ACA Employer Maintenance

ACA Employer Maintenance - Fields

Year

Enter the applicable calendar year.

Name

This field displays the company name entered in Company Maintenance and can only be viewed.

Address

This field displays the company address entered in Company Maintenance and can only be viewed.

EIN

This field displays the company's federal employer identification number (EIN) entered in Company Maintenance and can only be viewed.



Contact Name

Enter a contact name for your company.

Contact Phone

Enter a contact phone number for your company.

ACA Forms to Use

Select the forms to use in Federal eFiling and Reporting.

Note If you select 1094-B/1095-B Forms, the company name and address in Company Maintenance will print on Form 1095-B in the Part III Issuer or Other Coverage Provider field.

Policy Origin Code

Enter a code to print on Form 1095-B in Part I, field 8 when using Federal eFiling and Reporting.

ALE Member Part of Aggregated Group

Select this check box if your company was a member of an Aggregated ALE Group during any month of the calendar year. When this check box is selected, the Other Members button is available. For more information, see Other ALE Members of Aggregated ALE Group.

Clear this check box if your company was not a member of an Aggregated ALE Group during any month of the calendar year.

(Designated Government Entity) Name

If your company has a designated government entity (DGE), enter the name of the DGE.



(Designated Government Entity) Address

Enter the address for your designated government entity.

(Designated Government Entity) ZIP Code

Enter the ZIP Code for your designated government entity.

(Designated Government Entity) City

Enter the city for your designated government entity. If a ZIP Code is entered, the city automatically appears.



(Designated Government Entity) State

Enter the state for your designated government entity. If a ZIP Code is entered, the state automatically appears.

(Designated Government Entity) Country

Enter the country code for your designated government entity, or click the Lookup button to view a list of all country codes. If a ZIP Code is entered, the state automatically appears.

(Designated Government Entity) EIN

Enter the federal employer identification number (EIN) for your designated government entity.



(Designated Government Entity) Contact Name

Enter the contact name for your designated government entity.

(Designated Government Entity) Contact Phone No.

Enter the contact phone number for your designated government entity.

Qualifying Offer Method

Select this check box to select the Qualifying Offer Method check box in Form 1094-C Part II, section 22 when preparing the forms through Federal eFiling and Reporting.

Qualifying Offer Method Transition Relief

Select this check box to select the Qualifying Offer Method Transition Relief check box in Form 1094-C Part II, section 22 when preparing the forms through Federal eFiling and Reporting.

Section 4980H Transition Relief

Select this check box to select the 4980H Transition Relief check box in Form 1094-C Part II, section 22 when preparing the forms through Federal eFiling and Reporting.

98% Offer Method

Select this check box to select the 98% Offer Method check box in Form 1094-C Part II, section 22 when preparing the forms through Federal eFiling and Reporting.