For purposes of the Affordable
Care Act, employers average their number of employees across
the months in the year to see whether they will be an applicable large
employer.
This is important to do because two provisions of the health care law
apply only to ALEs and are now in effect. These are the employer shared
responsibility provision and the employer information reporting provision for
offers of minimum essential coverage. In addition, self-insured ALEs – that is,
employers who sponsor self-insured group health plans – have additional
provider information reporting requirements.
Remember that the vast majority of employers will fall
below the ALE threshold number of employees and, therefore, will not be subject
to the employer shared responsibility provisions.
Here are definitions to three terms that are
significant in determining whether your organization is an ALE. In general:
·
A full-time employee is an
employee who is employed on average, per month, at least 30 hours of service
per week, or at least 130 hours of service in a calendar month.
·
A full-time equivalent employee is a combination of employees, each of whom individually is not a
full-time employee, but who, in combination, are equivalent to a full-time
employee.
·
An aggregated group is
commonly owned or otherwise related or affiliated employers, which must combine
their employees to determine their workforce size.
To determine if your organization is an applicable
large employer for a year, count your organization’s full-time employees and
full-time equivalent employees for each month of the prior year. If you are a
member of an aggregated group, count the full-time employees and full-time
equivalent employees of all members of the group for each month of the prior
year. Then average the numbers for the year. Employers with 50 or more
full-time equivalent employees are applicable large employers and will need to
file an annual
information return reporting whether and what health insurance they
offered employees. In addition, they are subject to the Employer
Shared Responsibility provisions.
There are many additional rules on determining who is
a full-time employee, including what counts as hours of service. For more
information on these rules, see the employer shared responsibility final
regulations and related questions and answers on IRS.gov.
For more information, see the Determining
if an Employer is an Applicable Large Employer page on IRS.gov/aca.
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