ACA Hours Tracking - Setup - Benefit Status Table

Use the Benefit Status Table page to define which payroll deduction codes represent different types of health insurance coverage for ACA reporting. It maps deduction codes to ACA status codes that indicate whether employees have qualified health coverage.

The Offer Code field on the Benefit Status Table page is used specifically for IRS Form 1095-C reporting. This is especially important for declined qualified plans, where you need to document the coverage offered, even though the employee declined it.

1. On the ACA Hours Tracking page, select Benefit Status Table.

2. Enter the Search Criteria to find the required benefit status records, and then select Search.
   Refer to Search for records for more information.

   • To add a record, select Add new. Refer to the Field descriptions, enter valid information, and select Accept.

   • To edit a record, select the record and select Accept. Update the information and select Accept.

   • To delete, select the record and select Delete. Select Yes.

   • To generate a report, select Print, and then select a Destination:

     • Select File to create the report in .rpt format. The default file name is acastatuscd.rpt. You can change the default file name.

     • Select Screen to download the report in .pdf format. The default file name is acastatuscd_<#####>.pdf.

     • Select Excel to download the report in .xlsx format. Select the required Excel Options. The default file name is acastatuscdrpt<####_#####>.xlsx.

       • Select OK.

         • Download the .rpt file from the View Files page.

         • Save the .pdf or .xls file.
           For more information about the Print option, refer to Print Reports.

Field descriptions

The following table describes the fields on the Benefit Status Table page.

Field	Description
Deduction Code	The payroll deduction code that represents a health insurance benefit. This links the deduction code to its ACA classification so the system can automatically determine an employee's coverage status when that deduction is active on their record. The values in the drop-down list are retrieved from the Deduction Table page.
Plan Status	The ACA classification for the deduction code. Valid values: Q - Qualified: The deduction represents ACA-compliant health insurance coverage. N - Non-Qualified: The deduction applies to coverage that doesn't meet the ACA minimum essential coverage requirements. D - Declined Qualified Plan: The deduction represents an employee who was offered qualified coverage but declined it. Do not add Deduction Codes with a Plan Status = D to Benefit Groups.
Offer Code	The two-character code on IRS Form 1095-C that specifies the type of coverage offered to the employee. This field is used to document the coverage offer made, even when the employee declined it, when D - Declined Qualified Plan is selected in the Plan Status field. The offer codes are defined in the aca_code_table and must match IRS requirements for Form 1095-C reporting.