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51+: Health Net MEC Reporting Requirements

Mar 16, 2015

All Western Region Brokers: ACA: Minimum Essential Coverage (MEC) Reporting Requirements for Insurers and Health Plans (ACA Section 6055)

Under Section 6055 of the ACA, entities that provide minimum essential coverage, including health plans, insurance carriers and self-insured groups, must


MEC reporting begins in 2016 for the 2015 tax year. Beginning in 2016, Health Net must issue statements to responsible individuals by January 31 of each year and report data to the IRS by February 28 of each year (March 31 of each year if filing information electronically).

Health Plans may either send a “1095-B form” (a link to the form is provided below) or issue a substitute statement with all of the required information.

Individuals will be required to report their coverage on their Federal Income Tax form and use the completed statements to show that they have maintained minimum essential coverage throughout the year for themselves and their dependents. Individuals who don’t maintain minimum essential coverage may be subject to a tax penalty under the ACA’s Individual mandate.

What Health Net is Doing

Please encourage your clients and their employees of the importance of having subscribers provide TINs/SSNs for themselves and their family members.

Additional Information – IRS Forms

Below is a document containing links to the IRS reporting and individual statement information for your reference (IRS to finalize forms and instructions).

​http://www.irs.gov/file_source/pub/irs-pdf/f1095b.pdf

For questions, please ​contact a member of your b&p Sales Team - 888.722.3373.

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