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Play or Pay: Employer Contributions
Important guidance to help you complete your
mandatory yearend report (Form 1095C)
Overview Treasury Department provides guidance
for two types of Employer Contributions,
Flex
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How to fill out play or pay employer

To fill out play or pay employer, follow these steps:
01
Identify if you are an applicable large employer (ALE) - ALEs are those who employed an average of at least 50 full-time employees, including full-time equivalent employees, during the previous calendar year.
02
Determine if you are subject to the play or pay provision - ALEs are subject to the play or pay provision if they have at least one full-time employee who receives a premium tax credit through the Health Insurance Marketplace.
03
Understand the reporting requirements - ALEs must report certain information to the IRS and their employees about the health insurance coverage they offer. This includes filing Forms 1094-C and 1095-C.
04
Collect the necessary data - Gather information about your employees' health coverage, including enrollment periods, waiting periods, and any offers of coverage made.
05
Determine if your coverage is affordable and meets minimum value - ALEs must offer affordable coverage that provides minimum value to their full-time employees. Use the safe harbor methods to determine affordability if you are unsure.
06
Fill out Forms 1094-C and 1095-C - These forms require information about your organization, the coverage you offer, and the employees who are eligible for that coverage. Be sure to accurately complete all sections.
Now, let's address who needs play or pay employer:
01
Applicable Large Employers (ALEs) - ALEs, as mentioned earlier, are those employers who employed an average of at least 50 full-time employees, including full-time equivalent employees, during the previous calendar year. They are required to adhere to the play or pay provision.
02
Employers with full-time employees receiving premium tax credits - ALEs who have at least one full-time employee who receives a premium tax credit through the Health Insurance Marketplace are subject to the play or pay provision.
It's important to note that the play or pay employer provision is a part of the Affordable Care Act (ACA) and is designed to ensure that ALEs either offer affordable health coverage to their full-time employees or make a payment to help offset the cost of those employees obtaining coverage through the Health Insurance Marketplace.
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What is play or pay employer?
Play or pay employer refers to the employer mandate under the Affordable Care Act requiring certain large employers to offer health insurance coverage to full-time employees or pay a penalty.
Who is required to file play or pay employer?
Large employers with 50 or more full-time equivalent employees are required to file play or pay employer.
How to fill out play or pay employer?
Employers must provide information about their health insurance coverage offerings and employee enrollment in the IRS forms 1094-C and 1095-C.
What is the purpose of play or pay employer?
The purpose of play or pay employer is to ensure that large employers offer affordable health insurance coverage to their full-time employees.
What information must be reported on play or pay employer?
Employers must report information about health insurance coverage offers, enrollment, and affordability to the IRS.
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