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Family Member Check Usage Impacts Line 14 Code for ACA 1095-C - How Can We Find the Setup? (Doc ID 2649425.1)

Last updated on MAY 04, 2020

Applies to:

Oracle Advanced Benefits - Version 12.1.3 and later
Information in this document applies to any platform.

Goal

Question:

At what levels are the Family Member Check available?

As mentioned in the ACA Line 14 Code Determination (see this document for description)
     - The presence of the Check Designation Requirements (CDR) at certain levels
        will cause the Electable Choices for an event, and consequently, the ACA Line 14 code to be limited.

Example  - For a single Employee - who does not have any dependents on file
               - If the option designation requirements were set up with family tiers as follows:
                     Employee Only                - No Dependent Designation Requirements
                     Employee Plus Spouse    - Dependent Designation Requirements for Spouse/DP Only
                     Employee Plus Children   - Dependent Designation Requirements for Children (All types) Only
                     Employee Plus Family       - Dependent Designation Requirements for both Spouse/DP and Children (All Types)

               - Then If the Check Designation Requirements button (also called the Family Member Code) is set at any level,
                     Then the options available to the employee at enrollment will be limited to only those options where a
                     dependent is on file matching the designation requirements.

                - When the Beneifts ACA Archive Process is run - these employees will derive a code relative to the dependents present on the account.

                - So a single employee would see a 1B
                - Where an employee in the same group - same option, plan, program etc, but with a family - will see a 1A or a 1E

     Please Note: The Benefits ACA Archive Process can only respond to the data present on the system.
                          It cannot respond to the intent of a full family offer to all employees, if that is not what it sees in the electable choices for a life event.

 

Solution

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