Project Description
We Work With Customer Data in ANY Condition
From ANY Source
In our nearly 100 years of collective service and experience providing ACA compliance and ACA reporting solutions, we can say with almost certainty that we have seen it all. Our team will use that deep expertise to customize inputs into our ACA solutions software around the information you can most easily export from payroll, employee, and health benefits files. We spend the time on the front-end customizing a mapping scheme to your data, so that our monthly data process works for you month-in and month-out.
ACA Reporting- Monthly Cost and Risk Mitigation
Monthly ACA reports and visualizations give you the tools you need to proactively assess costs and risks while remaining compliant with the ACA. Reports can be customized to your specific needs, ensuring you can consistently plan for what’s most important.
Form 1095-C & Form 1094-C Delivery and Transmission
Key to complying with the Affordable Care Act employer mandate is the accurate and timely delivery of Form 1095-C to employees, and transmission of Form 1094-C and Form 1095-C to the IRS. Our proprietary Affordable Care Act compliance system cleans your employee data, then accurately populates it—assigning all the codes needed—so both forms are completed and shared successfully.
Outsourced IRS Notice Response
Our experts assist you in appealing ACA-related IRS notices such as Letter 226-J and Letter 5699, acting on your behalf to ensure you receive the most beneficial outcome. We keep you informed and up-to-date with all related documentation throughout the notice response process. Once it is concluded, we will also have the right foundational data in place to help keep you penalty-free in the future.
Monthly ACA Compliance Plans
| PRODUCT FEATURES | ACA CORE | ACA PLUS | ACA PREMIUM |
|---|---|---|---|
| Dedicated service team |  |
|
|
| Secure file transfer (data in and out) | |
|
|
| Paragon works with data in any format (to spec or out of spec) | |
|
|
| Preparation of 1095-C Forms, including Part II | |
|
|
| Electronic filing of 1094-C and 1095-C Forms with Internal Revenue Service | |
|
|
| PDF file of all 1095-C forms for all ACA Full Time employees (optional fulfillment services) | |
|
|
| Data validation for improper and/or “red flag” code combinations | |
|
|
| Form 1095-C corrections with IRS (SSN mismatches, name mismatches, etc.) | |
|
|
| Monthly reporting package, including Offer of Coverage Report, Health Care Eligibility Projection Report, Affordability Assessment Report, and six (6) other reports | |
|
|
| Additional monthly reporting package offering five (5) additional planning reports | |
||
| Monthly Executive Summary prepared by a dedicated ACA Specialist | |
Core
- Dedicated service team
- Secure file transfer (data in and out)
- Paragon works with data in any format (to spec or out of spec)
- Preparation of 1095-C Forms, including Part II
- Electronic filing of 1094-C and 1095-C Forms with Internal Revenue Service
- PDF file of all 1095-C forms for all ACA Full Time employees (optional fulfillment services)
Plus
Includes all of our Core features AND
- Data validation for improper and/or “red flag” code combinations
- Form 1095-C corrections with IRS (SSN mismatches, name mismatches, etc.)
- Monthly reporting package, including Offer of Coverage Report, Health Care Eligibility Projection Report, Affordability Assessment Report, and six (6) other reports
Premium
Includes all of our Plus features AND
- Additional monthly reporting package offering five (5) additional planning reports
- Monthly Executive Summary prepared by a dedicated ACA Specialist
Build a custom ACA solution for your business!
ACA PREMIUM
With our Premium plan, you provide your data from any source and we do the rest! It couldn’t be easier, freeing you up to complete your other important tasks. Above and beyond our other service levels, you will receive proactive support and compliance advice from a dedicated service team, as well as monthly compliance reports for Offer of Coverage, Eligibility, and Affordability.
- A monthly executive summary prepared by your ACA expert
- Insights and advice based on monthly ACA reporting, review, & analysis
- 1095-C preparation including populating Part II codes
- PDF file of 1095-C for all recipients
- Electronic filing of Forms 1094-C and 1095-C with the IRS
- 1095-C IRS corrections
ACA PLUS
The classic shared workload, our Plus plan relies on you to do a little bit of the work, and then we take over. Every month, you provide your payroll and employee files. Our dedicated service team then constructs your Health Plan tables based on the information you send us.
- 1095-C preparation including populating Part II codes
- PDF file of 1095-C for all recipients
- Electronic filing of Forms 1094-C and 1095-C with the IRS
- 1095-C IRS corrections
ACA CORE
Our Core plan is our entry level service offering, best suited for organizations with dedicated ACA experts or “standard” workforces. The main difference with this plan is that your data will not be validated – we use what you give us. With the data you provide, we complete Forms 1094-C and 1095-C.
- The ease of working with data from any source via a secure file transfer
- 1095-C preparation including populating Part II codes
- A PDF file of Forms 1095-C for all recipients
- Electronic filing of Forms 1094-C and 1095-C with the IRS
Yearly Affordable Care Act Compliance Plan
ACA BASIC
The ACA Basic plan relies on you to keep track of and verify your data throughout the year. When you provide your yearly data, we will do basic data validations for you, but it’s up to you to ensure things are correct. Then we get your forms ready for filing!
- Works with data from any source
- Secure file transfer
- PDF file of Forms 1095-C for all recipients
- Electronic filing of Forms 1094-C and 1095-C with the IRS
WHICH PLAN IS RIGHT FOR MY ORGANIZATION?
- ACA Premium is best for medium to large organizations or those with complicated workforces (e.g. shift-workers, full- and part-time workers, seasonal workers, and others) looking to hand over most of the work.
- ACA Plus is ideal for any size organization, but relies on your internal resources to split some of the work with us.
- ACA Core works best for smaller organizations, or those with a knowledgeable and dedicated ACA specialist.
- ACA Basic, our yearly service, is great if you’re looking for someone to “check your work” and file with the IRS on your behalf.
Related Posts
IRS ACA Compliance: Navigating IRS Changes to Become Efficient
Understanding IRS ACA compliance is crucial for organizations aiming to navigate reporting changes effectively. The term efficiency can be defined as the ability to achieve an end goal with little to no [...]
IRS 1095-C Reporting Requirements for ICHRAs
In our previous blog, we introduced the basics of an ICHRA (Individual Coverage Health Reimbursement Arrangement) plan and highlighted some of the unique advantages it offers to employers. In this post, we’re [...]
2025 Affordability Percentage Overview
It is September and the IRS has finally released the affordability threshold percentage for the filing year 2025. As you know, fall is open enrollment season, and it is generally when employees [...]
Get ACA Compliance-Ready for 2024: 1095-C Form Draft is Published
Last month, the IRS released the draft 1095-C Form, giving businesses focused on ACA Compliance the opportunity to prepare for the 2024 ACA filing season. Electronic Filing Requirement for ACA Compliance [...]
Demystifying ICHRA: What You Need to Know
The term ICHRA stands for Individual Coverage Health Reimbursement Arrangement. It's a type of health reimbursement arrangement (HRA) introduced by the U.S. government to provide employees with more flexibility in how they [...]
COBRA as an Offer of Coverage: What You Need to Know
It is the 2nd quarter of 2024, we just completed 2023 ACA filings (including all the State Filings*), and one of the questions I have asked our clients over and over during [...]