How the ACA Eligibility Process Handles Ongoing Employees

Once an employee is in Ongoing status, their Affordable Care Act (ACA) processing primarily consists of checking and maintaining their eligibility

The ACA Eligibility Process considers a person in Ongoing status if their measurement period's end date:

  1. Is within the process's date range

  2. Is 1 day before the ongoing measurement period start date

The process makes these changes to the assignments belonging to employees who have Ongoing status.

Employees with this ACA eligibility

Migrating to this eligibility

When this date is within the process range

Process makes these changes

Any

Always

Measurement period end date

Assignment update Effective Date: 1 day after the measurement period end date.

ACA Eligibility: Sets this to Always.

ACA Full Time:

  • If this field is Yes, no change.
  • If this field is No, no change.

  • If this field is null, sets it to No.

Measurement Period Start Date: Sets this to the ongoing date, as defined in the ACA Eligibility Attributes table, and the appropriate year.

Measurement Period End Date: Sets this to the measurement period's start date plus its duration.

Administrative Period Start Date:

  • Sets this to the ongoing date, as defined in the ACA Eligibility Attributes table, and the appropriate year.

  • If these values are null in the ACA Eligibility Attributes table, then set it to null.

Administrative Period End Date:

  • Sets this to the administrative period's start date plus its duration.

  • If there's no administrative period start date in the ACA Eligibility Attributes table, then sets it to null.

Stability Period Start Date: No change.

Stability Period End Date: No change.

Administrative period end date

Assignment update Effective Date: 1 day after the administrative period end date.

Stability Period Start Date: Sets this to 1 day after the administrative period's end date.

Note: If this isn't the ongoing stability start date, check your settings in the ACA Eligibility Attributes table.

Stability Period End Date: Sets this to the stability period's start date plus its duration.

ACA Full Time: Sets this to Yes.

Any

Yes-weekly

Yes-monthly

Measurement period end date

Assignment update Effective Date: 1 day after the measurement period end date.

ACA Eligibility: Sets this to Yes-weekly or Yes-monthly, as appropriate.

ACA Full Time:

  • If this field is Yes, no change.

  • If this field is No, no change.

  • If this field is null, sets it to No.

Measurement Period Start Date: Sets this to the ongoing measurement period start date, as defined in the ACA Eligibility Attributes table, and the appropriate year.

Measurement Period End Date: Sets this to the measurement period's start date plus its duration.

Administrative Period Start Date:

  • Uses the ongoing administrative period start date, as defined in the ACA Eligibility Attributes table, and the appropriate year.

  • If these values are null in the ACA Eligibility Attributes table, then sets it to null.

Administrative Period End Date:

  • If the start date is null, sets the end date to null.

  • Otherwise sets this to the administrative period's start date plus its duration.

Stability Period Start Date: No change.

Stability Period End Date: No change.

Administrative period end date

Assignment update Effective Date: 1 day after the administrative period end date.

Stability Period Start Date: Sets this to 1 day after the current administrative period's end date.

Note: If this isn't the ongoing stability start date, check your settings in the ACA Eligibility Attributes table.

Stability Period End Date: Sets this to the stability period's start date plus its duration.

ACA Full Time: Sets this to Yes.

Any

No-weekly

No-monthly

Measurement period end date

Assignment update Effective Date: 1 day after the measurement period end date.

ACA Eligibility: Sets this to No-weekly or No-monthly, as appropriate.

ACA Full Time:

  • If this field is Yes, no change.

  • If this field is No, no change.

  • If this field is null, sets it to No.

Measurement Period Start Date: Uses the ongoing measurement period start date, as defined in the ACA Eligibility Attributes table, and the appropriate year.

Measurement Period End Date: Sets this to the measurement period start date plus its duration.

Administrative Period Start Date: Sets this to null.

Administrative Period End Date: Sets this to null.

Stability Period Start Date: No change.

Stability Period End Date: No change.

Stability period end date

Assignment update Effective Date: 1 day after the stability period end date.

ACA Full Time:

  • If this is Yes, sets it to No.

  • If this is No, no change.

  • If this is null, sets it to No.

Stability Period Start Date: Sets this to null.

Stability Period End Date: Sets this to null.

Any

Never

Measurement period end date

Assignment update Effective Date: 1 day after the measurement period end date.

ACA Eligibility: Sets this to Never.

ACA Full Time:

  • If this is Yes, no change.

  • If this is No, no change.

  • If this is null, sets it to No.

Measurement Period Start Date: Sets this to null.

Measurement Period End Date: Sets this to null.

Administrative Period Start Date: Sets this to null.

Administrative Period End Date: Sets this to null.

Stability Period Start Date: No change.

Stability Period End Date: No change.

Stability period end date

Assignment update Effective Date: 1 day after the stability period end date.

ACA Full Time:

  • If this is Yes, sets it to No.

  • If this is No, no change.

  • If this is null, sets it to No.

Stability Period Start Date: Sets this to null.

Stability Period End Date: Sets this to null.

Any

Exclude

Measurement period end date

Assignment update Effective Date: 1 day after the measurement period end date.

ACA Eligibility: Sets this to Exclude.

Note: This status indicates you're maintaining this employee's eligibility manually or through a third-party application.

ACA Full Time: Sets this to null.

Measurement Period Start Date: Sets this to null.

Measurement Period End Date: Sets this to null.

Administrative Period Start Date: Sets this to null.

Administrative Period End Date: Sets this to null.

Stability Period Start Date: Sets this to null.

Stability Period End Date: Sets this to null.