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Type:
Change Request
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Status: Closed
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Priority:
Medium
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Resolution: Done
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Affects Version/s: None
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Fix Version/s: None
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Component/s: ACA
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Labels:None
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Module:ACA
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Reported by:Harbinger
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Item State:Production Complete - Closed
In Prime company, we came across a scenario where employee was eligible to a plan but rates were not eligible. On enroll now screen,this plan is seen eligible with $0 cost for both Employee and Employer.1095C does not consider this plan and shows next plan eligible to this employee. Thus cost and plan design seen are different in enroll now and in 1095C file.
Different scenarios of rate eligibility:
1. Rate is eligible throughout the plan.
2. Rate is partially eligible in that year. i.e rate is eligible for few months of the year.
Please verify this enhancement
Ramya Tantry (Inactive)
added a comment - Sachin Hingole
Please verify this enhancement verified on LB, working fine.
Below scenarios are verified
1] Employee is eligible to plan and rate is available from JAN - OCT
2] Employee is eligible to plan and rate is available from June - NOV
3] Employee is eligible to plan and rate is available from SEP - DEC
Sachin Hingole (Inactive)
added a comment - verified on LB, working fine.
Below scenarios are verified
1] Employee is eligible to plan and rate is available from JAN - OCT
2] Employee is eligible to plan and rate is available from June - NOV
3] Employee is eligible to plan and rate is available from SEP - DEC verified on Stage, working fine.
Below scenarios are verified and codes and cost are correct on 1095C PDF.
1] Employee is eligible to plan and rate is available from JAN - OCT
2] Employee is eligible to plan and rate is available from June - NOV
3] Employee is eligible to plan and rate is available from SEP - DEC
Sachin Hingole (Inactive)
added a comment - verified on Stage, working fine.
Below scenarios are verified and codes and cost are correct on 1095C PDF.
1] Employee is eligible to plan and rate is available from JAN - OCT
2] Employee is eligible to plan and rate is available from June - NOV
3] Employee is eligible to plan and rate is available from SEP - DEC Verified on production, working fine.
Sachin Hingole (Inactive)
added a comment - Verified on production, working fine. 
Files Affected :
Database Objects/MasterCompanyDB/04_Stored Procedures/dbo.OES_SP_Get_ACAIRS1095CData.StoredProcedure.sql