organization’s overall strategy and goals. For instance, your company may be on a tight budget, and health coverage can be expensive. Paying the penalty fees for not offering coverage may be less expensive than offering health coverage itself.

However, you may also want to consider your strategy for recruiting and retaining talent. Benefits play a large role in many employees’ job decisions. If you decide not to offer affordable health insurance, will it impact your ability to attract and retain employees? Weigh the pros and cons of each choice before making a decision.

Update your data throughout the year

If you decide to offer affordable health coverage under the ACA, prepare for reporting. ACA reporting requires you to collect an assortment of employee data. Making sure this information is updated and accurate across all platforms throughout the year will make reporting easier. In each system, double check each employee’s: 

  • Name
  • Social Security Number
  • Date of birth
  • Address
  • Employment period
  • Hours worked
  • Wages

You can simplify this process by consolidating your employee data. Instead of storing information across multiple systems, consider switching to an HRIS. HRIS solutions store all of your people data in one place, which means you only need to update and verify information once.

Track full-time employees

The number of full-time employees you have impacts various ACA requirements. For this reason, it’s important to keep an accurate record of how many you currently employ. Tracking your full-time employees will help you:

  • Determine whether you’re an ALE or Aggregated Employer Group
  • Offer Minimum Essential Coverage to the correct employees
  • Identify employees that are missing offers of essential coverage

Typically, we think of full-time employees as those who work an average of 40 hours per week. However, a full-time employee for ACA purposes is someone who works an average of at least 30 hours per week.

Develop an employee communication plan

Your employees probably don’t track the latest ACA changes in the news or on the web. Instead, they rely on you to share any relevant information. Developing an employee communication and education plan will ensure your employees understand the ACA and how it may affect them individually. 

A formal communication plan also gives you the opportunity to showcase the value of your benefits program and any other perks you offer. When employees understand their benefits, they’re more likely to take advantage of them. You’ll often see reduced absenteeism, increased retention, and other improvements as a result.

Remember that some states have their own ACA requirements that may differ from the Federal rules. Be sure to check all related legislation to ensure you stay compliant. 

ACA Reporting Deadlines

If you’ve implemented these best practices and are ready to get started with your ACA reporting, the deadlines for this year are as follows: 

The IRS has also issued an advance copy of proposed regulations (REG-109128-12) that would permanently extend the deadline for employers to deliver Forms 1095-C to employees by 30 days. We will update this post as new information is released.

ACA Form Changes

The IRS has released the forms you will use to report for the 2021 year. There are no significant changes from the forms you may have used to report for the 2020 calendar year.

How SentricHR Helps

SentricHR’s all-in-one HR software and comprehensive ACA services help you manage complex ACA requirements throughout the year. SentricHR automatically captures benefit changes and calculates employee status and coverage so you stay compliant. At the end of each year, our experts also process, print, and file your ACA forms, making sure they’re accurate and complete before sending them to your employees and the IRS.

To learn more about how we can help, speak with one of our product experts! Download our ACA Reporting Prep Checklist to easily keep track of deadlines and everything else you need to prepare for ACA reporting this year.

Recommended Posts