Re: Affordable Care Act (ACA)

Hello everyone,

I don't know if this situation applies to any of you but we have utilized the 98% method in our filings, so 1095-C line 15 is applicable.  As you can't leave it blank, the 0.00 is what the IRS rules (And schema documentation) call for.  What we have found is:

When all amounts are 0.00 (in structure MONTHLYSHAREOFLOWESTCOSTMONTH) for MonthlyShareOfLowestCostMonthlyPremGrp, this segment will not be showed

1. Amount 0.00 is populated in structure MONTHLYSHAREOFLOWESTCOSTMONTH and passed as input to final XML transformation

2. XML transformation HRBENUS_ACA_1094_1095_C is called to generate final XML file. It has a condition as the following screen, which will only add MonthlyShareOfLowestCostMonthlyPremGrp segment when structure MONTHLYSHAREOFLOWESTCOSTMONTH is not with initial values (all amounts are blank).

This XML transformation has logic to display amount according to coverage code, so if any of the amounts is not 0.00, the MonthlyShareOfLowestCostMonthlyPremGrp will be displayed properly.  See below:

We used debugged mode to simulate the case that one of the amounts is not 0.00, and the MonthlyShareOfLowestCostMonthlyPremGrp is showed as expected

We are going to enter an OSS today for this issue, and I will post back any response for other folks who may have seen this issue.

Our thanks to everyone who has posted their issues and solutions.  You have all helped us a great deal in getting as far as we have.

Sincerely,

Ron Adkins