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Human Resources > Maintenance > ACA 1095 YTD Data > 1094-C
This page allows you to manually input and track Applicable Large Employers (ALE) member information data for Form 1094-C (Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns) reporting purposes. The Form 1094-C must be filed when an employer files one or more Forms 1095-C. For specific information about Form 1094-C, click here and refer to the Instructions for Form 1094-C.
The page consists of the following three tabs:
ALE Member Information
ALE Member Information - Monthly
Other ALE Members of Aggregated ALE Group
Click the ALE Member Information tab:
| Field | Description |
|---|---|
| Calendar Year | Populated with the current calendar year; however, you can enter a different year. The year must be greater than or equal to 2015. |
Click Retrieve to retrieve the employer's record.
| Total number of Forms 1095-C submitted with this transmittal | Type the total number of 1095-C forms to be submitted with the transmittal form. |
|---|---|
| Is this the authoritative transmittal for this ALE Member? | Select to designate the Form 1094-C transmittal as the authoritative transmittal that reports the employer's aggregate employer-level data. Note: Only one authoritative transmittal should be filed for each employer. |
Under ALE Member Information, select the applicable fields:
| Total number of Forms 1095-C filed by and/or on behalf of ALE Member | Type the employer's total number of filed Forms 1095-C. You can run verify the number of records by running the Reports > HR Reports > Payroll Information Reports > HRS6720 - ACA 1095 YTD Report. |
|---|---|
| Member of an Aggregated ALE Group | Select if the employer was a member of an Aggregated ALE Group during any month during the calendar year. |
Under Certifications of Eligibility, select all of the applicable codes:
A. Qualifying Offer Method
B. Qualifying Offer Method Transition Relief
Form revision per 2016 IRS guidelines, effective for the 2016 tax year: B. Reserved and disabled (default is N for the 2016 tax year)
C. Section 4980H Transition Relief
D. 98% Offer Method
Note: If C is selected, the Section 4980H Transition Relief Indicator column is enabled on the ALE Member Information - Monthly tab.
| Delete a row.
Click to delete a row. The row is shaded red to indicate that it will be deleted when the record is saved.
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