This document provides summaries of several standard compliance and workforce planning reports available from ADP for mid-sized businesses. The reports include: (1) an ACA play or pay preparation report to track employee enrollment activity; (2) a patient-centered outcomes research fee report to support IRS reporting on health plan fees; (3) a Form W-2 detail report with healthcare coverage costs; (4) an employee eligibility report; (5) an employee enrollments report with plan details; and (6) several time and attendance reports including actual vs scheduled hours and employee total hours.

1. HR. Payroll. Benefits.
Affordable Care Act
Standard Reports for
Midsized Businesses

2. Contents
ACA Standard Compliance Reports
Play or Pay Preparation Report 3
Patient-Centered Outcomes Research Fee Report 4
Form W-2 Detail Report 5
Workforce Planning Reports – Benefits
Eligibility Report 6
Employee Enrollments Report 7
Employee & Dependent Enrollment Report 8
Enrollment Profile Activity Report 9
Workforce Planning Reports – Time & Attendance
Actual vs. Scheduled Hours Report 10
Approaching Weekly Overtime Report 11
Employee Total Hours Report 12
About ADP®
ADP®
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management solutions. Leveraging over 60 years of experience and a global footprint spanning more than 40 countries, ADP offers a wide range of human resource, payroll, talent
management, tax and benefits administration solutions from a single source, and helps clients comply with regulatory and legislative changes, such as the Affordable Care Act (ACA).
ADP’s easy-to-use solutions for employers provide superior value to companies of all types and sizes. ADP is also a leading provider of integrated computing solutions to auto, truck,
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informational purposes only and is not a substitute for legal advice or your professional judgment. You should review applicable law in your jurisdiction and consult experienced counsel for legal or tax advice. The ADP logo,
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For more information, contact:
Affordable Care Act Standard Reports for Midsized Businesses | Table of Contents
DM Name
DM Phone
DM Email

3. Key Benefits:
• Comprehensive
Enrollment Details on
Employees & Dependents
• Track Waive Coverage
Effective Date
& Reason
ACA Compliance Reports
Manage end-to-end enrollment activity of eligible employees
ACA Standard Compliance Reports | Play or Pay Preparation Report 3

4. ACA Standard Compliance Reports | Patient-Centered Outcomes Research Fee Report
Key Benefit:
Report on covered lives and
applicable PCORI fees to support
the IRS Form 720 annual reporting
requirements for employers
who sponsor self-insured health
plans or to audit the fees paid
under employers’ fully-
insured health plans.
4

5. Form W-2 Detail Report From Date: 01/01/2013 To Date: 02/28/2013
Run Date: 02/28/2013
Position ID Name Co Code File# Memo
Code
Total Costs Contributions
Medical Dental Vision Prescription
Drug
Health CareFSA
000100
1F7
ALBRIGHT,
ANTHONY
1F7000100 4.37
Employer
Employee
13.12
0.00
0.00
0.00
0.00
0.00
0.00 0.00
4.37
13.12
000059
1F7
Anderson, Todd
1F7000059 2.27
Employer
Employee
9.07
0.00
0.00
0.00
0.00
0.00
0.00 0.00
2.27
9.07
000051
1F7
Berry, Lawrence
1F7000051 2.27
Employer
Employee
9.07
0.00
0.00
0.00
0.00
0.00
0.00 0.00
2.27
9.07
000074
1F7
Bethany, Beth
1F7000074 1.74
Employer
Employee
5.23
0.00
0.00
0.00
0.00
0.00
0.00 0.00
1.74
5.23
000052
1F7
Beyer, Laura A
1F7000052 0.00
Employer
Employee
0.00
0.00
0.00
0.00
0.00
0.00
0.00 0.00
0.00
0.00
000053
1F7
Biggins, Peter A
1F7000053 2.27
Employer
Employee
9.07
0.00
0.00
0.00
0.00
0.00
0.00 0.00
2.27
9.07
000054
1F7
Bonner, Edward J
1F7000054 4.37
Employer
Employee
13.12
0.00
0.00
0.00
0.00
0.00
0.00 0.00
4.37
13.12
000056
1F7
Byrone, Richard
1F7000056 3.62
Employer
Employee
10.85
0.00
0.00
0.00
0.00
0.00
0.00 0.00
3.62
10.85
000061
1F7
Cody, Timothy D
1F7000061 2.27
Employer
Employee
9.07
0.00
0.00
0.00
0.00
0.00
0.00 0.00
2.27
9.07
000062
1F7
Coffey, Philip M
1F7000062 3.16
Employer
Employee
9.47
0.00
0.00
0.00
0.00
0.00
0.00 0.00
3.16
9.47
000063
1F7
Cole, Dale G
1F7000063 3.16
Employer
Employee
9.47
0.00
0.00
0.00
0.00
0.00
0.00 0.00
3.16
9.47
000066
1F7
Coslett, Daniel A
1F7000066 3.16
Employer
Employee
9.47
0.00
0.00
0.00
0.00
0.00
0.00 0.00
3.16
9.47
000067
1F7
Cramer, Neal S
1F7000067 3.16
Employer
Employee
9.47
0.00
0.00
0.00
0.00
0.00
0.00 0.00
3.16
9.47
000069
1F7
Davis, Peter K
1F7000069 0.92
Employer
Employee
2.76
0.00
0.00
0.00
0.00
0.00
0.00 0.00
0.92
2.76
000070
1F7
Dearborne, Susan
M
1F7000070 2.60
Employer
Employee
7.79
0.00
0.00
0.00
0.00
0.00
0.00 0.00
2.60
7.79
000072
1F7
England, Michael R
1F7000072 1.74
Employer
Employee
5.23
0.00
0.00
0.00
0.00
0.00
0.00 0.00
1.74
5.23
000078
1F7
Flannagan,
Christopher
1F7000078 3.19
Employer
Employee
9.57
0.00
0.00
0.00
0.00
0.00
0.00 0.00
3.19
9.57
W2 - Detail Report Run Date/Time: 02/28/2013 02:49 PM EST Page 1 of 2
ACA Standard Compliance Reports | Form W-2 Detail Report
Key Benefit:
Detailed data on the total
cost of employer-sponsored
healthcare coverage that
will appear on the
Forms W-2 in
Box 12 Code DD.
5

6. Workforce Planning Reports – Benefits | Eligibility Report
Key Benefit:
Report list of employees
who meet employer-defined
benefit eligibility rules.
Workforce Planning Standard Reports – Benefits
Accurately determine employee eligibility and enrollment options
6

7. Workforce Planning Reports – Benefits | Employee Enrollments Report
Key Benefit:
Comprehensive report with
employees’ plan enrollment
details; including deduction
information, coverage level,
and employer cost.
7

8. Workforce Planning Reports – Benefits | Employee & Dependent Enrollment Report
Key Benefit:
Employee and dependent
plan enrollments; including
auditing data like age limit
and overage dependent
details.
8

9. Workforce Planning Reports – Benefits | Enrollment Profile Activity Report
Key Benefit:
Supplemental report to track
variable hour employees who qualify
to be offered benefit enrollment,
which status shall be determined
during any Administrative Period
(period of time between the
Measurement Period and
Stability Period),
if applicable.
9

10. 0.00
80.00
80.00 Time Pair Errors
Albright Anthony 04Q000100
-12.50
80.00
67.50
Anderson Todd 04Q000059
-5.00
85.00
80.00
Berry Lawrence 04Q000051
4.00
24.00
28.00
Bethany Beth 04Q000074
-0.25
80.00
79.75
Beyer Laura A 04Q000052
-5.00
85.00
80.00
Biggins Peter A 04Q000053
1.25
75.00
76.25
Bonner Edward J 04Q000054
0.50
80.00
80.50
Byrnes Ronald A 04Q000055
-5.00
85.00
80.00
Byrone Richard 04Q000056
5.00
75.00
80.00
Cecchetti David 04Q000057
0.00
90.00
90.00
Cody Timothy D 04Q000061
3.00
85.00
88.00
Coffey Philip M 04Q000062
0.00
80.00
80.00
Cole Dale G 04Q000063
-3.00
75.00
72.00
Condo Heidi 04Q000064
5.00
75.00
80.00
Cormier David 04Q000065
0.00
80.00
80.00
Coslett Daniel A 04Q000066
5.00
75.00
80.00
Cramer Neal S 04Q000067
-5.00
90.00
85.00
Davis Peter K 04Q000069
5.00
75.00
80.00
Dearborne Susan M 04Q000070
-29.00
85.00
56.00
Delaney Albert L 04Q000071
5.00
75.00
80.00
England Michael R 04Q000072
-20.25
24.00
3.75
English Stephen A 04Q000073
80.00
0.00
80.00
Field John S 04Q000075
-10.00
90.00
80.00
Fitzgerald Gail 04Q000077
9.75
80.00
89.75
Flannagan Christopher 04Q000078
-10.00
80.00
70.00
Foster Christina 04Q000079
Variance
Actual vs. Scheduled Hours Report - Employee Summary
Scheduled Hours
(rounded)
Current Pay Period
Company Code: 04Q
Last Name First Name Employee
Employee Summary
Actual Hours
(rounded)
ADP Powered by Automatic Data Processing (ADP), Inc.
Prepared On: 02/22/2013 04:26:16 PM Page 1 of 2
Workforce Planning Reports – Time & Attendance | Actual vs. Scheduled Hours Report
Key Benefit:
Employee totals for actual
hours and any variance for
the selected time frame.
Workforce Planning Reports – Time & Attendance
Schedule and manage hours of service
10

11. Beyer Laura A 04Q000052 5 40.00
Anderson Todd 04Q000059 4 30.00
Albright Anthony 04Q000100 3 16.00
Days
Worked
Total Hours
Errors on
Timecard
Approaching Weekly Overtime
Company Code: 04Q
Current Pay Period
Last Name First Name Employee
Powered by Automatic Data Processing (ADP), Inc.
Workforce Planning Reports – Time & Attendance | Approaching Weekly Overtime Report
Key Benefit:
Report data to provide
managers and supervisors
a quick real-time update of
who is approaching 30 hours
of service per week and
full-time status under
the ACA.
11

12. ALBRIGHT ANTHONY 1F7000100
101000 $0.00
8.00
FLOAT-Float Holiday
101000 $0.00
16.00
HOLIDAY-Holiday
101000 $0.00
8.00
PERSONAL-Personal Hours
101000 $0.00
16.00
PTO-Paid Time Off
101000 $0.00
49.25
REGULAR-Regular
$0.00
Subtotal 97.25
Anderson Todd 1F7000059
101000 $161.84
8.00
HOLIDAY-Holiday
101000 $1,365.53
67.50
REGULAR-Regular
$1,527.37
Subtotal 75.50
Berry Lawrence 1F7000051
101000 $0.00
8.00
HOLIDAY-Holiday
101000 $0.00
40.00
PTO-Paid Time Off
101000 $0.00
40.00
REGULAR-Regular
$0.00
Subtotal 88.00
Bethany Beth 1F7000074
301000 $171.60
8.00
HOLIDAY-Holiday
301000 $686.40
16.00
REGSH2-Regular Shift 2
301000 $85.80
4.00
WEEKENDHRS-Weekend
Shift Differential
$943.80
Subtotal 28.00
Employee Total Hours Report
Worked Department Earnings Code
Date Range: 05/01/2013 - 05/31/2013
Company Code: 1F7
Dollars
Hours
Last Name First Name Employee
ADP Powered by Automatic Data Processing (ADP), Inc.
Prepared On: 05/09/2013 11:03:50 AM Page 1 of 13
Workforce Planning Reports – Time & Attendance | Employee Total Hours Report
Key Benefit:
Detailed report data on total
hours for each employee
to perform the full-time
equivalency calculation
for the applicable large
employer determination
under the ACA.
12