I aim to increase the quality and affordability of health insurance, lower the uninsured rate by expanding public and private insurance coverage, and reduce the costs of health care for individuals and government
What is the Affordable Care Act?
100
An annual statement providing information about the employer's offer of healthcare coverage (if any) and the months the employee and family members were enrolled in their employer's healthcare plan.
What is the Form 1095C?
100
If an agent is unable to locate the employee's record in HEAT by searching name/ID/SSN, they must create this instead.
What is a New Employee record?
100
This code combination indicates an employee was under and offer of coverage and enrolled in their employer's plan
Line 14 - 1B-1E
Line 15- $
Line 16- 2C
100
Employers providing this type of plan will check the box next to Part III and list the employee and dependent's enrollment information.
What is a self insured plan?
200
An organization set up to facilitate the purchase of health insurance. Here you can fill out an application for healthcare coverage and compare different plans that fit your needs and budget.
What is the Health Insurance Marketplace or Exchange?
What are other ways an employee can verify healthcare coverage?
200
Within this field, you will search by keywords to access the knowledge base.
What is the summary field?
200
This code is found in line 14 can only be used if the employee was enrolled in their employer's self insured plan and was not a full time employee for every day of the reporting year. (i.e. retirees, COBRA beneficiaries, non employees)
What is code 1G?
200
Individuals enrolled in coverage through the Marketplace will receive this form.
What is Form 1095-A?
300
A subsidy offered to individuals who purchase insurance coverage through the Marketplace/Exchange. You can not qualify for me if you are under an affordable offer of coverage through your employer.
What is the Premium Tax Credit?
300
The 1095-C form assists individuals with verifying healthcare coverage was maintained throughout the year when completing #12 of this tax form.
What is the Form 1040, 1040A or 1040EZ?
300
You will find the following information within this article: known issues, 1095-C mail out date, Taxport Domain, HR benefits number, ROC status, etc.
What is the client-specific knowledge article?
300
This combination will occur for months the employee was not hired or months following the month of termination. (i.e. if they were termed Oct 15, this code would start reporting in November)
Line 14 - 1H
Line 15 - Blank
Line 16 - 2A
300
Individuals enrolled in their employer's fully insured plan will receive these forms.
What is the 1095-C (Part I, II only) and 1095-B
400
Any insurance plan that includes the types of coverage minimally required by ACA regulations to avoid the penalty for not having insurance
What is Minimum Essential Coverage?
400
The IRS extended this date from January 31, 2017 to March 2, 2017
What is the deadline to deliver 1095C and 1095B forms?
400
These codes must be entered upon resolution of the call and provide us with information regarding how the call was resolved, proper client billing, etc.
What are cause codes?
400
These codes are used by the IRS to assess employer penalties. They have no impact on the employee.
What are Safe Harbor Codes?
500
The greater of $695 per adult or 2.5% of taxable income. I am half this amount for dependents under 18.
What is the individual mandate penalty for 2016?
500
The line describes the employer's offer of healthcare coverage
What is Part II, Line 14?
500
After you resolve the incident record in HEAT, you must select this button.
What is the Save button?
500
This code indicates the employee was in a Limited Non Assessment Period (LNAP)
What is code 2D?
500
COMPASS R 2.4 errors are only found in this section of the Form 1095-C. They only impact the employee if they are receiving a PTC from the Marketplace.