How to Configure Your Benefits Plans and Programs for ACA Reporting

You can define benefit plans specific to the Affordable Care Act (ACA) or use qualifying existing plans.

Set the following for each plan.

What you need to do	How you do it
Define the minimum essential coverage and minimum value	For each plan or program: Determine if the plan meets minimum essential coverage and minimum value requirements according to the ACA. For further info, see your benefits supplier documentation. If so, start the Benefit Plan Details task and click Plan. Search for and select the plan. Navigate to Additional Configuration. Select Yes for the following. Minimum Essential Coverage Minimum Essential Coverage
Set the primary funding method	To self-fund your benefits: Start the Benefit Plan Details task, and click Plan. Search for and select your plan. Navigate to Additional Configuration. Select the Self-insured primary funding method. Set this value at the program or plan level, depending on your program configuration.
Set the lowest cost option	When adding an option to a plan, to designate it as the lowest cost option: Start the Benefit Plan Details task, and click Plan. Search for and select your plan. In the Option region of Basic Details, edit an existing option or create one. In Select and Add, select Yes for Minimum Value. Ensure that you designate only one option as the lowest cost option.

What you need to do

How you do it

Define the minimum essential coverage and minimum value

For each plan or program:

Determine if the plan meets minimum essential coverage and minimum value requirements according to the ACA.

For further info, see your benefits supplier documentation.
If so, start the Benefit Plan Details task and click Plan.
Search for and select the plan.
Navigate to Additional Configuration.
Select Yes for the following.
- Minimum Essential Coverage
- Minimum Essential Coverage

Set the primary funding method

To self-fund your benefits:

Start the Benefit Plan Details task, and click Plan.
Search for and select your plan.
Navigate to Additional Configuration.
Select the Self-insured primary funding method.

Set this value at the program or plan level, depending on your program configuration.

Set the lowest cost option

When adding an option to a plan, to designate it as the lowest cost option:

Start the Benefit Plan Details task, and click Plan.
Search for and select your plan.
In the Option region of Basic Details, edit an existing option or create one.
In Select and Add, select Yes for Minimum Value.

Ensure that you designate only one option as the lowest cost option.

Note:

These are the minimum instructions for configuring benefits for ACA compliance. For further info, see the Oracle Global Human Resources Cloud Implementing Benefits guide on the Help Center.