Affordable Care Act - Year End Self Insured Individuals

Ad Hoc Reporting Guide

Version
R2025.2.1
ft:lastEdition
2025-12-01
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

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      

Custom Fields

Year

The Year custom field displays the ACA year. It uses the following expression:

REPLACE(CAST(BenACAYearEndFiling.Year AS NVARCHAR(4)),',','')

Dependent Name

The Dependent Name custom field displays the dependent's name. It uses the following expression:

EmployeeDependentBeneficiary.FirstName + ' ' +  EmployeeDependentBeneficiary.LastName

Is Covered Jan

The Is Covered Jan field indicates whether the individual is covered during the selected month. It uses the following expression:

CASE
    WHEN BenefitsACAYearEndEmployee1095CoveredIndividual.IsCovered1 = 0 THEN 'No'
    ELSE 'Yes'
END

Note: There are more custom fields like the Is Covered Jan field for each month of the year.

Filters

The template includes the following filters:

Filters available for the report.