Offer and Coverage

Human Resources > Workforce Administration > Search > Employee > Employer Reporting

The Offer and Coverage section on the Employer Reporting tab tracks employee information to be reported in Part II of the 1095-C form required under the Affordable Care Act (ACA).

Note: For the Employer Reporting tab to be visible, a user needs a minimum of View/Use permission to the following two security components on the Permissions page in Security Maintenance: Workforce Administration Employer Reporting-Covered Individuals and Workforce Administration Employer Reporting-Offer and Coverage. ClosedSteps.

  1. Navigate to Maintenance > new world ERP Suite > Security > Users.
  2. Select a user.
  3. Click Permissions.
  4. Click the Show Search link.
  5. In the Component Name field, type Employer Reporting.
  6. Click Search.

  7. The grid refreshes to show the two ClosedEmployer Reporting components only.

  8. Select the appropriate permissions. View/Use is required.
  9. Click Save.
  10. For the permissions to take effect, the user must log off and log back on.

Existing Offer and Coverage records are listed in a grid by effective date in descending order. Effective date ranges may contain gaps.

To create a new Offer and Coverage record, click New; to edit an existing record, click the Edit icon. In either instance, the ClosedOffer and Coverage Detail section opens.

Field Description
Effective Date Required. There can be gaps in effective dates.
End Date  
Full-Time Employee Affordable Care Act full-time status. Used on the 1094-C employer summary form to report number of full-time employees per month.
Offer of Coverage

Used on the 1095-C to report number of Offer of Coverage. Select the appropriate code from the drop-down. Valid codes come from validation set 548 (see below).
Safe Harbor Used on the 1095-C to report Applicable Section 4980H Safe Harbor. Select the appropriate code from the drop-down. Valid codes come from validation set 549 (see below).
Lowest Cost Monthly Premium

Used on the 1095-C to report the employee share of the Lowest Cost Monthly Premium, for self-only minimum value coverage. Select the appropriate code from the drop-down. Valid codes are defined on the Lowest Cost Premium page in Maintenance. The selection of this code drives the cost. To update the cost, use the Create Event function. Excluding comments, data is copied forward from the prior event, and the prior record ends.
Comments Free-form text.

For customers who do not use New World ERP's Benefits Administration product, a Covered Individuals section is available here, also, to track individuals to be reported in Part III of the 1095-C form.

Reportable plans should have the 6055 Reporting check box selected on the Benefits Administration Plan Entry page.

More on 6055 reporting: Closed The Affordable Care Act added section 6055 to the Internal Revenue Code, which provides that every provider of minimum essential coverage (MEC) reports coverage information by filing an information return with the IRS and furnishing a statement to individuals. The information is used by the IRS to administer and individuals to show compliance with the individual shared responsibility provision in section 5000A.

Note: The Dependents section in Benefit Plan Detail is not locked down after the last used date.

To set up this validation set, navigate to Maintenance > new world ERP Suite > System > Validation Sets.

Code Description
1A Qualifying Offer
1B Minimum essential coverage providing minimum value offered to employee only
1C Minimum essential coverage providing minimum value offered to employee and at least minimum essential coverage offered to dependent(s) (not spouse)
1D Minimum essential coverage providing minimum value offered to employee and at least minimum essential coverage offered to spouse (not dependent(s))
1E Minimum essential coverage providing minimum value offered to employee and at least minimum essential coverage offered to dependent(s) and spouse
1F Minimum essential coverage NOT providing minimum value offered to employee, or employee and spouse or dependent(s), or employee, spouse and dependents
1G Offer of coverage to employee who was not a full-time employee for any month of the calendar year and who enrolled in self-insured coverage for one or more months of the calendar year
1H No offer of coverage (employee not offered any health coverage or employee offered coverage that is not minimum essential coverage)
1I Qualified Offer Transition Relief 2015: Employee (and spouse or dependents) received no offer of coverage, received an offer that is not a qualified offer, or received a qualified offer for less than 12 months

To set up this validation set, navigate to Maintenance > new world ERP Suite > System > Validation Sets.

Code Description
2A Employee not employed during the month
2B Employee not a full-time employee
2C Employee enrolled in coverage offered
2D Employee in a section 4980H(b) Limited
2E Multiemployer interim rule relief
2F Section 4980H affordability Form W-2 safe harbor
2G Section 4980H affordability federal poverty line safe harbor
2H Section 4980H affordability rate of pay safe harbor
2I Non-calendar year transition relief applies to this employee