What is Affordable Care Act reporting?

Affordable Care Act (ACA) reporting involves generating these forms.

• 1094-C (Electronic Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns)

  This file can include info specific to filing returns for employees with a resident tax address during the year in:

  • New Jersey

  • Rhode Island

  • Washington DC

  For further info, see How to Generate the Form 1094-C Electronic Data File.

• 1095-C (Employer-Provided Health Insurance Offer and Coverage)

ACA reporting isn't supported for retirees or employees enrolled in Consolidated Omnibus Budget Reconciliation Act (COBRA).

Note:

The IRS provides comprehensive instructions on how to comply with and report your ACA enrollments, including definitions of key terminology. For further info, see Affordable Care Act (ACA) Tax Provisions on the IRS website.

Before you can perform any Affordable Care Act (ACA) reporting, there's some configuration you must do.

What you need to do	How you do it	For more info, check here in the Help Center
Fulfill the prerequisites	You must have completed the following as of January 1 of the reporting year. Implemented Oracle Fusion Human Resources. Or if having implemented during the year, have loaded the date-effective HR info from January 1 to the go-live date. Configured all benefit eligibility and enrollment. Or if having implemented during the year, have loaded the date-effective benefit eligibility or enrollment changes from January 1 to the go-live date. You must opt-in to receive the annual December and January Statutory Maintenance packs if you're using one of these extensions. Human Resources or None Payroll Interface
Configure your legal employers	Use the Legal Entity HCM Information task from your implementation project.	How to Define Legal Employer Info for ACA Reporting
Define the ACA Eligibility Attributes table	Use the Legal Entity HCM Information task from your implementation project.	How to Define the ACA Eligibility Attributes Table
Configure your legal reporting units	Use the Legal Reporting Unit HCM Information task from your implementation project.	How to Configure Legal Reporting Units for Affordable Care Act Reporting
Configure your tax reporting units	Use the Legal Reporting Unit HCM Information task from your implementation project.	How to Configure Tax Reporting Units for ACA Reporting
Configure your benefits plan	Use the Benefit Plan Details task.	How to Configure Your Benefits Plans and Programs for ACA Reporting
Configure ACA eligibility profiles	Use the Eligibility Profiles task.	How to Configure ACA Eligibility Profiles
Define your organization's break-in-service rules	Use the Legal Entity HCM Information task from your implementation project.	Define Your Affordable Care Act Break-in-Service Rules
Define balance feeds for eligible hours	Use the Balance Definitions task.	How to Define Balance Feeds for Affordable Care Act Employee Eligible Hours
Add your employees' dependents	From My Client Groups, click Person Management. Search for the person. In the search results, click Personal and Employment and then Person.	Add Employee Dependents for Affordable Care Act Reporting
Configure your employee assignments	From My Client Groups, click Person Management. Search for the person. In the search results, click Personal and Employment and then Employment.	How to Configure Individual Employee Assignments for ACA Reporting
Prepare for state-specific reporting	Some states require special reporting configuration.	State-Specific Configuration for Affordable Care Act Reporting
Register with the ACA Information Returns (AIR) system	Required if this is the first time you're filing with them.	Affordable Care Act Information Returns System
Order paper stock with preprinted instructions	For distributing Form 1095c, you can use ComplyRight paper stock with preprinted instructions. To order this stock, email ComplyRight at [e-mail] and reference SKU L1095CBLK500. You can use standard business #10-C envelopes.
Configure your 1094-C transmission manifest	Update your Form 1094-C transmission manifest. Use a standard text editor to set these values. Unique transmission ID Checksum number Attachment byte size	Configure the 1094-C Transmission Manifest
Configure the Form 1095-C template	There are two areas that may require configuration, depending on your organization requirements. If you're using ComplyRight paper stock with preprinted instructions If you need to mask Social Security Numbers (SSNs) appearing on the report	Configure the Form 1095-C Template

Note:

This isn't a comprehensive list of possible configurations.