Are the benefits provided by the 32BJ Health Funds ACA compliant?
All plans intended for full-time workers are generally compliant. Click on the relevant link below for more detail:
What are the deadlines for ACA reporting to employees and the IRS?
The deadline for reporting to employees is January 31st and to the IRS is February 28th. These dates may be extended by the IRS.
Are the 32BJ Health Funds considered employer-sponsored self-insured health coverage which requires an employer to complete Part III of the 1095C form for dependents of employees eligible for coverage from the 32BJ Health Funds?
No, the 32BJ Health Funds are a multiemployer plan. For this purpose, employer-sponsored self-insured health coverage does not include coverage under a multiemployer plan. An Employer is not required to complete Part III of the 1095C for any employee who is eligible for health benefits from the 32BJ Health Funds.
Will the 32BJ Health Fund give me information needed to do my ACA reporting on IRS Form 1095-C (Employer-Provided Health Insurance Offer and Coverage)?
Yes, we intend to provide information to employers about your employees who have coverage under the Health Fund.
What information will the Funds provide employers to assist with their 6056 1095C reporting?
Each year the Funds will provide a file of health eligible participants which will include basic participant demographic information (name, SSN, mailing address), months (contributed) or full year.
When will the report be available to employers?
The report will be available in January. The report relies on the employer having entered all employee status changes in ESS by the time the report is run. Also, for those contracts that require the employer to report contributable hours, this information must be entered and saved in the invoice for every month of the calendar year including December, otherwise the report will not be accurate.
How does an employer get the report?
The report is available for the Employer to run in ESS. Click here for instructions on how to run the report in ESS.
Will the 32BJ Health Fund send IRS Form 1095-B (Health Coverage) to my employees covered by the Fund?
Yes, the Health Fund will provide participants with Form 1095-B, which will report on a participant’s (and dependent’s) coverage under the Health Fund.
What do I do if I get a Medicare Secondary Payer recovery demand letter from CMS?
The Health Fund responds to these letters. If you receive a recovery demand letter from the Centers for Medicare & Medicaid Services (CMS) or from one of their collection firms, please forward the letter with the employee’s name and social security number to Indhira Tirado, Analyst, Benefits Vendor Management, at the Health Fund by email itirado@32bjfunds.com or by FAX to 212-388-3239.
Where can I find information regarding 32BJ Health Fund Actuarial Certification of Minimum Value Requirement of the Affordable Care Act?
The 32BJ Health Fund Minimum Value Certifications are mailed yearly to participating employers: