Background
The Affordable Care Act mandates that health insurance issuers submit reports annually to the Internal Revenue Service (IRS) and furnish statements to subscribers to document compliance with the shared responsibility provisions. On behalf of fully insured customers, UnitedHealthcare is required to furnish Form 1095-B to responsible individuals that we insure and submit reports to the IRS that verify the accuracy of that information.
For aggregate groups, the IRS requires reports and Form 1095-B to include the employer name and Employer Identification Number (EIN) of the business entity that is the actual employer of each subscriber as shown on employees’ W-2 Forms. Due to this requirement, the employer EIN and associated employer names for aggregate groups (i.e. controlled groups, associations, Multiple Employer Welfare Arrangement) are required to be submitted and maintained to enable UnitedHealthcare to produce accurate 1095-B forms.
Aggregate Group Information Submission Process
For new employer groups with effective dates of May 1, 2017 and after, if the employer identifies as an aggregate group, the group will complete and send the Aggregate Group Form included in the Welcome Letter email to prime_nb_Specialists@uhc.com for processing.
Once the initial form is processed, the employer group completes an Aggregate Group Eligibility Template to submit associated subscriber EINs and return that template to prime_sb_eligibility@uhc.com for processing.
Changes in Group Status During the Year
If updates to EIN/company names are submitted by the employer retroactively or off-renewal, the customer must submit the required changes on the Aggregate Group Form detailing the effective date of the change. Changes to EINs should be captured as they occur to align associated subscriber data with accurate coverage dates and EIN.
For more information please contact your UnitedHealthcare representative.