How To: Review ACA Compliance Alerts
ACA Compliance Alerts indicate when an employee is out of compliance with ACA rules based on the data in the system. In some cases, the employee record just needs to be updated to accurately reflect their ACA status or offer of coverage. In other cases, a compliance alert could mean that the employee is or has become eligible but has not been offered coverage under an affordable plan.
ACA Compliance Alerts appear on the ACA Data Summary report. Click on the number of Compliance Alerts for each month to see the list of employees who may be out of compliance.
ACA Profile
An employee who is assigned the wrong ACA profile may appear as a compliance alert. In this example, there is a Full Time Employee with a Part Time (Variable Hour) ACA profile.
To correct the ACA Profile, click on the pencil icon to edit the employee's ACA data.
If the ACA profile is incorrect for the employee's full employment history, the existing profile can be changed. If the employee's status was changed during their employment, click +Add to add an additional line and enter the correct ACA Profile along with the Effective Date.
Waiver of Medical Coverage
Employees who are eligible for benefits, but have opted not to enroll, must have a "Waived" medical coverage option added to their profile. This tells the system that they were offered benefits but chose to waive them.
If the system does not see an offer of coverage, the Minimum Value Plan Offered field will be null.
If the employee was over covered and declined, you can resolve the compliance alert by adding Waived coverage to the employee's Benefit Plans.
Base Compensation
The ACA affordability calculation uses the employee’s Base Compensation to determine whether the offered health plan meets the IRS affordability criteria. If the plan is not considered affordable based on this calculation, a compliance alert will be triggered.
ACA Status Change
If a part-time employee averages enough hours during the standard measurement period, their ACA status will change to full-time. This means they must be offered health coverage in accordance with ACA rules. In the system, their ACA status will be updated to reflect full-time eligibility.
If you view the employee's ACA timeline, you can see the point at which their ACA Status changed.
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