ACA Forms: Does Your Small Group Have to File ACA Forms?

Last Updated on February 18, 2020 by G. T. HR

ACA Forms: Not All Small Groups Must File

What is a Small Group?

A Small Group is an employer with under 50 employees.

What Small Groups Must File ACA Forms?

While most Applicable Large Employers understand they must file 1094 & 1095 forms, small groups (those under 50 employees) are often confused as to their reporting requirements under the Affordable Care Act.

Whether a small group has to file 1094 & 1095 forms depends upon the type of insurance they offer – fully-insured or self-insured.

Fully-Insured Plans

Fully-insured plans are the more traditional offerings. The employer pays fixed rate premiums to a carrier based upon the number of employees enrolled in the plan each month.

Self-Insured Plans

Self-insured plans are plans operated and funded by the employer. These plans also include “level funded” plans which are becoming more popular with small groups.

ACA Reporting Requirements for Small Groups

Type of Plan Reporting Required Forms to File
Fully-insured No N/A
(including level funded plans)
Yes 1094B & 1095B

It is important that small groups understand:

  1. The type of insurance they offer
  2. If they offer self-insured plans (including level funded plans) they must file the required 1094B & 1095B forms.

Failure to file the required forms can lead to significant penalties and fines.

Stay Compliant with ACA Requirements with MyHRConcierge

MyHRC offers an ACA Compliance service that will make sure your small or medium-sized business is always compliant with the requirements set forth by the Affordable Care Act.

If you’d like more information on ACA Compliance services or have other questions about your business’s HR, please contact Chris Cooley at (855) 538-6947 ext. 108.