Auto-population and Form 1095-C
Auto-population and Form 1095-C Employer-Provided Health Insurance Offer and Coverage Data
The auto-population method uses data that you maintain in the UKG Pro solution and built-in logic to determine codes and amounts to generate Form 1095-C data for reporting.
To auto-populate Form 1095-C, Parts I-II-III, system administrators must enable system settings, configure business rules, and business processes. You must maintain and store Human Resources, Benefits, and Payroll information in the solution.
Refer to the ACA Process and Tasks Guide for step-by-step instructions to complete the Initial Setup Phase tasks for auto-population in the UKG Pro solution.
Auto-population of Form 1095-C, Part I, the ALE member reports the employee’s name, address, and Social Security Number (SSN) along with the ALE member’s name, address, phone number and EIN.
| Part I | Auto-populate Lines 1-13 |
|---|---|
| Part I - Employee (Lines 1 - 6) |
Based on information in the employee record (Myself > Personal > Employee
Summary) Note: If employee information is managed outside of the UKG Pro solution, use the Non-Employee report template to import data. |
|
Part I - Applicable Large Employer (Lines 7 - 13) |
Based on ACA reporting settings and business rule:
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Auto-population of Form 1095-C, Part II, three key lines (14, 15, and 16) are used to identify whether the employee was offered coverage and information about the coverage offered; whether such coverage was made available to the employees’ spouse and/or dependents; the monthly cost of the employee of the lowest-cost self-only coverage offered; whether the employee enrolled in the coverage; months in which the employees was not employed or was not a full-time employee; and any applicable safe harbor codes or Other Relief for Employers.
| Part II - Employee Offer and Coverage | Auto-populate Lines 14, 15, and 16 |
|---|---|
| Part II - Offer of Coverage code (Line 14) | Benefits must be managed in the UKG Pro solution.
Auto-populate uses information from the deduction/benefit plan, benefit enrollment,
and employee record to determine answers to these questions: 1. Is the employee a full time employee? 2. Was the employee offered coverage in a given month? 3. If coverage was offered, what type of coverage was offered in that month? The results produce the offer of coverage codes. Data elements to determine full time status is based on:
Data elements for determining offer of coverage are based on plans within the employee Deduction/Benefit group. Configure plans using the Deduction/Benefit Plan business rule, as follows:
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| Part II – Employee Share of Lowest Cost Monthly Premium, for Self-Only Minimum Value Coverage (Line 15) | Determines the employee’s share of the lowest cost self-only premium in a given month:
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| Part II - Safe Harbor Codes (Line 16) | Benefits must be managed in the UKG Pro solution.
Auto-populate uses information from the deduction/benefit plan, benefit enrollment,
and employee record to determine answers to these questions: 1. Is the employee a full time employee? 2. Was the employee enrolled in a plan (non full-time)? 3. Was the employee terminated? 4. What was the employee's rate of pay? The results produce the Safe Harbor code values (related and not related to affordability) |
Auto-population of Form 1095-C, Part III, covered individuals under an employer-sponsored self-insured health plan are identified. This includes spouses and dependents along with the months of coverage.
| Part III - Covered Individuals | Auto-populate Line 17 |
|---|---|
| Part III - Covered Individuals (Line 17) | - For ALE members with a self-insured health plan - For employees and dependents enrolled in coverage
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The data maintained in the solution and the built-in logic are leveraged to auto-populate the information for Form 1095-C. It is important for employers to validate the data and ensure it is accurate prior to finalizing and generating forms for final reporting.
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