Certain pieces of information are needed to produce 1095-Cs in Avionté.
Per the IRS Instructions, a 1095-C is required for any employee who was ACA full-time at any point throughout the reporting year. So, any employee who hit an average of 30 hours per week across a measurement period would receive a 1095-C. A 1095-C is also required for any employee enrolled in a self-insured plan throughout the reporting year.
For more information see, IRS.gov - Instructions for Forms 1094-C and 1095-C.
Avionté will produce a 1095-C for any employee who falls under the below criteria per the data in the Avionté system:
- An employee that reaches ACA full-time status is indicated by their ACA Eligibility being set to "Yes" throughout the reporting year. Because an employee might go from a "Yes" to "Undetermined" within the same year, the system looks at the audit of the employee's ACA Eligibility to determine if they were ever set to "Yes" within the reporting year. If this is the case, a 1095-C will be produced for the employee.
- An employee that has a healthcare offer of coverage from the ACA Companion application during the reporting year AND the property "GSACA_FEINisSelfInsured" set to "True" (the employee is enrolled in self-insured coverage).
1095-C Part I
Part I of the 1095-C displays basic Employee and Employer information. The Employee and Employer information for this section pulls from the details in the core application.
|Field||Information Sources From|
|Name||Employee > Detail|
|Social Security Number|
|Address||Primary address on record.|
|Field||Information Sources From|
|Name||Companion application > Employer details tab
|Contact phone number|
1095-C Part II
Part II of the 1095-C displays information about the employee's employment, healthcare offerings, and insurance enrollment throughout the reporting year.
Line 14 Logic
Displays the full months that an offer of coverage was made.
Line 15 Logic
Displays the lowest cost monthly premium offered to the employee in months that an offer was made.
|Blank||This will be blank if Line 14 shows 1A, 1F, 1G or 1H. Line 15 is not required in combination with these codes.|
Line 16 Logic
Displays the information about months of employment, months enrolled in coverage, and if an affordability safe harbor was used when an offer of coverage was made.
|2E - 2I||
1095-C Part III
Part III will only be completed if the employee was enrolled in self-insured coverage throughout the reporting year. Therefore, Part III will only populate data if the Supplier property "IsFEINSelfInsured" is set to "True" and the employee has a 2C for any month in Line 16.
The dependent information populated in Part III sources from the ACA Companion application on the Employee Plan Details tab.
The employee will be listed in Part III as a covered individual in addition to any dependents on their plan. The dates of coverage for the employee and their dependents pulls from the start and end dates of the healthcare offer of coverage from the ACA Companion application.
If the coverage dates for the dependents are different from the employee's coverage dates, you may add an additional $0.00 healthcare deduction to the employee's file with the start and end dates that the dependent was covered. Then, enter the appropriate dependent information into the Notes field of this new deduction.