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1095-C Corrections

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The following are Avionté's recommendations for correcting data and producing proper ACA reporting. Consult legal counsel or your broker for questions regarding insurance offerings or ACA compliance.
 

 

Methods 

There are two methods to indicate a corrected form: 

Circumstance Action
If the form has been filed with the IRS... Place an X in the "Corrected" checkbox.
If you are correcting a Form 1095-C that was previously provided to a recipient but NOT filed with the IRS... Write "CORRECTED" on the new Form 1095-C provided to the recipient.


For more information on corrections and forms, see IRS 1095-C Instructions.

 


Additional Parameters in Avionté

Avionté supports the following correction methods with added parameters in the Avionte_1095C Report. 

 

Sent to IRS

The "Sent to IRS" drop-down menu signifies that the forms have been filed with the IRS. 

Option Description
True The forms have been submitted to the IRS.
False The forms have NOT been submitted to the IRS.



Include

The "Include" drop down menu allows users to choose to include all 1095-C forms or only the corrected forms. 

Option Description
All 1095C Selects all 1095-C reports.
Only Corrected 1095C Selects only the corrected 1095-C reports. 



correcting1095.1.1.png

 

 


Part I


Employee Information

correcting1095.2.png
Data sources into these fields from: 

  • Employee > Detail

  • Primary address listed for the employee

For more information, see Employee Detail - Pre 14.1 or Employee Detail - 14.1 & Newer depending on the version of Avionté you use.

 


Employer Information

correcting1095.3.png

Data sourced into these fields from Admin Tools > Employer > Detail Tab. Data can be adjusted, post-import, in the Companion application's ACA Employer tab. 

 

 

Part II - Line 14


Logic 

Code Logic
1A-1G
  • Populated based on offer of coverage in the ACA Companion application's Employee plan details tab. 

  • A healthcare deduction and/or contribution is on the employee's record for a full month.
1H
  • No healthcare deductions or contributions are on the employee's record that month

    OR

  • The healthcare deduction/contribution does not cover the full month.

 


Example

Joe Smith was effective on MVP Insurance starting May 15th. A deduction of Healthcare Plan 1 is on his record from 5/15/15 through 12/15/15. His Line 14 will show 1H from January through May, 1F from June through November and back to 1H in December.

 


To Correct Errors

Issue How to Correct
The offer of coverage code
  • Change the value for the specific employee in the ACA Companion application's Employee Plan Details tab.
An offer of coverage showing
  • In the ACA Companion application, Insurance plan tab, insert a $0.00 deduction on an employee's record for the months the employee was enrolled in health insurance.

  • In the ACA Companion application, Insurance plan tab, insert a $0.00 contribution on the employee's record for the months the employee waived healthcare coverage.
Dates of coverage offered
  • In the ACA Companion application, Benefit package tab, alter the start and end dates of the healthcare deduction or contribution on the employee's record to reflect the months of coverage.
A deduction/contribution not showing as coverage
  • The transaction type used must have the IsHealthcare box checked in Admin Tools > System > Transaction Type > Detail Tab

 

 



Part II - Line 15

Logic

Code Logic
$XX.XX
  • The dollar amount is determined by the Monthly employee only minimum contribution value in the ACA Companion application's Insurance plan tab. 

  • If the Monthly employee only minimum contribution property is set to a percentage, the value will equal the percentage multiplied by the employer's gross wages for the month.

  • The value populates if an offer of coverage is made in the Employee plan detail tab of the ACA Companion application.
Blank
  • Line 14 shows 1A, 1F, 1G, or 1H (Line 15 value is not required in combination with these codes).

 


Example

Joe Smith had coverage from 5/15/15 to 12/15/15. His Line 15 will show $85.60 from June through November (his full months of coverage). All other months will be blank.

 

To Correct Errors

Issue How to Correct
The dollar amount shown The dollar amount is determined by the Monthly employee only minimum contribution value in the ACA Companion application's Insurance plan tab.
The months that a value appears Correct the offer of coverage in the ACA Companion application's Employee plan details tab and Monthly employee only minimum contribution property for months that an offer of coverage is shown.
A cap on the employee's share (maximum value) The user can use the ACA Companion application's Insurance plan tab's Monthly employee only minimum contribution upper limit to input the maximum amount for an employee's share of coverage.

 



Part II - Line 16

 Logic

Code Logic
2A
  • Employee does not have an assignment in that month

    OR

  • The assignment has a performance code that is marked as "False" for the Config Choice Property, CountAsAssigned.
2B
  • Employee is considered non-full-time for that month and/or was terminated during that month.

  • 2B will populate in January 2016 if healthcare deduction/contribution starts on or before the first payroll of the year.

    Note: This rule only applies to the 2016 reporting year.
2C
  • A healthcare deduction is in that employee's record for the full month.
2D
  • The employee is in a limited non assessment period. Which could be their initial measurement and/or admin periods.

  • 2D will stop populating once the employee is considered full-time or has met their effective insurance date.

    Note: 2D will never populate after the effective insurance date.

  • Will take the earliest Effective Insurance Date (EID) on the employee's record in the reporting year.
2E-2I
  • Populates the value input in the ACA Companion application's ACA Employer tab when none of the above conditions are met.
Blank
  • None of the above conditions for Line 16 are met

    AND/OR

  • The value for the Indicate Certifications of Eligibility property in the ACA Companion application's ACA employer tab is blank.

 

 

 

Example
Joe Smith began working with ABC Staffing on March 1st. He was offered MVP insurance which became effective on June 1st. He terminated his employment with ABC Staffing in mid-December. His 1095-C should appear as below: Part_II_screen_shot.png


 


To Correct Errors

2A

Issue How to Correct
Line 16 shows 2A when employee has an assignment Verify the setup of the CountAsAssigned property in Admin Tools > Config Choice > Choice Property > Assignment_PerformanceTemp category.
An employee is not working and not showing 2A Verify the assignment dates and insert an end date if the employee stopped working.

 


2B

Issue How to Correct
2B populates in January Alter the start date of the healthcare deduction or contribution to after the first payroll of the year. 

Reference the IRS' Instructions for Forms 1094-C and 1095-C documentation for more information on 2B: 

"Also use this code for January 2016 if the employee was offered health coverage no later than the first day of the first payroll period that begins in January 2016 and the coverage offered was affordable for purposes of the employer shared responsibility provisions under section 4980H and provided minimum value."
Form does not reflect that a termination occurred Verify the assignment dates and insert an end date if the employee stopped working.

 

 

2C

Issue How to Correct
Dates of coverage Input a healthcare deduction on the employee's record with start and end dates that reflect their coverage on the plan.
A deduction does not show as the coverage that it should be Make sure your deduction Transaction Type is checked as "IsHealthcare" in Admin Tools > System > Transaction Type. For more information, see Admin Tools: Transaction Type - Deductions
A deduction shows as coverage that it should not be
  • Make sure your deduction Transaction Type is NOT checked as "IsHealthcare" in Admin Tools > System> Transaction Type. For more information see, Admin Tools: Transaction Type - Deductions.

  • Declinations should be recorded as $0.00 contributions.

 

 

2D

Issue How to Correct
2D shows for incorrect months
  • Update the Coverage dates property in the ACA Companion application's Employee plan details tab. 2D will show for the months prior to the effective insurance date.

  • The system will take the earliest date in the reporting year. To change this date: 

    • Check the employee log.

    • Update the Coverage dates property in the ACA Companion application's Employee plan details tab.

    • Change the date to have the 2D stop populating earlier.

 

 

Codes 2E-2I

Issue How to Correct
Incorrect safe harbor code is displayed Alter the Indicate Certifications of Eligibility property of the Companion application's ACA Employer tab.
Line 16 is blank

Blanks are valid based on the Line 14 value.

See Part II - Line 14 above for more information on correcting this code. 

Complete a Line 16 override if needed.

 


Part II Overrides

Employee overrides are used to manually manipulate Part II data for an individual employee. For more information on how to complete an override, see 1095-C Part II Overrides.

 

 


Part III

Part III will populate if the supplier property IsFEINSelfInsured is set to True and the transaction type of healthcare deduction(s) are checked as "IsHealthcare." 

Information for an employee's dependents pulls from Employee > Payroll > Deduction. See Employee Payroll - Deduction for more information.

Part III Data Corresponding data in Avionté.
Coverage Dates Deduction start and end dates managed in the ACA Companion application's Employee plan details tab.
Dependent data

ACA Companion application's Employee plan details tab. 

CoveredIndividual.png

 

 

 


Updating your Reports

The Greenshades Feed and XML must be re-run in order to update reports with data changes. For more information, see Generate Greenshades Feed and XML.

To see the changes reflected in the report, go to Report > Reports and run the Avionte_1095C. 

 

 

 

Next Steps After Correcting Errors

  1. Resend the corrected forms to employees. Forms are due to employees by January 31st.

    Item to Print How to Print
    Corrected form(s) Printed from the core application in Reports > 1095 C Report.
    Mailing Address Labels Printed from the Avionte_1095 Label report. Use 5160 label paper.


  2. File with the IRS

    Number of 1095-C Forms Actions
    Under 250 forms

    Due by February 28th.

    Note: For the 2016 reporting year, they are due by May 31st. 

    Run the 1094 C Report and 1095 C Report to print and mail. 

    May use the IRS 1094-C pdf if desired.
    250 forms and above

    Due by March 31st (e-filing).

    Note: For the 2016 reporting year, they are due by June 30th.

    Preview 1094-C in Avionté in Reports > 1094 C Report.

    Upload XML to Greenshades.


  3. Save the 2016 reports (as a PDF and/or printed copies).

 

Corrected forms will be created if:

  • Data has been Finalized in the Report Preparation tab of the Companion Application
  • AND changes have been made to 2016 data that would result in form changes
  • AND the user clicks Process Corrections in the Companion Application > Report Preparation tab
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