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Meeting Date:
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12/14/2022 - 6:00 PM
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Category:
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Consent Agenda
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Type:
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Action
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Subject:
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15.16 Review and Potential Approval of the Agreement with Benefitfocus.com for Professional Services Regarding Compliance with the Affordable Care Act (ACA)
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LCAP (Local Control Accountability Plan) Goal:
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Enclosure
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Benefitfocus Client Services Agreement
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File Attachment:
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Summary:
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Professional Services to support the IT and HR/Benefits Departments regarding required compliance with the Affordable Care Act (ACA).
Services will include:
A determination of the correct "look-back" period for the client, and generation of monthly Measurement Period Reports. These reports include a collection of new hire, mid-measurement period, and final measurement period report.
Preparation and transmission to IRS for 1095-C and 1094-C reporting:
1. Generate the data to populate 1094-C and 1095-C forms for employees, retirees, or COBRA recipients over the tax year in question. Electronic and secure transmission of 1094-C and 1095-C to the IRS.
Calculation of potential penalty risk from ineligible employees receiving subsidies at public exchanges.
2. On a monthly basis the ACA Client Services Manager provides an outlook on the potential penalty risk for offering unaffordable coverage.
Services will also include:
a. Education on ACA core topics: IRS requirements through 1095-C and 1094-C regulations, variable hour tracking, affordability requirements, data exception reporting, managing changes ongoing, and utilizing Benefitfocus' ACA services.
b. Monthly report review webinar to discuss latest reports and findings, ensure accuracy and understanding, and advise on how to address long-term challenges or policy changes required.
c. Data Quality Reports:
i. Data anomaly analysis to ensure data is cleaned and monitored
d. Measurement Period Reports:
i. Accessibility of benefits for eligible employees
ii. Monthly tracking for offering or terminating benefits coverage
e. Organizational View:
i. Forecasting for resource trends and needs
ii. Maintaining 95% MEC offer
iii. Health exchange verification management
iv. IRS audit protection
v. IRS 6055 and 6056 reporting preparation and submittal
f. Affordability Reports:
i. Calculated affordability for benefits-eligible employee
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Funding:
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General Fund
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Fiscal Impact
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$32,000
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Recommendation:
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Move to approve the agreement with Benefitfocus.com for Professional Services Regarding Compliance with the Affordable Care Act (ACA).
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Approvals:
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Recommended By:
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Signed By:
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Emily Lopez - Senior Human Resources Specialist
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Signed By:
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Dr. John Rubio - Chief Human Resources
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Signed By:
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Cesar Alvarado - General Counsel
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Signed By:
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Dr. Adam Clark - Superintendent
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Vote Results:
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| Original Motion | | Member Linda Mayo Moved, Member Debra Mason seconded to approve the Original motion 'Move to approve the agreement with Benefitfocus.com for Professional Services Regarding Compliance with the Affordable Care Act (ACA).'. Upon a Roll-Call Vote being taken, the vote was: Aye: 5 Nay: 0. | | The motion Carried 5 - 0 | | | | | Linda Mayo | Yes | | Debra Mason | Yes | | Cherise Khaund | Yes | | Keisha Nzewi | Yes | | Erin McFerrin | Yes | |
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