State of Oklahoma Office of Management and Enterprise Services

1. State of Oklahoma Office of Management and Enterprise Services The Affordable Care Act Information Reporting Overview • Providersof Minimum Essential Coverage (MEC) must report and provide a copy of the IRS Form 1095-B to the responsible individual • Employers must report and provide a copy of the IRS Form 1095-C to employees about offers of health coverage and enrollment in health coverage

2. State of Oklahoma Office of Management and Enterprise Services Lisa Raihl Accounting & Reporting Analyst Division of Central Accounting and Reporting (DCAR)

3. State of Oklahoma Office of Management and Enterprise Services

4. State of Oklahoma Office of Management and Enterprise Services What information is reported on the 1095-B? • Name and TIN (or DOB) of every individual covered under the plan • DOB may be used only after reporting entity asks for a TIN 3 times • Employer information for employer sponsored coverage • Coverage provider information (health plan) • Month(s) of coverage for each covered individual • One-day rule: if you are enrolled in MEC for one day of a month you have MEC for that month

5. State of Oklahoma Office of Management and Enterprise Services

6. State of Oklahoma Office of Management and Enterprise Services What information is reported on the 1095-C? • Employee general information • Employer general information • Employee offer and coverage • Information on the health care coverage offered to full-time employees. This will be used by the IRS in determining an employee’s eligibility for the premium tax credit and to administer section 4980H (employer’s shared responsibility) • Indicator codes will be used to report certain information

7. State of Oklahoma Office of Management and Enterprise Services • Furnishing Due Date of Forms 1095-B and 1095-C • January 31 for prior year reporting (just like W-2s) • January 2016 providers and employers must report for calendar year 2015 • Questions?