ACA Reporting

Employer Info for each EIN associated with the filing entity:

• Official Employer Name (as filed with the IRS)
• EIN (Employer Identification Number, Federal)
• Employer Address (as filed with the IRS)
• Contact Name, Title, Phone #
  • Employee Census in Excel or CSV Format for employees that were eligible for an offer of
    insurance with:
  • Full unmasked SSN
  • In separate Columns: First Name, Last Name, MI, Suffix
    In separate Columns: Address 1, Address 2, City, State, Zip
  • Employer EIN
  • Hire Date
  • Term Date
  • Insurance Offer Date (if not given elsewhere)
  • Waived or Accepted Offer of Insurance
  • Date of Birth (Only for minimum qualifying individual plans with variable employee contributions based upon age)
  • Annualized Salary or Base Hourly Rate (lowest for year)
  • Hours by month (typically only needed for variable hour or part time employees)