Six Things Applicable Large Employers (ALEs) Need To Know About Information Reporting and Health Coverage Offers

Applicable Large Employers (ALEs) are generally those employers with 50 or more full-time employees, including full-time equivalent employees in the preceding calendar year. If you are an applicable large employer, did you know the Affordable Care Act requires your company to file data returns that report information with the IRS and with your employees as well? Under the Affordable Care Act, not only are you responsible for jumping through all the hoops of providing coverage for your employees, you also need to be the main source of reporting such information to the Internal Revenue Service.

Applicable Large Employers (ALEs) Under ACA

applicable large employers

Applicable Large Employers (ALEs)

As a full-service employee benefits and insurance agency serving Southern California, Pontrelli, Timour & Associates understand that Obamacare has been driving you crazy as a business owner. Luckily, we are here to help guide ALEs through the obstacle course of providing the right benefits at the right cost, while advising you on resources to ensure your reporting requirements are executed on time. We are here to help ease the frustrations of the ACA, and help you contain costs, while keeping your valued employees happy with their benefit options.

Although many employers are not ALEs, thus not subject to this health care tax provision, the employers that do fall under the ALE definition must take action. If you are an applicable large employer you must use Form 1094-C, Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns, and Form 1095-C, Employer-Provided Health Insurance Offer and Coverage. These IRS forms are used to report the information about offers of health coverage and enrollment in health coverage for their employees.

Here are six key points ALE’s need to know about the information returns they must file:

Six Key Points for Applicable Large Employers (ALEs)

  1. Form 1095-C is used to report information about each employee who was a full-time employee of the ALE member for any month of the calendar year.
  2. Form 1094-C must be used to report to the IRS summary information for each employer, and to transmit Forms 1095-C to the IRS.
  3. ALEs file a separate Form 1095-C for each of its full-time employees, and a transmittal on Form 1094-C for all of the returns filed for a given calendar year.
  4. Applicable Large Employers that offer employer-sponsored self-insured coverage use Form 1095-C to report information to the IRS and to employees about individuals who have minimum essential coverage under the employer plan.
  5. The information reported on Form 1094-C and Form 1095-C is used in determining whether an employer owes a payment under the employer shared responsibility provisions.
  6. Forms 1094-C and 1095-C, or a substitute form must be filed regardless of whether the ALE member offers coverage, or the employee enrolls in any coverage offered.

If you are an applicable large employer (ALE) and you have yet to file these forms, you are already sailing in treacherous seas. Luckily, Pontrelli, Timour & Associates can help applicable large employers right the ship of their companies and return to calm waters. The goal of PT Benefits is to make sure that our client companies that are ALE’s avoid unnecessary IRS fines while keeping in compliance. At the same time, we want to help you recruit and keep the best employees by offering you’re the best benefits program options available.

PT Benefits Can Help ALEs

To learn more about how PT Benefits can help applicable large employers, please contact us today by calling 626-795-4138 today.

100 Plus Employers Need To Be On Alert As IRS Releases Report About Responsibilities Of Employers Under ACA

When the IRS releases a report about the responsibilities of employers under the Affordable Care Act, Pontrelli, Timour & Associates feels the need to raise a red flag.  As a group benefits leader providing Southern California companies with healthcare solutions, PT Benefits wants employers to know that the end of 2014 signals a time to take action. If you are an employer, the number of employees in your business will affect what you need to know about the Affordable Care Act (ACA).

IRS Warns Companies With 100 Plus Employees

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100 Plus Employers

If you have at 100 full-time and full-time equivalent employees, providing affordable healthcare for your employees is no longer a choice. In the report, the IRS warns that the employer shared responsibility payment will be significant. This payment will happen, even if only one of your employees applies for and receives a subsidy or premium tax credit through a marketplace enrollment.

Moreover, starting in 2016, your company must report to the IRS information about the health care coverage, if any, you offered to your full-time employees for calendar year 2015. You also must furnish related statements to their full-time employees. As a direct result, such reports need to be developed and executed in 2015. As a full-services benefits solutions provider, Pontrelli, Timour & Associates will help advise our clients with resources to comply with these reporting requirements.

100 Plus Employers Employer Shared Responsibility

Although the IRS will not assess employer shared responsibility payments in 2014, this does not mean that you can sit on your hands and ignore the needs of your company. It is true that information reporting related to the employer shared responsibility provisions is voluntary in 2014. After 2014, employer shared responsibility payments will be assessed to companies with 100 plus employees and reporting will be required.

In addition, the employer shared responsibility provisions will be phased in for smaller ALEs from 2015 to 2016.  An ALE is an acronym that stands for Applicable Large Employer, meaning an employer that has 50 or more full time equivalent employees. As a result, although the immediate pressure is on 100 plus companies, 50 plus companies will be squeezed by the IRS as well.

ALEs Of All Sizes Are Ultimately Vulnerable

Specifically, ALEs that meet certain conditions regarding maintenance of workforce size and coverage in 2014 are not subject to the employer shared responsibility provision for 2015.  For 50 plus employers, no employer shared responsibility payment will apply in 2015.  50 plus employers are required to meet the information reporting requirements for 2015.  Despite this breather for 50 plus companies, the IRS wants to make it clear that such employers will be put under the microscope and fined in the future.

The reason Pontrelli, Timour & Associates is waving a red flag and raising the alarm is because too many ALEs and 100 plus employee companies have been avoiding dealing with the Affordable Care Act. What these companies need to realize is that the IRS is in charge of enforcing many of the statutes of the Affordable Care Act. The last thing you want is to place your company under an IRS microscope. If you can avoid dealing with the Internal Revenue Service, this is a good path to take, but you need to take action now.

Pontrelli, Timour & Associates Can Help

For information about and help with the Affordable Care Act and the employer responsibilities outlined by the IRS, please contact Pontrelli, Timour & Associates today. Our goal is to help our clients offer a robust employee benefits program that employees value, while respecting the organization’s budget, and keeping them in compliance.  To learn more about how we can help 100 plus employers and other ALEs, please call Pontrelli, Timour & Associates in Pasadena at 626-795-4138.