Affordable Care Act - Year End Self Insured Individuals

Ad Hoc Reporting Guide

Version
R2026.1.0
ft:lastEdition
2026-03-09
Affordable Care Act - Year End Self Insured Individuals

The Affordable Care Act - Year End Self Insured Individuals report uses the Affordable Care Act - Year End topic to display Affordable Care Act year-end details for employees and covered individuals from the 1095-C Forms.

Fields included in the report template
Field Name Group by Sort Order Totals
Employee Number   A to Z  
Employee Name   Ascending  
Year      
Employee Social Security Number      
Employee Birth Date      
Dependent Name      
Relationship Type      
Dependent Social Security Number      
Dependent Birth Date      
Is Covered Jan-Is covered Dec