FAQs

Are we subject to any of the state individual mandate reporting (aka MEC reporting) requirements?

 

Largely in response to Congress reducing the federal ACA individual mandate penalty to $0 (effective since 2019), several states have passed their own individual mandates. Similar to the ACA’s federal mandate reporting requirements, each state’s individual mandate, as applicable, generally requires employers to submit employee coverage reports and distribute statements to covered employees. Meaning, employers with employees located in the states with an individual mandate may have to comply with state individual mandate reporting requirements in addition to complying with federal reporting requirements.

  State Filing Due Date Responsible Reporting Entity
Fully insured ERs Self-insured ERs
CA 3/31/23 (No penalty if filed on or before 5/31/23) No Yes
DC 4/30/23 ALE: Yes, Non-ALEs: No Yes
MA 1/31/23 No, if insurer submits forms on behalf of ER Yes
NJ 3/31/23 No, if insurer submits forms on behalf of ER Yes
RI 3/31/23 No, if insurer submits forms on behalf of ER Yes
VT N/A N/A N/A

 

PPI Benefit Solutions does not provide legal or tax advice. Compliance, regulatory and related content is for general informational purposes and is not guaranteed to be accurate or complete. You should consult an attorney or tax professional regarding the application or potential implications of laws, regulations or policies to your specific circumstances.

Never miss an issue

Sign up to have it delivered straight to your inbox.

Sign up