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ARC Form Fields Guide

Mike E.
  • Updated

The ARC Form itself has help available for every field right on the form. For reference here is each field and the corresponding help text.

 

Employer or Entity Type

Sole Proprietor
A sole proprietor is person who owns an unincorporated business by themselves and reports business activity on their Form 1040 Schedule C. Sole proprietors are not subject to the Employee Retirement Security Act of 1974 (ERISA).
 
Government Entity
An employer benefit plan sponsored directly by a state or local government (e.g., city, county, township or school district) is not subject to the Employee Retirement Security Act of 1974 (ERISA).
 
Church
An employer benefit plan established or maintained by a church or by a convention or association of churches (includes plans sponsored by tax-exempt, church affiliated organizations (e.g., schools and hospitals) is not subject to the Employee Retirement Security Act of 1974 (ERISA).

 

Total Employees

Total Eligible Employees

The number of eligible employees on your company’s most recent wage and tax statement. An eligible employee is an employee of the Plan Sponsor who is regularly scheduled to work a minimum number of hours per week (typically 25 or 30). If you do not have a wage and tax statement, the following forms may be used: Form 1040 with Schedule C or F, Form 1065 or Schedule K1, or Form 941.
 
Refer to your SPD for specific eligibility requirements.
 

Enrolled Employees

The number of employees enrolled in the medical plan.

 

Employees with Qualified Waivers

The number of employees with qualified waivers, such as being enrolled in spousal coverage or Medicare.

 

Continuants

The number of employees enrolled in COBRA or State Continuation.

 

Net Eligible Employees

The total number of eligible employees, less any qualified waivers, plus any continuants. (This field is calculated automatically)

 

Participation and Status

Participation Rate

The number of enrolled employees divided by the number of net eligible employees. (This field is calculated automatically)

  

Continuation Status

If the number of full-time equivalent employees in the past calendar year is 20 or more, your company is subject to COBRA; otherwise State Continuation rules apply. (This field is calculated automatically)

  

Medicare Status 

The MEWA is Medicare Secondary unless the employer has fewer than 20 employees and has been granted the Small Employer Exception by the CMS.

 

Contribution Rate

Employer Contribution Percentage

This is the percentage of premium paid by the employer. 

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