2018 Employer Healthcare Agenda

DMEC Staff@Work

Pressing On Despite a Weakened ACA

2018 Employer Healthcare AgendaDespite challenges, the Affordable Care Act (ACA) remains in place with many provisions that will continue to directly affect employer group health plans.

The repeal-and-replace effort came up short in Congress in 2017. While this effort may be restarted by the Trump administration’s recent actions, this complex scenario will take time to play out.

The basic course of the ACA is set for 2018. Some analysts are saying that the flurry of administration activity on Oct. 12, 2017 will have its primary impact on healthcare in 2019, but that there may still be an impact on the ACA in 2018.

In 2018, understanding the current ACA environment for employers remains important, including compliance issues, making cost-efficient high-deductible health plans more attractive to employees, and concerns about the stability of ACA state health exchanges.

Employer Shared Responsibility


At the top of the list of ACA compliance issues is the employer shared responsibility reporting. “Applicable large employers” (ALEs) with 50 or more employees must provide an individual plan year 2017 Form 1095-C to each covered employee by Jan. 31, 2018. ALEs that file 250 or more 1095-C employee reports must electronically transmit their group 1095-C to the IRS by Mar. 31, 2018. ALEs with self-insured health plans must file a 1094-C report to verify they met “affordability” requirements for minimum essential coverage, or make an employer shared responsibility payment to the IRS.

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