{"id":2370,"date":"2016-02-23T12:48:11","date_gmt":"2016-02-23T18:48:11","guid":{"rendered":"https:\/\/www.wisconsin.edu\/ohrwd\/?page_id=2370"},"modified":"2026-03-12T18:09:52","modified_gmt":"2026-03-12T23:09:52","slug":"aca-admin","status":"publish","type":"page","link":"https:\/\/www.wisconsin.edu\/ohrwd\/aca-admin\/","title":{"rendered":"Affordable Care Act (ACA) for Administrators"},"content":{"rendered":"\n\t\t\t\t\t<div id=\"cfct-build-2370\" class=\"cfct-build grid\">\n\t\t\t\t\t\t<div class=\"row\"><div class=\"col-md-3 cfct-block\">\n\t\t\t<div class=\"cfct-module cfct-supplemental\">\n\t\t\t\t    <div class=\"cfct-mod-content\">\n<h3 class=\"cfct-mod-title\" id=\"title-cfct-module-c5a708edcfb738b9af9bbcca0c101541\"\">Administrator Resources<\/h3>    <nav class=\"widget widget_meta\" aria-labelledby=\"title-cfct-module-c5a708edcfb738b9af9bbcca0c101541\">\n\n        <div class=\"menu-cfct-module-c5a708edcfb738b9af9bbcca0c101541-container\"><ul id = \"menu-administrator-resources\" class = \"menu nav\"><li id=\"menu-item-1128\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-1128\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/aca-admin\">Affordable Care Act (ACA)<\/a><\/li>\n<li id=\"menu-item-1119\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1119\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/admin\/benefits\/\">Benefits Administration<\/a><\/li>\n<li id=\"menu-item-1127\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1127\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/admin\/benefit-prepay-deductions\/\">Benefits Prepay Resources<\/a><\/li>\n<li id=\"menu-item-1125\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-1125\"><a href=\"https:\/\/www.wisconsin.edu\/compensation-administration-tool\/\">Compensation Administration Tool<\/a><\/li>\n<li id=\"menu-item-1115\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-1115\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/hr\/emplcat\/\">Employee Categories<\/a><\/li>\n<li id=\"menu-item-3481\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-3481\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/home\/flsa\/\">FLSA<\/a><\/li>\n<li id=\"menu-item-3467\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-3467\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/admin\/general-resources\/\">General Resources<\/a><\/li>\n<li id=\"menu-item-2388\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-2388\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/home\/summer-conference\/\">HR Conference<\/a><\/li>\n<li id=\"menu-item-3313\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3313\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/admin\/institution-hr-administrator-calls\/\">Institution HR Administrator Calls<\/a><\/li>\n<li id=\"menu-item-3514\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3514\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/admin\/leave-administration\/\">Leave Administration<\/a><\/li>\n<li id=\"menu-item-1121\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-1121\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/hr\/perf\/\">Performance Management<\/a><\/li>\n<li id=\"menu-item-1417\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1417\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/admin\/personnel-file-and-reference-check-resources\/\">Personnel File and Reference Check Resources<\/a><\/li>\n<li id=\"menu-item-1166\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1166\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/admin\/travelwise-for-onboarding\/\">TravelWIse for Onboarding<\/a><\/li>\n<li id=\"menu-item-2450\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-2450\"><a href=\"https:\/\/www.wisconsin.edu\/shared-services\/voe-employee\/\">Verification of Employment<\/a><\/li>\n<li id=\"menu-item-3095\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3095\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/admin\/well-beingresources\/\">Well-Being Resources<\/a><\/li>\n<li id=\"menu-item-1122\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-1122\"><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/hr\/workplsafety\/\">Workplace Safety<\/a><\/li>\n<\/ul><\/div>    <\/nav>\n<\/div>\n\n\t\t\t<\/div><\/div><div class=\"col-md-9 cfct-block\">\n\t\t\t<div class=\"cfct-module uwsa-rich-text\">\n\t\t\t\t<div class=\"cfct-mod-content copy\"><div id=\"toc\" class=\"uwsa-toc callout hidden-print\"><\/div><style>@media (min-width: 768px) {#toc { max-width: 40%} <\/style><script>jQuery(document).ready(function() {\n \t\t\t\t\tgenerateTOC(\"Affordable Care Act\", \"\", \"div.entry-content\" ,1 ,\"true\", \"toc\");\n \t\t\t\t\t });<\/script>\n<h2>Overview<\/h2>\n<p>The Patient Protection and Affordable Care Act (PPACA), referred to as the <strong>Affordable Care Act (ACA)<\/strong>, is the health care reform legislation\u00a0signed into law by President Obama in March 2010. Many of the key provisions of the law were designed to extend health insurance coverage to the uninsured, improve the quality and affordability of health insurance and reduce health care costs. Some provisions of the law include:<\/p>\n<ul>\n<li><strong>Health Insurance Requirement:<\/strong><br \/>\nThe Individual Shared Responsibility provision of the law (Individual Mandate) requires individuals to obtain qualified health insurance or pay a penalty (reduced to $0 effective January 1, 2019). The Employer Shared Responsibility provision of the law (Employer Mandate) requires large employers to offer health insurance coverage that meets minimum standards to all full time employees or incur a penalty.<\/li>\n<li><strong>Health Insurance Marketplace:<\/strong><br \/>\nAlso known as the \u201cExchange.\u201d This is a \u201cone-stop shop\u201d designed to help people find and compare health insurance costs and coverage. Premium subsidies in the form of a tax credit are available to qualifying individuals.<\/li>\n<li><strong>Health Insurance Reporting:<br \/>\n<\/strong>In order for the IRS to determine whether individuals or employers are subject to penalties under the individual and employer mandates, tax reporting requirements were put into place. Large employers, such as the Universities of Wisconsin, are required to file Form 1095-C with the IRS to report information about the health coverage offered to their employees during the previous calendar year. Employers are also required to provide a copy of the Form 1095-C to each corresponding employee. If an employee participated in coverage through a fully-insured health plan, then a Form 1095-B is filed with the IRS by the insurance carrier and a copy provided to the employee. Finally, individuals who received coverage through the Marketplace will receive a Form 1095-A (Health Insurance Marketplace statement) from the Marketplace.<\/li>\n<li><strong>Other provisions of the ACA:<\/strong><br \/>\nThe ACA is a complex law with many different components. Below are a few of the other provisions:<\/p>\n<ul>\n<li>Elimination of pre-existing condition limitations<\/li>\n<li>Increase in adult dependent eligibility to age 26<\/li>\n<li>Elimination of life-time dollar limits and annual dollar limits on essential health benefits<\/li>\n<li>Limits on waiting periods<\/li>\n<li>W-2 reporting of health coverage costs<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>Health Insurance Marketplace<\/h2>\n<p>The Health Insurance Marketplace (also known as the Exchange) is an option for individuals to obtain private health insurance. The Universities of Wisconsin is required to provide all employees with a <a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/download\/aca(3)\/notice.pdf\" target=\"_blank\" rel=\"noopener\">Marketplace Notice<\/a> and cover letter within 14 days of hire. In addition to information about the Health Insurance Marketplace, the Notice includes required information about the health insurance coverage available through their employment at the Universities of Wisconsin. A Spanish version of the Notice is also available (<a href=\"https:\/\/www.dol.gov\/agencies\/ebsa\/laws-and-regulations\/laws\/affordable-care-act\/for-employers-and-advisers\" target=\"_blank\" rel=\"noopener\">en espa\u00f1ol<\/a>). Employees may request a paper copy of the Notice, free of charge, from their <a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/hr\/contact\/\" target=\"_blank\" rel=\"noopener\">human resources office<\/a>.<\/p>\n<h4>Cover Letter (word version)<\/h4>\n<ul>\n<li><span class=\"doc-icon\"><a class=\"doc-type docx\" href=\"https:\/\/www.wisconsin.edu\/ohrwd\/download\/Marketplace-cover-letter-paper.docx\" target=\"_blank\">Marketplace Paper Cover Letter<span class=\"sr-only\"> docx<\/span><\/a><\/span>\r\n<\/li>\n<li><span class=\"doc-icon\"><a class=\"doc-type docx\" href=\"https:\/\/www.wisconsin.edu\/ohrwd\/download\/Marketplace-cover-letter-email.docx\" target=\"_blank\">Marketplace E-mail Cover Letter<span class=\"sr-only\"> docx<\/span><\/a><\/span>\r\n<\/li>\n<\/ul>\n<p><em>Employees covered by the State Group Health Insurance program through their Universities of Wisconsin employment have limitations on when they can cancel their coverage outside of the benefits enrollment period. Employees should reach out to their <a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/benefits\/contact\/\" target=\"_blank\" rel=\"noopener\">benefits contact<\/a> before enrolling in other health insurance to confirm that they can cancel their State Group Health Insurance coverage. Since most Universities of Wisconsin employees are offered affordable health insurance through their employment with the Universities of Wisconsin, they do not need to enroll through the Marketplace.<\/em><\/p>\n<h2>Policies<\/h2>\n<ul>\n<li><a href=\"https:\/\/www.wisconsin.edu\/uw-policies\/uw-system-administrative-policies\/health-insurance-marketplace-notice-distribution\/\" target=\"_blank\" rel=\"noopener\">UW System Administrative Policy 1260 (formerly HR 12) Health Insurance Marketplace Notice Distribution<\/a><\/li>\n<li><a href=\"https:\/\/www.wisconsin.edu\/uw-policies\/uw-system-administrative-policies\/student-employment\/\" target=\"_blank\" rel=\"noopener\">UW System Administrative Policy 1237 (formerly GEN 20) Student Employment<\/a><\/li>\n<\/ul>\n<h2>Resources<\/h2>\n<ul>\n<li><span class=\"doc-icon\"><a class=\"doc-type pdf\" href=\"https:\/\/www.wisconsin.edu\/ohrwd\/download\/ACA-Procedures.pdf\" target=\"_blank\">ACA Procedural Guidance<span class=\"sr-only\"> pdf<\/span><\/a><\/span>\r\n<\/li>\n<li><span class=\"doc-icon\"><a class=\"doc-type pdf\" href=\"https:\/\/www.wisconsin.edu\/ohrwd\/download\/flsa-aca-status-comparison.pdf\" target=\"_blank\">FLSA\/ACA Status Comparison<span class=\"sr-only\"> pdf<\/span><\/a><\/span>\r\n<\/li>\n<li><span class=\"doc-icon\"><a class=\"doc-type pdf\" href=\"https:\/\/www.wisconsin.edu\/ohrwd\/download\/Form-1095-C-Support-Model.pdf\" target=\"_blank\">Form 1095-C-Support-Model<span class=\"sr-only\"> pdf<\/span><\/a><\/span>\r\n<\/li>\n<li><span class=\"doc-icon\"><a class=\"doc-type xlsx\" href=\"https:\/\/www.wisconsin.edu\/ohrwd\/download\/Hours-Worked-Per-Month-Illustration.xlsx\" target=\"_blank\">Hours Worked Per Month Illustration<span class=\"sr-only\"> xlsx<\/span><\/a><\/span>\r\n<\/li>\n<li><span class=\"doc-icon\"><a class=\"doc-type pdf\" href=\"https:\/\/www.wisconsin.edu\/ohrwd\/download\/ACA-Measurement-Period-Timeline-Example(2).pdf\" target=\"_blank\">Measurement &amp; Stability Period Illustration<span class=\"sr-only\"> pdf<\/span><\/a><\/span>\r\n<\/li>\n<li><span class=\"doc-icon\"><a class=\"doc-type pdf\" href=\"https:\/\/www.wisconsin.edu\/ohrwd\/download\/aca(3)\/student-help-acknowledgement.pdf\" target=\"_blank\">Student Help Acknowledgement<span class=\"sr-only\"> pdf<\/span><\/a><\/span>\r\n<\/li>\n<li><span class=\"doc-icon\"><a class=\"doc-type xlsx\" href=\"https:\/\/www.wisconsin.edu\/ohrwd\/download\/ACA-Timesheet.xlsx\" target=\"_blank\">Timesheets<span class=\"sr-only\"> xlsx<\/span><\/a><\/span>\r\n<\/li>\n<\/ul>\n<h2>Frequently Asked Questions<\/h2>\n<ul>\n<li><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/aca\/faq-admin\/\" target=\"_blank\" rel=\"noopener\">ACA Administrator FAQs<\/a><\/li>\n<li><a href=\"https:\/\/www.wisconsin.edu\/ohrwd\/aca\/\" target=\"_blank\" rel=\"noopener\">ACA for Employees and FAQs<\/a><\/li>\n<\/ul>\n<h2>Additional Information<\/h2>\n<ul>\n<li><a href=\"https:\/\/www.healthcare.gov\/\" target=\"_blank\" rel=\"noopener\">HealthCare.gov<\/a> | (800) 318-2596<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><em>Disclaimer: The information provided is intended to be a general summary. It is not intended to provide legal or professional advice, or take the place of either the written law or regulations.<\/em><\/p>\n<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"cfct-module cfct-lastupdate\">\n\t\t\t\t<div class=\"listing-module\"><p><span class=\"item-date\">Updated: 03\/12\/2026<\/span><\/p><\/div>\n\t\t\t<\/div><\/div><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1612,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2370","page","type-page","status-publish","hentry","cfct-can-haz-build"],"_links":{"self":[{"href":"https:\/\/www.wisconsin.edu\/ohrwd\/wp-json\/wp\/v2\/pages\/2370","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wisconsin.edu\/ohrwd\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.wisconsin.edu\/ohrwd\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.wisconsin.edu\/ohrwd\/wp-json\/wp\/v2\/users\/1612"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wisconsin.edu\/ohrwd\/wp-json\/wp\/v2\/comments?post=2370"}],"version-history":[{"count":3,"href":"https:\/\/www.wisconsin.edu\/ohrwd\/wp-json\/wp\/v2\/pages\/2370\/revisions"}],"predecessor-version":[{"id":36876,"href":"https:\/\/www.wisconsin.edu\/ohrwd\/wp-json\/wp\/v2\/pages\/2370\/revisions\/36876"}],"wp:attachment":[{"href":"https:\/\/www.wisconsin.edu\/ohrwd\/wp-json\/wp\/v2\/media?parent=2370"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}