How many employees do you need for ACA reporting?

Asked by: Martin Krajcik  |  Last update: August 10, 2025
Score: 4.6/5 (36 votes)

Learn more at HealthCare.gov. If you have 50 or more full-time employees, including full-time equivalent employees, you are an applicable full-time employer and need to issue statements to employees and file an annual information return reporting whether and what health insurance you offered employees.

Is ACA reporting required for small employers?

Reporting Requirements for Small Employers with Self-funded Plans. Small Employers sponsoring self-insured health plans must report on the Minimum Essential Coverage they provide for all covered individuals using forms 1094-B and 1095-B (Parts I, III and IV).

What is the minimum number of employees for ACA?

Small business owners with fewer than 50 full-time employees are not required to offer health care coverage to their employees. However, you should know that if a small business with fewer than 50 full-time employees does offer coverage, then that coverage must comply with the requirements of the ACA.

How do you calculate number of employees for ACA?

An employer determines its number of full-time-equivalent employees for a month in the two steps that follow:
  1. Combine the number of hours of service of all non-full-time employees for the month but do not include more than 120 hours of service per employee, and.
  2. Divide the total by 120.

How many employees do you have to have to file 1095 C?

Employers with 50 or more full-time employees (including full-time equivalent employees) in the previous year use Forms 1094-C and 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees.

ACA Reporting Requirements

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Are employers with less than 50 employees required to file Form 1095-B?

Any entities that offer Minimum Essential Coverage (MEC) to individual California residents must report the coverage information by filing Form 1095-B. The same federal form that the entity submits to the IRS can be provided to the FTB. The entities include: Small employers (Less than 50 employees)

Can two people use the same 1095-A?

Information about individuals enrolled in the same policy as the tax filer's tax family who are not members of that tax family, including children, must be reported on a separate Form 1095-A.

What is the 50 employee rule for ACA?

Learn more at HealthCare.gov. If you have 50 or more full-time employees, including full-time equivalent employees, you are an applicable full-time employer and need to issue statements to employees and file an annual information return reporting whether and what health insurance you offered employees.

How do you calculate number of employees required?

One concrete way to determine how many employees your business needs is to look at your revenue per employee. Revenue per employee is a ratio used to determine exactly how much money a single employee is bringing in for the company.

What is the FTE for ACA reporting?

The ACA defines one FTE as a block of 120 hours worked by part-time employees each month. This differs from what the ACA defines as a full-time employee, which is a person who works an average of 130 hours per month.

What are the ACA minimum requirements?

An employer-sponsored plan provides minimum value if it covers at least 60 percent of the total allowed cost of benefits that are expected to be incurred under the plan.

What are the ACA requirements for employers in 2024?

Employers must report employee insurance information with the California Franchise Tax Board (FTB) once per year. Information should be submitted to the state using federal Forms 1094-C, 1095-C, and 1095-B. Organizations must also distribute copies to employees.

What is the 9.5% rule for ACA?

The federal poverty line safe harbor generally treats coverage as affordable for a month if the employee required contribution for the month does not exceed 9.5 percent, adjusted annually, of the federal poverty line for a single individual for the applicable calendar year, divided by 12.

What is the minimum employee count for ACA?

Employer mandate overview

This is known as the employer mandate. It applies to employers with 50* or more full-time employees, and/or full-time equivalents (FTEs). Employees who work 30 or more hours per week are considered full-time.

How many employees do you need for ACA?

The Affordable Care Act's (“ACA”) Employer Mandate aims to increase health coverage among employees by presenting applicable large employers (“ALEs”) (i.e., those with 50 or more full-time or full-time equivalent employees on average during the prior year) with the choice to either “pay or play” under its rules—either ...

Who is exempt from ACA reporting?

Businesses with fewer than 50 workers are exempt from the employer mandate, but if they chose to offer health coverage it must meet certain ACA specifications.

How many employees are needed for 24/7 coverage?

Many people ask: how many employees do I need to cover a NOC 24/7? The absolute minimum staff for 24x7 NOC support is 10 to 12 people, and most NOCs need more. If your NOC currently consists of just 5 employees, they're not going to be able to provide the necessary coverage, and further hiring will be necessary.

How do I figure out how many employees I need?

Tips to Determine Your Staffing Needs
  1. Evaluate Current Workload.
  2. Forecast Future Needs.
  3. Analyze Key Performance Indicators (KPIs)
  4. Consider Seasonal and Cyclical Patterns.
  5. Conduct Skills Gap Analysis.
  6. Seek Employee Feedback.
  7. Leverage Technology and Automation.
  8. When to Consider Outsourcing or Hiring Temporary Staff.

What is a 5 2 5 3 schedule?

The 5 days on, 2 off, 5 nights on, 3 off schedule follows a unique pattern where employees work for five consecutive days, followed by a two-day break, then work for five consecutive nights before enjoying a three-day off period. This cycle repeats, providing a prolonged break after the night shifts.

Who is required to do ACA reporting?

Businesses Affected by ACA Reporting

In general, the reporting requirements apply if you're an employer with 50 or more full-time employees or equivalents, a self-insured employer, regardless of size, or a health insurance provider.

What is the 80 20 rule for ACA?

The 80/20 Rule generally requires insurance companies to spend at least 80% of the money they take in from premiums on health care costs and quality improvement activities. The other 20% can go to administrative, overhead, and marketing costs.

What is the ACA 30 hour rule?

If an employee is credited with an average of 30 hours per week or more during the Standard Measurement Period, the employee would be eligible for benefits for the upcoming plan year.

Does the IRS still require proof of health insurance?

Health care coverage documents

You are not required to send the IRS information forms or other proof of health care coverage when filing your tax return. However, it's a good idea to keep these records on hand. This documentation includes: Form 1095 information forms.

Who is required to file 1095?

Employers that offer health coverage through an employer-sponsored, self-insured health plan must complete federal Form 1095-C, Parts I, II, and III, for any employee who enrolls in the health coverage, whether or not the employee is a full-time employee for any month of the calendar year.