Coverage and Workforce Reporting

Originally effective January 1, 2014, employers with 50 or more full-time employees must submit reports to the IRS with extensive details about the employer’s health coverage and the employer’s workforce.  The IRS delayed this requirement by one year, and  the first reports likely will be due in January 2016 with data from the 2015 calendar year (regardless of the plan year).  Each employer must certify whether it offers "minimum essential coverage” to full-time employees (and their dependents) and, if so, include the following details about the coverage:

    • The length of any waiting period;
    • The months during the calendar year for which coverage under the plan was available;
    • The monthly premium for the lowest cost option in each of the enrollment categories under the plan;
    • The employer's share of the total allowed costs of benefits provided under the plan; and
    • The option for which the employer pays the largest portion of the cost of the plan and the portion of the cost paid by the employer in each of the enrollment categories under such option.

    In addition, whether or not an employer offers minimum essential coverage, it must report the following information about the employer and its workforce:

    • The name of the employer and the employer’s identification number;
    • The number of full-time employees for each month during the calendar year;
    • The name, address, and tax identification number of each full-time employee during the calendar year and the months (if any) during which such employee (and any dependents) were covered under any such health benefits plans; and
    • Such other information as the IRS may require.

    An employer must also provide a written statement to each full-time employee named in the return.

    Employers failing to file these returns are subject to penalties.

    American Fidelity Assurance Company does not provide tax or legal advice.


    Next Steps

    Sign up for Updates

    VIP Notification Service

    We provide a VIP Notification Service to keep you informed as new Health Care Reform rules are issued.
    Click here to sign up.

    You’re Not Alone

    We understand that these new requirements come at a time of strained budgets. 
    Learn how our services and products can help.

    Your Health Care Reform Guide

    Prefer a one-on-one appointment with American Fidelity?

    Just let us know!

    Quick Access

    • Your Account

      View your policies, download forms and check the status of your claims - all in one spot!

    • Claim & Flex Forms

      1Select the forms you need:

      Flex Benefits
      Accident Benefits
      Cancer Benefits
      Critical Illness
      Disability Benefits
      Hospital Indemnity
      Life Benefits
      Medical (GAP)
      HRA Benefits

      2Select your state & industry:

    • Check Claim Status
    • FAQs

      Please select a category or type your question in the box below.

      Keyword Search
      All FAQs