Fair Share Contribution information regarding filing audits, costs and terms

The Fair Share Contribution. Filing, Audits, Costs,Terms, Comments.
 
The on line filing. requires you to have the following information ready. Total hours worked at your company.  Remember to count salary hours as 500 per quarter. You can deduct employee hours when the employee  worked less than 150 hours in that quarter (providing the employee hours in the prior 3 quarters would not total more than 150) You can also deduct the hours for any employee that worked over 500.
 
You will need to know the number of full time employees, the number that are on your health plan.  You will need to have your health insurance group account number. Then you are ready to file. Sounds easy.
 
Now lets go over what will happen when an audit takes place. I have been involved in over 50 of them, both  simple paper audits an in house audits. 1st if you get a letter that state you have been selected for a random audit, there was nothing random about it. Your filing was picked out for a reason.You should not go into an audit alone.

For your total hour count, the auditor will want to see your WR1's, your payroll records, and weekly break downs of each employees hours.
 
Now lets go over what the DUA considers a full time employee. A full time employee is any employee that "works a majority of the employees time" in a quarter. Forget all about the a Temporary Employee rule. The DUA considers any employee that works for a Staffing Company as an employee of that company. So if you have an employee that works  in a quarter 13 weeks 30hrs 35hrs 22hrs 40hrs 40hrs 20hrs 45hrs 45hrs 25hrs 10hrs 45hs 5hrs 35hrs. That employee is considered full time. Of the 13 weeks that employee worked a majority of his/her time full time hours.
 
So you will need to have made an offer of insurance to that employee, and that employee will count as a full time employee in your % of Full Time Employees in your number.
 
The Auditor will ask for your insurance "terms and conditions sheet from you insurance carrier" that is a made up term from the connector. All you have is your insurance contract.
 
They will want to see your work sheets, that you used to file. If your payroll company prepared your filing get it from them. They will not be happy. They normally don't follow State guidelines.
 
Have your HIRD forms for each employee that the State deems full time, if you don't have a HIRD form have your insurance companies waiver of coverage sheet.
 
Be prepared to fail the audit, you will only have 10 days to file an appeal. Make sure you have "good cause" to appeal.  Find help in getting your records DUA ready. Your appeal will not be heard for a long time. You will 12% interest charges
during that time.
 

Any questions please call:

Bill Fields
healthplansolutions@comcast.net
774 722 3388