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Overview

Three key areas of ACA compliance advisers should focus on include 1) compensable time; 2) worker classification; and 3) job description. Unless fixed, these areas can all but eliminate a client’s hope of being compliant with the ACA, Karen Kirkpatrick, owner of On Your Mark Consulting, said recently at the NAHU annual convention in New Orleans.

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Common law vs. 1099 employees

Compensable time can determine applicable large employer status, Kirkpatrick said, and it’s crucial to correctly define workers as common law employees or independent contractors. The employer mandate protects common law employees but doesn’t protect 1099 employees, she said.

To view the IRS 20-step test to determine employment status, click here

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Donning and doffing

When applicable, advisers need to make sure their employer clients are including the time employees use for putting on and taking off protective gear when counting their total hours worked. That time could put a part-time employee over the ACA’s full-time threshold of 30 hours a week or 130 hours a month, Kirkpatrick said.

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Waiting period

Last year, the 90-day waiting period went into effect, meaning group health plans must offer coverage to any eligible employee within 90 days.

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Be careful

Compliance can be tricky, Kirkpatrick said. A client can be in compliance with the waiting period rule and not comply with the employer mandate, she said. “Not all parts of the ACA play well together.”

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Know the ACA definitions

Advisers need to watch out for discrepancies between the worker classifications given by the employer and ACA definitions. An employee’s classification might say they are part-time, however, if they work 30-hours a week, they are considered full-time under the ACA. “There are definitions, then there are ACA definitions,” Kirkpatrick said.

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