1095-C Code Population Guide

Updated on December 21, 2018 13:37

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Line	Code	Logic
14	1A-1F	Employee is ACA Full Time, either set to Yes by a user, or measured as full time employee based on the ACA hours paid. An offer of coverage touches the employee's record for the full calendar month (in the ACA Companion > Employee Plan Details) These codes are selected in Insurance Plan Setup tab of the ACA Companion Application For codes 1A and 1F, Line 15 will be blank
14	1G	Employee offered/accepted self-insured plan in ACA Companion App Employee measured throughout year and did not have enough ACA hours to be ACA Full Time. Code 1G applies for the entire year, or not at all, will show in All 12 Months column Line 15 will be blank
14	1H	Employee has no offers of coverage this month, or offer does not cover the full month Reviewing Coverage Dates in Offers tab on Employee record in ACA Companion Application
15	$	Monetary value of the employee share of monthly cost of coverage offered This number or percentage is entered in Insurance Plan Setup tab in ACA Companion Application Line 15 will be blank if the Line 14 code is 1A, 1F or 1G.
16	2A	Employee not employed during the month Dates of Assignment on Employee record in Avionte core application do not touch this month
16	2B	Full-time employee terminated in the given month Coverage dates in Offers tab on Employee record in ACA Companion App end in the given month
16	2C	Full-time employee accepted an insurance plan offered and has an enrollment in the ACA Companion > Employee Plan Details tab Coverage Dates in Offers tab on Employee record in ACA Companion Application cover the full month
16	2D	Employee measured (Undetermined or No in Employee > Payroll > ACA Eligibility), and found to be full-time 2D will populate when employee is in their initial measurement or admin period
16	2F, 2G, 2H, Blank	Employee deemed full-time (set or measured), received an offer for the full month, but did not accept Given code (or nothing) entered in "Safe harbour code" drop-down menu in Insurance Plan Setup tab in ACA Companion App

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