ACA Complexities Simplified · Consider the Following in Order to OutThink Risk • Select and...

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© 2017 Copyright OutThink Risk sm ACA Complexities Simplified FirstCapitolConsulting.com First Capitol Consulting, Inc.

Transcript of ACA Complexities Simplified · Consider the Following in Order to OutThink Risk • Select and...

Page 1: ACA Complexities Simplified · Consider the Following in Order to OutThink Risk • Select and implement optimal healthcare coverage plans in compliance with the ACA Understand the

© 2017 Copyright

OutThink Risksm

ACA Complexities Simplified

FirstCapitolConsulting.comFirst Capitol Consulting, Inc.

Page 2: ACA Complexities Simplified · Consider the Following in Order to OutThink Risk • Select and implement optimal healthcare coverage plans in compliance with the ACA Understand the

ACA is Complex

FirstCapitolConsulting.comFirst Capitol Consulting, Inc.

What is at Stake?Like many other governmental regulations, one small misstep implementing ACA compliance and reporting can put your company at risk of thousands to millions of dollars – not just in non-tax deductible penalties – but also from losses in operational resources and time.

Compliance Requires a Complex and Holistic SolutionIn-depth knowledge of ACA regulations, sound internal control procedures, and coordination among the company’s finance, tax, human resources, and payroll departments are essential to successfully navigate the complexities of ACA compliance and reporting.

Consider the Following in Order to OutThink Risk• Select and implement optimal healthcare coverage plans in compliance with the ACA

Understand the impact of these plans on your company’s ACA requirements for your employees

• Account for non-employee reporting needs such as retirees and those on COBRA

• Continuously stay abreast of the ever-changing landscape of the ACA regulatory framework

• Maintain records in conformity with IRC Sections 6055 and 6056

Reporting requires the migration of four autonomous data sources: Human Resources, Time and Attendance, Payroll, and Benefits

Data sources should be regularly monitored for clerical and system errors

Complete documentation must be prepared and maintained for all activities related to eligibility determination, offers of coverage, enrollment, declinations, etc.

• Critical for successful appeal of penalty notices from exchanges and handling of IRS audits

Implement a succession plan: turnover of person-in-charge of ACA compliance compels efficient and seamless transition of ACA, internal controls, and data source responsibilities

• Ensure prepared and effective representation in the event of an IRS audit

Are you ready to OutThink Risk?

Page 3: ACA Complexities Simplified · Consider the Following in Order to OutThink Risk • Select and implement optimal healthcare coverage plans in compliance with the ACA Understand the

The Complexities of the ACA Require Experts Combined with Intelligent Technology1. IRS Controlled Group and Common Ownership analysis.

2. Applicable Large Employer ("ALE") analysis.

3. Measurements/Stability Period analysis.

4. ACA compliance review of Waiting Period limitations and Minimum Value confirmation.

5. IRS 6055/6056 reporting compliance through tracking and administering payroll and benefits data for 1094 and 1095 annual filings and disclosures.

6. Monthly reporting identifying all employees to whom offers of health insurance coverage must be extended.

7. Call Center for employee education and enrollment assistance utilizing our proprietary software and methodology that optimizes and reduces healthcare costs for both employees and employers.

8. Section 4980H penalty exchange notice appeals processing.

9. Preparation, filing, and distribution of 1094 and 1095 series forms.

10. PCORI and Transitional Reinsurance Program fee calculations and preparation of Form 720.

11. ACA IRS audit representation.

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6055/6056 Reporting

Time &Attendance

Payroll

Benefits

HumanResources

IRS

Page 4: ACA Complexities Simplified · Consider the Following in Order to OutThink Risk • Select and implement optimal healthcare coverage plans in compliance with the ACA Understand the

© 2017 CopyrightFirstCapitolConsulting.comFirst Capitol Consulting, Inc.

First Capitol Consulting, Inc. (FCCI) combines legal and tax expertise gained from decades of experience working in national law firms and “Big 4” accounting firms with innovative science, data analytics, and intelligent technology to provide unparalleled regulatory compliance services, tax strategies and actionable intelligence to help companies make wise business decisions.

FCCI’s technology platform, Humanefits, powered by its new proprietary Workforce Intelligence Solutions Enginesm (WISE), is creating a revolution through synergies in data collection and reporting processes layered with E-sign technology.

Through its national regulatory compliance practice, FCCI is an industry leader in helping businesses successfully manage requirements of the Affordable Care Act (ACA). Among FCCI’s wide range of partners are 3 of the 10 top global accounting firms, and 15 leading health insurance brokers in the U.S.

FCCI also has helped thousands of local and national businesses generate tax savings through the Work Opportunity Tax Credit (WOTC) to facilitate the employment of disadvantaged workers within the federal poverty level, veterans, and the disabled.

Data and analytics is in our DnA, innovating Workforce Intelligence Solutions.

For more information please contact:

First Capitol Consulting, Inc.3530 Wilshire Blvd., Suite 1460Los Angeles, California 90010

213.382.1115 [email protected]

First Capitol Consulting, Inc.