Forms Used to Manage Form 1095-C Information

Form Name

Form ID

Navigation

Usage

Work with Form 1095-C Information

W08119A

On the ACA Information Returns Inquiries menu (G07BACAI), select Form 1095-C Information.

Select an AIR record.

Form 1095-C Part II and Part III

W08119D

On the Work with Form 1095-C Information form, click Add.

OR

Select an AIR ID and click Select.

Create a new Form 1095-C record, or update an existing Form 1095-C record.

Offer and Coverage Detail

W08119C

On the Work with Form 1095-C Information form, select an AIR record and then select Offer/Cov Detail from the Form menu.

OR

On the Form 1095-C Part II and Part III form, select Offer Cov. Detail from the Form menu.

Simultaneously edit and delete Part II data for multiple records from the F08119 table.

This form lists summary and detail records; only summary records can be edited.

Covered Individuals Detail

W08119E

On the Work with Form 1095-C Information form, select an AIR record and then select Covered Individuals from the Form menu.

OR

On Form 1095-C Part II and Part III select Covered Ind. from the Form menu.

Simultaneously edit and delete Part III data for multiple records from the F08120 table.

This form lists summary and detail records; only summary records can be edited.

Additional Information

W08119B

On the Form 1095-C Part II and Part III form, select Additional Info from the Form menu.

Review additional details about the record.

Import Offer and Coverage Summary Information

W08119C

On the Work with Form 1095-C Information form, select Import Offer/Cov. from the Form menu.

Import summary records for offer and coverage reporting.

Import Covered Individuals Summary Information

W08119E

On the Work with Form 1095-C Information form, select Import Covered Ind. from the Form menu.

Import summary records for covered individuals reporting.

Work With Enrollment With Eligibility

W08334A

On the Work with Form 1095-C Information form, select an AIR record in the detail area and then select Enrollment w. Elig. from the Form menu.

Enroll employees using eligibility.

See "Enrolling Employees Using Eligibility" in the JD Edwards EnterpriseOne Applications Benefits Implementation Guide.

Enrollment Overrides

W08330B

On the Work with Form 1095-C Information form, select an AIR record in the detail area and then select Enrollment Overrides from the Form menu.

Enroll employees using overrides.

See "Enrolling Employees Using Overrides" in the JD Edwards EnterpriseOne Applications Benefits Implementation Guide.