Details

    • Type: Support Activity
    • Status: Closed
    • Priority: Medium
    • Resolution: Done
    • Affects Version/s: None
    • Fix Version/s: None
    • Component/s: ACA
    • Labels:
      None
    • Support Task Type:
      ACA IRS Report
    • Reported by:
      Support
    • Company:
      El Dorado
    • Module:
      ACA
    • Severity:
      Simple

      Description

      Good day, Dev-

      Amy Dillon retired 11/23 and her ACTIVE benefits went to 12/1/2016. She was then put into the retiree plan effective 12/1. This would be no gap in coverage; however, the 1095C is showing she wasn't offered or receiving benefits for December 2016. Please advise.

        Attachments

          Activity

          Raywill Raymond Williams (Inactive) created issue -
          rakeshr Rakesh Roy (Inactive) made changes -
          Field Original Value New Value
          Component/s ACA [ 10004 ]
          rakeshr Rakesh Roy (Inactive) made changes -
          Assignee Vijay Siddha [ vijays ] Smita Pawar [ smita.pawar ]
          rakeshr Rakesh Roy (Inactive) made changes -
          Module Parent values: BenAdmin(10100) Parent values: ACA(10104)
          ramya.tantry Ramya Tantry (Inactive) logged work - 28/Aug/17 08:51 AM
          • Time Spent:
            0.75h
             

            Discussion with Smita and Retiree coverage mail searching

          ramya.tantry Ramya Tantry (Inactive) made changes -
          Remaining Estimate 6h [ 21600 ]
          Original Estimate 6h [ 21600 ]
          ramya.tantry Ramya Tantry (Inactive) made changes -
          Remaining Estimate 6h [ 21600 ] 5.25h [ 18900 ]
          Time Spent 0.75h [ 2700 ]
          Worklog Id 74373 [ 74373 ]
          Hide
          smita.pawar Smita Pawar (Inactive) added a comment -

          Hi Raymond Williams,

          Employee was enrolled in Active Medical plan from Jan to Nov 2016. Hence employee is getting 1A & 2C code from Jan to Nov 2016.But on 11/24/2016, employee's status was changed to Terminated.
          As employee's status is changed to Terminated, Workterra system is giving 1H-2A code for the month of December.

          We had previously asked same question to ACA Auditors, According to them, 'If the plan is fully-insured, there is no Form 1095-C reporting requirement for years following year of retirement.'
          PFA mail communication for additional information. Let us know, if you need any additional information.

          Thanks

          Show
          smita.pawar Smita Pawar (Inactive) added a comment - Hi Raymond Williams , Employee was enrolled in Active Medical plan from Jan to Nov 2016. Hence employee is getting 1A & 2C code from Jan to Nov 2016.But on 11/24/2016, employee's status was changed to Terminated. As employee's status is changed to Terminated, Workterra system is giving 1H-2A code for the month of December. We had previously asked same question to ACA Auditors, According to them, 'If the plan is fully-insured, there is no Form 1095-C reporting requirement for years following year of retirement.' PFA mail communication for additional information. Let us know, if you need any additional information. Thanks
          smita.pawar Smita Pawar (Inactive) made changes -
          smita.pawar Smita Pawar (Inactive) made changes -
          Status Open [ 1 ] In Progress [ 3 ]
          smita.pawar Smita Pawar (Inactive) logged work - 28/Aug/17 12:56 PM
          • Time Spent:
            3.5h
             

            1.Analysis
            2.Internal discussion
            3.Draft
            4.Jira updates

          smita.pawar Smita Pawar (Inactive) made changes -
          Remaining Estimate 5.25h [ 18900 ] 1.75h [ 6300 ]
          Time Spent 0.75h [ 2700 ] 4.25h [ 15300 ]
          Worklog Id 74481 [ 74481 ]
          smita.pawar Smita Pawar (Inactive) made changes -
          Resolution Done [ 10000 ]
          Status In Progress [ 3 ] Resolved [ 5 ]
          smita.pawar Smita Pawar (Inactive) made changes -
          Assignee Smita Pawar [ smita.pawar ] Raymond Williams [ raywill ]
          Hide
          Traci.Simpson@ebsbenefits.com Traci Simpson (Inactive) added a comment -

          Hello,

          This information was provided by the AE:

          The 1095C is stating she didn't have coverage, which she did. In addition our Blue Shield plan is not fully insured. Also, other retirees in this plan received 1095cs.

          Can you please review this again?

          Show
          Traci.Simpson@ebsbenefits.com Traci Simpson (Inactive) added a comment - Hello, This information was provided by the AE: The 1095C is stating she didn't have coverage, which she did. In addition our Blue Shield plan is not fully insured. Also, other retirees in this plan received 1095cs. Can you please review this again?
          Traci.Simpson@ebsbenefits.com Traci Simpson (Inactive) made changes -
          Resolution Done [ 10000 ]
          Status Resolved [ 5 ] Reopened [ 4 ]
          Traci.Simpson@ebsbenefits.com Traci Simpson (Inactive) made changes -
          Assignee Raymond Williams [ raywill ] Smita Pawar [ smita.pawar ]
          smita.pawar Smita Pawar (Inactive) made changes -
          Attachment Cobra continuation.png [ 60570 ]
          smita.pawar Smita Pawar (Inactive) made changes -
          Attachment i109495c-2016.pdf [ 60571 ]
          Hide
          smita.pawar Smita Pawar (Inactive) added a comment - - edited

          Hi Traci Simpson,

          We have verified same at our end once again. We have verified same for other employees e.g Roger S Hardin and Dagmar k. Sampson who were enrolled in same plan i.e EARLY RETIREE BLUE SHIELD PPO 200 STANDARD-Retiree Medical-CSAC EIA Blue Shield in Nov & Dec 2016 .These employees also received 1H 2A codes for Nov- Dec 2016. Even though employees are enrolled in self insured plan, employee's status has been changed to Retired. Please refer attached screen shot 'Post-employment (non-COBRA) coverage.png' and page 11/19 of document 'i109495c-2016.pdf' i109495c-2016.pdf for information.

          Let us know, if you have any other sample employee so that we can provide more analysis

          Thanks

          Show
          smita.pawar Smita Pawar (Inactive) added a comment - - edited Hi Traci Simpson , We have verified same at our end once again. We have verified same for other employees e.g Roger S Hardin and Dagmar k. Sampson who were enrolled in same plan i.e EARLY RETIREE BLUE SHIELD PPO 200 STANDARD-Retiree Medical-CSAC EIA Blue Shield in Nov & Dec 2016 .These employees also received 1H 2A codes for Nov- Dec 2016. Even though employees are enrolled in self insured plan, employee's status has been changed to Retired. Please refer attached screen shot 'Post-employment (non-COBRA) coverage.png' and page 11/19 of document 'i109495c-2016.pdf' i109495c-2016.pdf for information. Let us know, if you have any other sample employee so that we can provide more analysis Thanks
          smita.pawar Smita Pawar (Inactive) logged work - 04/Sep/17 12:25 PM
          • Time Spent:
            3.5h
             

            Analysis
            Internal discussion
            Client reply
            Draft
            Jira updates

          smita.pawar Smita Pawar (Inactive) made changes -
          Assignee Smita Pawar [ smita.pawar ] Traci Simpson [ traci.simpson@ebsbenefits.com ]
          smita.pawar Smita Pawar (Inactive) made changes -
          Assignee Traci Simpson [ traci.simpson@ebsbenefits.com ] Smita Pawar [ smita.pawar ]
          Status Reopened [ 4 ] In Progress [ 3 ]
          smita.pawar Smita Pawar (Inactive) made changes -
          Remaining Estimate 1.75h [ 6300 ] 0h [ 0 ]
          Time Spent 4.25h [ 15300 ] 7.75h [ 27900 ]
          Worklog Id 76658 [ 76658 ]
          ramya.tantry Ramya Tantry (Inactive) logged work - 04/Sep/17 12:28 PM - edited
          • Time Spent:
            1h
             

            Discussion and analysis with Smita

          ramya.tantry Ramya Tantry (Inactive) made changes -
          Time Spent 7.75h [ 27900 ] 8.5h [ 30600 ]
          Worklog Id 76659 [ 76659 ]
          smita.pawar Smita Pawar (Inactive) made changes -
          Attachment Cobra continuation.png [ 60570 ]
          smita.pawar Smita Pawar (Inactive) made changes -
          ramya.tantry Ramya Tantry (Inactive) made changes -
          Time Spent 8.5h [ 30600 ] 8.75h [ 31500 ]
          Worklog Id 76659 [ 76659 ]
          smita.pawar Smita Pawar (Inactive) made changes -
          Assignee Smita Pawar [ smita.pawar ] Traci Simpson [ traci.simpson@ebsbenefits.com ]
          Hide
          Traci.Simpson@ebsbenefits.com Traci Simpson (Inactive) added a comment -

          Thank you for this information. I will forward it to the AE.

          Show
          Traci.Simpson@ebsbenefits.com Traci Simpson (Inactive) added a comment - Thank you for this information. I will forward it to the AE.
          Traci.Simpson@ebsbenefits.com Traci Simpson (Inactive) made changes -
          Resolution Done [ 10000 ]
          Status In Progress [ 3 ] Resolved [ 5 ]
          Traci.Simpson@ebsbenefits.com Traci Simpson (Inactive) made changes -
          Status Resolved [ 5 ] Closed [ 6 ]
          Transition Time In Source Status Execution Times
          Smita Pawar (Inactive) made transition -
          Open In Progress
          2d 21h 8m 1
          Traci Simpson (Inactive) made transition -
          Resolved Reopen
          4d 5h 6m 1
          Smita Pawar (Inactive) made transition -
          Reopen In Progress
          2d 18h 21m 1
          Traci Simpson (Inactive) made transition -
          In Progress Resolved
          3d 5h 14m 2
          Traci Simpson (Inactive) made transition -
          Resolved Closed
          3s 1

            People

            Assignee:
            Traci.Simpson@ebsbenefits.com Traci Simpson (Inactive)
            Reporter:
            Raywill Raymond Williams (Inactive)
            Votes:
            0 Vote for this issue
            Watchers:
            3 Start watching this issue

              Dates

              Created:
              Updated:
              Resolved:

                Time Tracking

                Estimated:
                Original Estimate - 6h Original Estimate - 6h
                6h
                Remaining:
                Remaining Estimate - 0h
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                Logged:
                Time Spent - 8.75h
                8.75h