We will look into this tomorrow

We have verified same at our end.

Our observations are as follows

As employee is enrolled in “HRA Medical plan” effective from 02/29/2016 but in the month of January he was eligible for ACA plan Medical . EE cost for Medical plan is greater than 40% of ER cost hence 1E code is displayed.

Line 15 will show an amount only if code 1B, 1C, 1D, or 1E is entered on line 14.

From IRS Site: "Line 15. Complete line 15 only if code 1B, 1C, 1D, or 1E is entered on line 14 either in the “All 12 Months” box or in any of the monthly boxes."
Or Please refer 1095C PDF Instruction(Line 15 of page 2 of 1095C PDF of any employee).

Attaching screen shot of Rate matrix and PDF of concerned employee for additional information, Hence System is displaying 1E and 2H code with cost on Line 15.

Please Refer the Latest Run for downloading the report of concerned employee.

Request you to review same and let us know the feed back to close ticket

Additional questions / comments

I looked at my emails and I am not sure I sent this one in to you. Suburban and Broker pushed back on the two EEs Dev looked at on March 7th. You can scroll down this email and go to March 7th and you will see Dev’s response. Let us know if we need to set up something differently for Suburban.

I checked their settings in PROD and they are set to Rate of Pay. Per the last direction received on the 7th I updated the ACA Customization section and removed Is plan minimum value and EE lowest cost, but I am wondering if I need to set it back on to the below. Right now, the last 2 sections are blank in PROD.

Response from Client.

Adam –

I don’t feel that 1D for April through June is appropriate. 1D states that we do not offer coverage for dependents, which is not true.

I also don’t think that 1A for July through December is correct. We’re only to use the 1A code if we use the FPL to determine affordability, which we are not using. We use the rate of pay safe harbor. M3’s compliance attorney has stated that 1A should only be used if using the FPL to determine affordability. Also, the medical plan is not available to this employee at $0 cost. I have no idea where this information came from.

Cheng –

Same as above. The 1A code is only to be used when the FPL is used to determine affordability, which we are not.

Also, I noticed that when I re-ran suburban’s 1095C report and pulled the excel file there were 40 people that should a cost value but it was not the minimum value of $70.33, it was showing the smoker EE only rates, so I updated the settings to show a below and re-ran the report. I still saw the 40 people showing EE cost higher than the lowest EE cost on the plan. I included examples below. I need to release this to her by today, so any insight you can provide would be great.

Here are some examples:

First Name

Last Name

Minimum Employee Cost Offered

Plan Description

ZEB

BRYNER

156.3

Medical

FRANCISCO

CASTILLO

156.3

Medical

WILLIAM

CHRISTOPHERSON

156.3

Medical

KEVIN

COOK

156.3

Medical

JOHN

CUMMINGS

156.3

Medical

SKYLER

DUKES

156.3

Medical

Kari

Gehde

195.38

Medical

RENEE

GENKE

156.3

Medical

ROBERT

GENKE

156.3

Medical

JOHN

HAUBRICH

156.3

Medical

Joel

Vogels

226.63

Medical

MICHAEL

WENDT

156.3

Medical

Smita PawarSachin Hingole Please check and update.

Hi Jennifer Leugers

We have download the latest data sheet run date- 3/22/2016 8:48:47 AM and observed that EE cost is $70.33 in data sheet . PFA -screen shot "Suburban Electric - EE Cost.jpg" for more info.

Please let us know for any query.

Thanks,
Mahendra