Overview
- The Affordable Care Act (ACA) is a comprehensive federal health care reform law enacted in March 2010.
- Employees who are in the AC1 or AC2 (except Work-study students) benefit program can elect Medical, Medical Flex Cash, and HCRA/DCRA.
- The CIRS (CSU Information Reporting System) Annual Lookback Report identifies employees who qualify for AC2 benefits but do not currently have medical coverage.
- You must ensure that qualifying employees are eligible for benefits under the AC2 Benefits program.
Prepare an employee for AC2 Benefit eligibility
Complete this procedure for an employee that is ACA eligible and on the SWHR lookback report.
Step 1: Open the Navbar.
Step 2: Navigate to Menu > Benefits > Employee/Dependent Information > ACA Employee Eligibility Details.
Step 3: Search for the employee.
- Enter search criteria.
- Click Search.
- If the search returns no values, go to Add a new value.
- If the search returns multiple values, select the employee, then go to Enter ACA Eligibility Information.
If the employee is not returned in the ACA search, use this procedure to add an initial row for the employee.
Step 1: Click Add a New Value
Step 2: Complete the Add a New Value fields.
- Employee ID
- Affordable Care Act Common ID - Enter ADA
Step 3: Click Add.
Enter ACA Eligibility Information
Step 5: Complete the Eligibility Information section.
- Effective Date: The date the employee is benefits eligible. ACA Effdt should be the most effective dated row on or prior to the current date. Do not use the Job effective Date for ACA Eligibility.
- ACA Eligibility Status: Set to Eligible.
- Average Service Hours: Enter 130 hours.
- Evaluation Begin Date: Enter the begin date for year that found the employee benefits eligible.
- Evaluation End Date: Enter the end date for year that found the employee benefits eligible.
- Administration Begin Date: Set to one day after the Evaluation End date.
- Administration End Date: Set to 60 days after the Administration Begin Date.
- Stability Begin Date: Set to one day after the Administration End Date on this page.
- Stability End Date: Set to one year after Stability Begin Date.
By default, the Calculation Method is set to Look Back. Do not change it.
Step 6: Complete the ACA Calculation Hours section:
- Empl Record
- Company: Campus
- Total Hours: 130
Step 7: Click Save.
What happens next:
- Nightly CSUBAS processing updates the Elig Fld 3 from N to Y and creates an ACA BAS action.
- After Benefits staff receives election choices and supporting documents, they enter the employee's benefit enrollments.
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