Part III - ALE Member Information Monthly

ALE Member Monthly Information is only required on the Authoritative Transmittal Form 1094-C.

(a) Minimum Essential Coverage Offer Indicator

Enter X in the All 12 Months corresponding Yes box if you offered minimum essential coverage to at least 95% of your full-time employees and their dependents for the entire calendar year.

If you offered minimum essential coverage to at least 95% of you full-time employees and their dependents only for certain months of the calendar year, enter X in the Yes column's boxes corresponding to those months. For the remaining months that you did not offer coverage, enter X in the No column's boxes corresponding to those months.

Note: An employee in a Limited Non-Assessment Period is not considered when determining the percentage of employees to whom minimum essential coverage was offered.
(b) Full-Time Employee Count for ALE Member

Displays the number of full-time employees for each month excluding employees in a Limited Non-Assessment Period. This value is populated automatically from the Build 1094-C Workfile (R08121A) process.

(c) Total Employee Count for ALE Member

For each month, displays the total number of employees including your full-time employees, non full-time employees, and employees in a Limited Non-Assessment Period. This value is populated automatically from the Build 1094-C Workfile (R08121A) process.

(d) Aggregated Group Indicator

If the ALE member was a member of an Aggregated ALE Group for all or any month of the reporting calendar year, enter X in the All 12 Months box or the corresponding month's box as appropriate.

This field is enabled only if you have selected the Aggregated ALE Group field in Part II of the 1094-C form.

(e) Section 4980H Transition Relief Indicator

If you have selected Section 4980H Transition Relief flag (Part II) indicating that you are eligible for the transition relief, enter:

  • A to specify that you are eligible for the 50 to 99 Relief.

  • B to specify that you are eligible for the 100 or More Relief.