With employer mandates and reporting requirements starting in 2015, these regulation details will help you understand how to comply. Learn more - http://gt-us.co/15LyvkI

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Hot Topics
Hot
Topics
Compensation and
Benefits for
Not-for-Profit Entities
Health care
reform

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Hot topics in compensation and benefits
Replay the Hot Topics in Compensation and Benefits
for Not-for-Profit Entities webcast for a focus on
latest developments and pressing concerns.
Read The Grant Thornton
2014 Nonprofit Compensation Survey,
for up-to-date, critical compensation
and benefits data, and trends and insights
to assist in your planning.
Find webcast and survey info at
www.grantthornton.com/comp-benefitssvy2014

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Employers with
50 or more
full-time
(FTE)
plus
full-time
equivalent
(FTE) employees
Employer mandate and reporting applicability
50+

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Excise tax
EFFECTIVE DATES
2015:
FT plus FTE employees
100+
2016:
FT plus FTE employees
50+

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$2,000 tax
If coverage is not offered to
95% of FT employees
and dependents
70% in 2015
Total tax =
$2,000 x (number of FT employees – first 30)
– first 80 in 2015

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95% coverage offer requirement
Employees offered coverage
Excise tax
Number
949 94.9% $1,940,000*
950 95.0% $0
*(1,000 – 30) x $2,000 = $1,940,000
Example: 1,000 full-time employees

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$3,000 tax
If not offering
affordable,
minimum value
coverage
Total tax =
$3,000 x (number of employees who
purchase insurance through exchange
and receive premium tax credit)
If coverage is not affordable or does not satisfy
60% minimum value requirement

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AFFORDABLE COVERAGE
Premium paid by employee for
lowest cost
self-only coverage
does not exceed
9.5%
of the employee's compensation

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INFORMATION
REPORTING

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Requirements
Employers with 50 or more FT + FTE employees
Annual statements provided to employees and IRS
Information broken down by month
Required starting calendar year 2015
No delay for employers with 50–99 employees
Required for every month in 2015, even for fiscal year plans
Deadline for first year is Jan. 31, 2016

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What the IRS receives
50+
Form Deadline
Filed by employer
1094-C
(transmittal form)
with copy of each employee's Form 1095-C
Feb. 28
(paper filing)
March 31
(electronic filing)
Filed by insurance company
(fully-insured plans only)
1094-B
(transmittal form)
with copy of each employee's Form 1095-B
Feb. 28
(paper filing)
March 31
(electronic filing)

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Form 1095-C
Provided by employer to
each FT employee
Provides
coverage information
premium information

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Form 1095-C coverage information
50+
Whether employee is covered for the month
Coverage level offered during the month
Employee only
Employee and dependents only
Employee and spouse
Employee, spouse and dependents
Whether coverage is offered even though
the employee was not FT for the month

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Form 1095-C coverage information
50+
Whether coverage is offered under a
multiemployer plan for the month
If coverage is not offered for the month,
why not
Not an employee
Not a FT employee
Other (e.g., waiting period)

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Form 1095-C premium information
Employee's premium for lowest cost
self-only coverage is offered for the month
Whether an affordability safe harbor is
satisfied for an employee for the month

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Form 1094-C
Contact person’s name, telephone number
Whether employer is member of an aggregated group
on any day of the calendar year
If so, names and EINs of aggregated group members
Monthly employee counts
Total employees
Total FT employees
Months when coverage is offered to FT employees
Transmittal form filed with IRS by employer

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Form 1095-B
Provided by insurance company for
each employee actually covered by
health insurance
Issued by insurance company for
fully insured plans
If the plan is self-insured,
information is reported on
1095-C issued by employer
Separate section of Form 1095-C

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Form 1095-B (fully insured)
or separate section of
Form 1095-C (self-insured) for each employee
Policy number
Contact person's name, address, phone number
Name, taxpayer identification number of each
individual who had coverage during the year
Employee
Spouse
Dependents
For each individual, months when coverage is provided

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Ken Cameron
Director
Compensation and Benefits Consulting practice
National Not-for-Profit & Higher Education CBC Co-Practice Leader
ken.cameron@us.gt.com
+1 404 704 0136
Eddie Adkins
Partner
Washington National Tax Office
eddie.adkins@us.gt.com
+1 202 521 1565
Mike Monahan
Assistant Managing Principal, New York/New England Territory
CBC and PWS Tax Practices – Principal-in-Charge
National Not-for-Profit & Higher Education CBC Co-Practice Leader
michael.monahan@us.gt.com
+1 212 542 9860
Contact
information Learn more from our
NFP leaders

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