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E1/WS: 08: JD Edwards EnterpriseOne and World Affordable Care Act (ACA) Benefits Administration Frequently Asked Questions (Doc ID 2205415.1)

Last updated on JANUARY 10, 2020

Applies to:

JD Edwards World Human Resources Management - Version A9.2 and later
JD Edwards EnterpriseOne Human Resources Management - Version 9.0 and later
Information in this document applies to any platform.

Purpose

 Frequently asked questions pertaining to the Affordable Care Act (ACA) - Benefits Administration

Questions and Answers

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In this Document
Purpose
Questions and Answers
 Benefits Administration
 Question 1: We use Benefits Administration, but we don’t keep track of dependents in the system. Do we need to set up dependents in the system to report them on the 1095-C Part III?
 Question 2: Is there any tie-in with the ESS open enrollment functionality?
 Question 3: What happens if we don’t have the dependents' SSN and only have the date of birth?
 Question 4: What should a company do if the Benefits Administration module is not used?
 Question 5: What features/functionality can you use if you are NOT using JDE payroll? We are using benefits administration and HR. We are on EnterpriseOne 9.0.
 Question 6: We currently do not use the benefits in E1. Am I understanding that we will be able to load information from our third party to generate the required information for ACA? If that is true what other information will we need to track besides benefits?
 Question 7: E1: Does the employer amount being reported need to also include if an employer is paying for GTL/AD&D for those who enroll in the Medical plan? This is not broken out but is part of the Medical cost already.
 Question 8: You mentioned the eligibility can be used for benefits also. How can or can this be used in the benefits enrollment with eligibility program also?
 Question 9: We're already using benefits to determine eligibility. Also, don't we need to enroll employees in a waived plan if they decline coverage?
 Question 10: Is there a report that can be used to audit information set up on Dependent/Beneficiary Entry P08901 to make sure all applicable/required information is populated? (Tax ID Number, Gender, Date of Birth)
 Question 11: For benefit administration, are the category codes a mandatory setup if the organization does not have any self-insured plans? (i.e. the example given was to identify self-insured plans)
 Question 12: How does this work if we change from a fully funded plan to a self funded plan in the middle of the calendar year?
 Question 13: Is Oracle making a change to Plan Master to allow both ‘requires dependent’ indicator on General tab and the ‘Nonparticipating Plan’ flag on the Self Service tab?
 Question 14: We use pay period begin dates as the effective date of coverage on the benefit enrollment screens, which may start prior to the first date of the month, e.g., employee and dependents are eligible May 1 for coverage, but the pay period begin date for deduction purposes is 4/28. What will the 1095C form build look at to determine the month of coverage? If it uses effective date of coverage, will it use April or May?
 Question 15: Is it possible to set up a 'dummy' DBA that has no effect on the employee check for medical benefits then attach the DBA into a plan ID (F08320) and finally enroll this plan ID to employees for the purpose of 1095-C?

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