Setup - ACA

Low Costs (PYACUPLC)	The 1095-C, Part II form requires a minimum cost for employee-only coverage to be reported for each employee. This value is not the minimum cost based on the coverage the employee chose, but the minimum cost of what plans were offered and refers to the employee-only cost. Districts can have multiple ways to offer coverage to different types of employees. This page is intended to allow the districts to configure how they offer plans based on employee information in HR and the minimum cost associated with those offers.
ACA Code Table (PYACUPCD)	Verify this page is set up with the correct entity and code information.
Hour Base Setup (PYUPHH)	An hour base must be used to track all worked hours subject to the "30-hour rule." Any CDH considered a worked hour should add to this hour base. The ACA hour base is set in common code ACAR/GEN, Associated Numeric Values (1).
Benefits Setup	Benefits setup is required to accurately capture all information required for the 1095-C form. *Offer Codes* - The IRS has established a list of Offer of Coverage codes to be reported on the 1095-C form, Line 14. Offer codes are defined in HR Entity Specific Codes (HRTBCE), using Code ID "BENEFIT_SUBGROUP." The codes then need to be set in the benefit sub group field on the Benefit Definition (HRTBBE) page in BusinessPlus. Alternative Tracking for Offer of Coverage Codes: For districts using the benefit sub group for other reporting purposes, the benefit plan miscellaneous codes may be used to assign the offer of coverage code. In this case, a drop-down list is not available, and the standard ACA CDD report will need to be modified. *Safe Harbor Codes* - Update employee benefit assignments for Section 4980H Safe Harbor Exceptions in HRPYBE/HREPBE, Benefit Assignment tab. Select which Special Codes (1-4) field will be used for reporting purposes. Designation of Special Codes boxes for Safe Harbor codes is specified in common code ACAR/1095C, Associated Code 3. Note that the Special Code 04 field may be set up as a system-derived field in HRRQSS, Generic Info tab, "System Derived CD04" checkbox. *Waived Coverage Plans* - In order to accurately capture which employees were offered coverage, benefit plans need to be defined to track employees who waive medical coverage. Multiple waived plans may be required to capture coverage offers for different employee groups. Create a benefit code for the waived plan in HRTBBE, Benefit Codes tab. On the Benefit Definition tab, create a benefit plan for waived plan. Employees Waiving Offered Coverage: Employees that were offered medical coverage but waived it can be tracked by entering "RO" (Refused Offer) in the Special Codes box that is designated to hold the Safe Harbor code on the HR Benefit Assignment (HRPYBE/HREPBE) page. Note that "RO" is not an actual IRS Safe Harbor code; the RO code simply ensures that the 1095-C Safe Harbor field remains blank (i.e., is not auto-populated with a default Safe Harbor code) when HR/PY data is loaded into the PY 1095-C Information (PYACUPF5) page. Using this method ensures the employees that waived offered medical coverage are not marked as covered during the reporting period. *Employee Share of Lowest Cost Monthly Premium* - Form 1095-C requires the reporting of the employee's share of the lowest cost monthly premium for employee only coverage on Line 15 of the form. This value is not currently tracked as a separate value within BusinessPlus but can be derived based on employee premium amounts. *ACA Reportable Deductions* - The Affordable Care Act requires employers to report the cost of coverage under an employer-sponsored group health plan on an employee's Form W-2, Wage and Tax Statement, in Box 12, using Code DD. Any deductions that are associated with the ACA reporting will need to have "HLTH" defined in Misc Code (1) of the deduction definition (PYUPDD) page. This will allow the W-2 process to select the deductions necessary.
Printer Definitions	Included in the Year-End installation are two files with the escape sequences needed to print the 1095-C forms. The two files LETT1095 and LEGL1095 (for Letter and Legal sized printing) will be placed in the /admin/perm directory on the App server. These files are used in conjunction with a new NULP common code that needs to be set up for printing the 1095-C form. Printers may vary slightly when processing escape sequences. Experimenting with the printer to be sure the forms print correctly may be required. Similar to printing W-2s, a NULP common code needs to be set up to define the printer used to print the 1095-C forms. Common code setup determines whether letter and legal sized forms are used. The device name after the ";DEV=" in the Long Description will need to be changed to match the printer device name on the network.
Common Codes	ACAR/1094C, ACAR/1094C2, ACAR/1095C, ACAR/1095CCI, ACAR/1095CPRT, ACAR/DEPDBENF, ACAR/DTOFFSET, ACAR/EOxxxx, ACAR/GEN, ACAR/IMPORT, ACAR/LOOKBACK, ACAR/RETIREES, ACAR/SEL, ACAR/VENDORxx, ACBU/xxxxxxxx, ACCD/xxxxxxxx, ACEM/xxxx, ACGV/xxxx, ACLC/xxxxxxxx, ACOF/xx, ACOT/xxxxnn, ACSH/xx.
Employee Online	See Employee Online processing and setup.