
Get the free ACA Employer Shared Responsibility Certification Form Instructions - dhcs ca
Show details
DEPARTMENT OF HEALTH CARE SERVICES CERTIFICATION DOCUMENT FOR ADDITIONAL HEALTH CARE COVERAGE COST DUE TO THE AFFORDABLE CARE ACT (ACA) FOR 2015 & 2016 CALENDAR YEARS REQUIREMENTS AND INSTRUCTIONS
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign aca employer shared responsibility

Edit your aca employer shared responsibility form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly
Email, fax, or share your aca employer shared responsibility form via URL. You can also download, print, or export forms to your preferred cloud storage service.
How to edit aca employer shared responsibility online
Follow the steps below to benefit from the PDF editor's expertise:
1
Check your account. It's time to start your free trial.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit aca employer shared responsibility. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
It's easier to work with documents with pdfFiller than you can have ever thought. You may try it out for yourself by signing up for an account.
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out aca employer shared responsibility

How to fill out ACA Employer Shared Responsibility?
01
Determine if you meet the requirements: Before filling out the ACA Employer Shared Responsibility form, you need to determine if you meet the requirements. Generally, employers with 50 or more full-time equivalent employees are subject to this provision.
02
Collect the necessary information: To fill out the form accurately, you will need certain information such as the names, social security numbers, and addresses of your full-time employees, as well as information about the coverage you offer, including the plan effective dates and the cost of coverage.
03
Complete Form 1094-C: This form serves as a transmittal for the individual employee statements (Form 1095-C). It requires information about your business, such as your employer identification number (EIN), address, and contact information. You will also need to provide information about whether you offered minimum essential coverage to at least 95% of your full-time employees and their dependents.
04
Complete Form 1095-C: This form provides detailed information about each full-time employee and their coverage. You will need to complete a separate form for each employee. Include their personal details, the number of months they were eligible for coverage, and the type of coverage offered to them.
05
File the forms with the IRS: Once you have completed both Form 1094-C and Form 1095-C, you will need to file them with the Internal Revenue Service (IRS). Be sure to follow the IRS guidelines for submission methods, deadlines, and any additional requirements.
Who needs ACA Employer Shared Responsibility?
01
Applicable Large Employers (ALEs): The ACA Employer Shared Responsibility provision primarily applies to ALEs, which are employers with 50 or more full-time equivalent employees. These employers are mandated to offer affordable health insurance coverage that meets certain standards to their eligible employees and dependents.
02
Businesses aiming to avoid penalties: ACA Employer Shared Responsibility ensures that ALEs fulfill their obligations under the Affordable Care Act and avoid potential penalties. By offering qualifying health insurance coverage to their employees, ALEs can avoid penalties related to the employer shared responsibility provision.
03
Employers concerned about employee health insurance coverage: The ACA Employer Shared Responsibility provision is essential for employers who value the well-being and healthcare options of their employees. It ensures that certain requirements are met, such as offering affordable coverage with the necessary minimum value, to support the healthcare needs of their workforce.
Overall, filling out the ACA Employer Shared Responsibility form involves gathering accurate information, completing the required forms, and filing them with the IRS. This provision primarily applies to ALEs and aims to ensure that eligible employees have access to affordable health insurance coverage.
Fill
form
: Try Risk Free
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
How can I modify aca employer shared responsibility without leaving Google Drive?
Using pdfFiller with Google Docs allows you to create, amend, and sign documents straight from your Google Drive. The add-on turns your aca employer shared responsibility into a dynamic fillable form that you can manage and eSign from anywhere.
How do I edit aca employer shared responsibility on an iOS device?
No, you can't. With the pdfFiller app for iOS, you can edit, share, and sign aca employer shared responsibility right away. At the Apple Store, you can buy and install it in a matter of seconds. The app is free, but you will need to set up an account if you want to buy a subscription or start a free trial.
How do I edit aca employer shared responsibility on an Android device?
Yes, you can. With the pdfFiller mobile app for Android, you can edit, sign, and share aca employer shared responsibility on your mobile device from any location; only an internet connection is needed. Get the app and start to streamline your document workflow from anywhere.
What is aca employer shared responsibility?
ACA employer shared responsibility refers to the requirement for certain large employers to offer affordable health insurance that meets minimum essential coverage standards to their full-time employees and their dependents.
Who is required to file aca employer shared responsibility?
Employers with 50 or more full-time employees or full-time equivalent employees are required to file ACA employer shared responsibility forms.
How to fill out aca employer shared responsibility?
To fill out ACA employer shared responsibility forms, employers need to provide information about the health insurance coverage offered to employees, including the cost of coverage and employee contributions.
What is the purpose of aca employer shared responsibility?
The purpose of ACA employer shared responsibility is to ensure that large employers provide affordable health insurance options to their employees in compliance with the Affordable Care Act.
What information must be reported on aca employer shared responsibility?
Employers must report information about the health insurance coverage offered, the cost of coverage, employee contributions, and the number of full-time employees.
Fill out your aca employer shared responsibility online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Aca Employer Shared Responsibility is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.