Question: If the Plan Year starts at some point during the middle of Calendar Year, and Health Benefit records are entered during a period of open enrollment, will records entered that waived coverage apply retroactively to the prior months on the 1095-C reports?
Answer: If your Medical Plan Setup in HRM accurately reflects which month the Plan Year Starts and Ends, then any Health Benefit records which decline coverage will apply from the first month the employee worked full time through the end of the current Plan Year. If the employee also worked full time for one or months during the previous Plan Year, then a separate decline record dated January 1 would need to be entered on the employee’s Health Benefits tab in order for the 1095-C compiling to apply the correct Line 16 decline code to the previous Plan Year months. Every time you hold an open enrollment for the next Plan Year, a new Active Health Benefit record needs to be created.