*only for employees that are NOT enrolled in an ICHRA plan.
Was the employee active or part of the Family and Medical Leave Act (FMLA) for entire month?
Info
The FMLA entitles eligible employees of coverage employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave.
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was employee full time or full time equivalent with 130+ hours of service for the month?
Hours of Service
This includes:
- Vacation
- Holiday
- Sick time
- Incapacity (including disability)
- Layoff
- Military duty
- Paid leave
Exceptions to the rule exist for:
-
Hours worked by a student as part of the Federal Work-Study Program (or a similar state or local program)
- Hours which are considered income from sources outside the United States
- Hours performed as a "bona fide volunteer"
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was the employee a part of the Consolidated Omnibus Budget Reconciliation Act (COBRA) or a retiree?
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
From your answers, it sounds like this code may be a good fit:
1H
Applicable when
- Employee was not yet hired
- Employee was in a limited-assessment period
- Employee was otherwise ineligible for coverage
- Offer of coverage was not MEC
- Offer of coverage was not for an entire month
- Employee was terminated and was offered COBRA
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was employee classified as full time for any amount of time during the month?
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was employee full time for any period of time during the year?
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
From your answers, it sounds like this code may be a good fit:
1H
Applicable when
- Employee was not yet hired
- Employee was in a limited-assessment period
- Employee was otherwise ineligible for coverage
- Offer of coverage was not MEC
- Offer of coverage was not for an entire month
- Employee was terminated and was offered COBRA
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was employee full time for any period of time during the year?
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was employee offered minimum essential coverage for the full month?
Minimum Essential Coverage
Coverage that provides essential health benefits, follows established limits on cost-sharing (like deductibles, copayments, and out-of-pocket maximum amounts), and meets other requirements under the Affordable Care Act.
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
From your answers, it sounds like this code may be a good fit:
1H
Applicable when
- Employee was not yet hired
- Employee was in a limited-assessment period
- Employee was otherwise ineligible for coverage
- Offer of coverage was not MEC
- Offer of coverage was not for an entire month
- Employee was terminated and was offered COBRA
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was employee enrolled in self-funded coverage for any period of time during the year?
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was minimum essential coverage offered to the spouse and dependents for the full month?
Minimum Essential Coverage
Coverage that provides essential health benefits, follows established limits on cost-sharing (like deductibles, copayments, and out-of-pocket maximum amounts), and meets other requirements under the Affordable Care Act.
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Based on these conditions, no form is required.
From your answers, it sounds like this code may be a good fit:
1G
Applicable when
- Self-insured plan was offered
- Part time individuals are eligible for the plan
- Employee was enrolled in the plan at some point of the year
- Employee was not employed during the calendar year
1G must be applied to all 12 months of the year, line 15 and 16 must be
left blank, and Part III of the 1095-C must be completed for the applicable months of coverage.
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was employee offered a minimum value plan for the full month?
Minimum Value Plan
A health plan meets the minimum value standard if both of these apply:
- It’s designed to pay at least 60% (bronze level or higher) of the total cost of medical services for a standard population
- Its benefits include substantial coverage of physician and inpatient hospital services
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
From your answers, it sounds like this code may be a good fit:
1F
Applicable when
- Coverage offered does not meet the minimum value threshold
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was the spouse conditionally offered for the full month?
Conditional Offer
The most common example of a conditional offer is when spouses are eligible only if they do not have coverage through their own employer.
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
From your answers, it sounds like this code may be a good fit:
1K
Applicable when
- Coverage conditionally offered to the spouse
- Coverage was offered to the dependent(s)
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was employee contribution equal to or less than 9.5% of the Federal Poverty Level (FPL)?
Federal Poverty Level
The federal poverty level is an income level that is updated yearly. Please see the official documentation for the tax year you are filing to get this value.
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
From your answers, it sounds like this code may be a good fit:
1A
Applicable when
- Coverage was offered to the employee, spouse, and dependents
- Minimum essential coverage was offered providing minimum value
- Coverage offered was considered affordable at the employee-only level
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
From your answers, it sounds like this code may be a good fit:
1E
Applicable when
- Coverage may not be considered "affordable"
- Coverage was affordable based on safe harbor, not federal poverty line
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was employee offered a minimum value plan for the full month?
Minimum Value Plan
A health plan meets the minimum value standard if both of these apply:
- It’s designed to pay at least 60% (bronze level or higher) of the total cost of medical services for a standard population
- Its benefits include substantial coverage of physician and inpatient hospital services
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
From your answers, it sounds like this code may be a good fit:
1F
Applicable when
- Coverage offered does not meet the minimum value threshold
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was minimum essential coverage offered to spouse (NOT dependents) for the full month?
Minimum Essential Coverage
Coverage that provides essential health benefits, follows established limits on cost-sharing (like deductibles, copayments, and out-of-pocket maximum amounts), and meets other requirements under the Affordable Care Act.
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was minimum essential coverage offered to dependents (NOT spouse) for the full month?
Minimum Essential Coverage
Coverage that provides essential health benefits, follows established limits on cost-sharing (like deductibles, copayments, and out-of-pocket maximum amounts), and meets other requirements under the Affordable Care Act.
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
From your answers, it sounds like this code may be a good fit:
1C
Applicable when
- Coverage was only offered to the employee and their children, NOT their spouse
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
From your answers, it sounds like this code may be a good fit:
1B
Applicable when
- Coverage was only offered to the employee and NOT their spouse or dependents
1B is only used when the employee was offered minimum essential coverage AND minimum value coverage.
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
Was the spouse conditionally offered the the full month?
Minimum Essential Coverage
Coverage that provides essential health benefits, follows established limits on cost-sharing (like deductibles, copayments, and out-of-pocket maximum amounts), and meets other requirements under the Affordable Care Act.
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
From your answers, it sounds like this code may be a good fit:
1J
Applicable when
- Coverage was conditionally offered to the spouse
- Coverage was NOT offered to dependent(s)
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.
From your answers, it sounds like this code may be a good fit:
1D
Applicable when
- Coverage was only offered to the employee and their spouse, NOT their children
The information provided by this wizard is for educational purposes only. Always consult with a tax or legal professional to determine the correct information for your filing situation. BoomTax does not provide tax or legal advice.