Employee Contribution Amounts, Safe Harbor Codes And Covered Individual Information Missing on Affordable Care Act (ACA) 1095-C Forms (Doc ID 3078097.1)

Last updated on MARCH 21, 2025

Applies to:

Symptoms

When printing the Form 1095-C, the employee contribution amounts (Line 15), Safe Harbor Codes (line 16) and Covered Individuals (Part III) are blank.

Steps to reproduce the issue:

     1. Run the ACA Data Extract (Navigation: Benefits > ACA Annual Processing > Create ACA Form Data > ACA Data Extract).
     2. Add data to be merged from outside third-party for Offer of Coverage (line 14) (Navigation: Benefits > ACA Annual Processing > Create ACA Form Data > Review Employee Data Load).
     3. Run the ACA Data Merge (Navigation: Benefits > ACA Annual Processing > Create ACA Form Data > Merge Other Data Sources).
     4. Run the ACA Data Extract again using Extract Option Finalize for Transmittal (Navigation: Benefits > ACA Annual Processing > Create ACA Form Data > ACA Data Extract).
     5. Run the Create ACA XML Files process (Navigation: Benefits > ACA Annual Processing > Transmittal and Forms > Create ACA XML Files).
     6. Check the completed forms to see that Lines 15 and 16 and Part III are blank.

Changes

Cause

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