Answer Bank Tag: 1095-C effect of midyear change to self-insured?

Question:

If an organization that is an Applicable Large Employer (ALE) was fully insured for the first few months of Tax Year 2016, and then becomes self-funded in July, how should they approach their 1095 obligations?

Question:

What does ESRP stand for? Our HR director is showing me one thing; our CFO is showing me another.

Question:

What happens when an employee fails to make their contribution for coverage?

Question:

We have a full-time employee who will be going part-time. Can we discontinue coverage immediately when they go part-time?

Question:

How long do waivers last?

Question:

Coming at this cold; not sure what to make of all the ACA information I’m finding.

Our insurance company talks about “shared responsibility provisions.” Our ERISA lawyer talks about “4980H rules.” Vendors talk about “play or pay.” My predecessor’s hand-off notes talk about “the employer mandate.”

I know this is a big law. What am I missing?

Question:

How does COBRA work when someone loses their eligibility for coverage?

Question:

What notification do we have to give an employee who is losing their eligibility for coverage?

Question:

Why is reporting on self-insured health plans so complicated?

Question:

Why is there so much confusion over coverage for spouses?