ADP SmartCompliance®
ADP Health Compliance for
Government and Educational Organizations
Reduce risk for your government/
education agency by addressing
Affordable Care Act complexities
Since 2015, employers in the public and private sector have utilized
ADP Health Compliance for furnishing Forms 1095-C to their
employees as well as transmitting Forms 1094-C/1095-C to the
IRS to meet ACA IRS reporting requirements.
IRS furnishing and ling requirements are just a start, with
much more at stake under the ACA law: meeting Employer
Shared Responsibility measures (Internal Revenue Code Section
4980H(a) and (b)) as well as meeting the IRS furnishing and
ling requirements in a timely manner with correct and complete
information (Internal Revenue Code Sections 6055 and 6056).
ADP Health Compliance is an award-winning, robust solution that
can not only provide for the ling and furnishing requirements of
today for the ACA, but also place employers in a positive position
against potential future IRS penalty notices.
Data
Data problems can drive inaccuracies in employers’ calculations,
Forms 1094-C/1095-C, and IRS transmissions, may ultimately
result in IRS penalties and other compliance issues.
ADP Health Compliance aggregates 172 data points into
ACA Eligibility and Affordability calculations to accurately
populate Forms 1094-C/1095-C from various systems and
platforms into one ADP Health Compliance solution.
Our data conditions review, calculations and summary
review processes are designed to catch potential data
conditions before they become larger compliance issues and
errors on Forms 1094-C/1095-C, triggering IRS penalty notices
for non-compliance with Internal Revenue Code Sections
4980H(a), 4980H(b), 6055 and/or 6056.
Business Intelligence and Calculations
Based on an employer’s data, four distinct calculations take
place to provide visibility into data used for various purposes
throughout their organization and how actions impact
ACA compliance.
ACA Eligibility calculations to determine an employee’s
full-time or part-time status based on ACA rules and
assisting employers to determine who should and should
not be offered benets to avoid penalties.
Affordability calculations to determine values for Forms
1095-C generation, safe harbors to be used in IRS ling
information and to provide proof of lowest-cost plans,
comparison to employee compensation and other benets/
credits offered as part of an employee’s health
benets package.
ACA IRS Forms 1094-C/1095-C generation to illustrate
the impact of health plans offered and selected, employee
status and what and how Forms 1095-C and 1094-C will
reect business decisions and supporting system of record
data. This includes tools to address code combinations as
determined by the IRS Forms instructions, and the ability
to drill down on Minimum Essential Coverage (MEC) to
determine if a particular FEIN does or does not meet the
required 95% threshold and why.
State Reporting requirements are evolving and utilize
the same data used for ACA IRS Forms 1094-C/1095-C.
New Jersey, Washington DC, California and Rhode Island are
requiring employers to report health coverage information
on employees who are residents of these states. This is not
based on work location, and requires forms to be generated
for employees and electronic transmission of ling data
to states. Our award-winning solution has the data,
intelligence and capability to help you meet the evolving
state reporting requirements.
Exchange and ACA IRS Penalty Management
ADP provides a robust team, approach and solution to assist organizations with Employer
Shared Responsibility (ESR) and potential ESR Payment (ESRP) assessments that could
cost employers millions.
Research employees and offers of coverage in question
Provide updated data to employers to assist with responses to dispute proposed
ESRP amounts
Produce updated data and templates to employers to assist employers with
return packages in response to IRS Penalty Notices
ADP Health Compliance Comprehensive Services include:
Dedicated service organization & assigned Account Manager
Notice to Employees of Coverage Options
ACA Eligibility, Affordability & Forms 1094-C/1095-C calculations
and monthly reviews
Generation, furnishing (print & mail) and electronic ling of IRS Forms
1094-C and 1095-C, as well as reprints & retransmission
Exchange and ACA IRS Penalty Management
Inclusive pricing of all print, mailing, transmission, reprint and
retransmission activities
For more information about ADP Health Compliance, or to schedule a live demo visit
adp.com/GovEd or call (855) 237-4236.
Trusted ACA Partnership
for Government and
Educational Organizations
Government and education agencies
need a partner with deep expertise
to manage complex health coverage
requirements, handle IRS and new state
employer reporting, and help protect their
organizations from potential penalties.
“I rest more easily at night knowing we have
a service provider that has the capacity to
be the expert that we know we can’t be.
We know our system, and we know our HR
data. Our expertise in that, combined with
ADP’s experience in the law, has really built
a great process with a great outcome.”
Mary Beth Short
Payroll, Benets, Retirement, and Safety
and Claims Operations Division Director,
King County
OMNIA Partner Contract # R151901
Managed Business/Operational Service and
Solutions. Contract Period: May 1, 2016 to
April 30, 2021.
This contract has been competitively
solicited and publicly awarded with no need
to go through a costly and time-consuming
solicitation process. It has already been
done for you! Available to state and local
government entities and educational
institutions in all 50 states.
Technology
& Intelligence
Focused
Specialists
Guidance
& Insights
Leverage next-gen
technology solutions to
analyze and automate data
for compliance accuracy
and visibility
Proactively determine
and surface potential
penalty scenarios and data
anomalies at time of import
Tackle data conditions and
technology challenges to help you
avoid signicant business costs.
Expert specialists dedicated to
proactively streamline your ACA
compliance strategy so your team
can have peace-of-mind.
Intuitive and easy processes
to releive you of complex and
challenging ACA activities that
can impact penalty exposure.
Staying current with
regulations, strategic,
tenured and experienced
associates
Dedicated team to monitor
and interpret regulations
and trends from federal
(ex. IRS) and state
agencies
Monthly reviews
& analysis include
comprehensive
comparison of data and
forms
IRS Penalty Notice timely
research & reviews for
best mitigation options
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About OMNIA Partners: OMNIA Partners, Public Sector is the premier purchasing organization for state and local government, K-12
education, colleges and universities. All contracts available have been competitively solicited and publicly awarded by a government
entity serving as a lead agency while utilizing industry best practices and processes. With the most experienced team in cooperative
procurement and supply chain management, OMNIA Partners, Public Sector has the expertise to help public organizations achieve their
strategic goals. All contract documentation is available on omniapartners.com/publicsector.
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Dana Fox
404-445-9529
dana.m.fox@adp.com