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ACA Update for Aggregate Groups; Form 1095-B

March 3, 2017

The Affordable Care Act (ACA) mandates that health insurance issuers submit reports annually to the Internal Revenue Service (IRS) and furnish statements to subscribers to document compliance with the shared responsibility provisions. For aggregate groups, the IRS requires reports and Form 1095-B to include the Employer Identification Number (EIN) of the business entity that is the actual employer of each subscriber.

New Functionality on Employer eServices® for Identified Aggregate Clients
Employer eServices is adding functionality to allow fully insured clients that submitted aggregate forms to UnitedHealthcare to select the associated subscriber EINs when entering employee eligibility data. 

Effective March 20, 2017, affected aggregate clients will be prompted to select the associated subscriber EINs when entering employee eligibility data. This functionality will be available for small business aggregate clients later in Q2 2017. No changes to Oxford or NICE employer portals will be made. 

For more information regarding the new data requirement, clients and brokers may access the Employer eServices Help content. 

A client that is not an aggregate group is not impacted by this enhancement as only identified aggregate clients will see the new functionality.

January 1, 2018 PDL Updates

The following updates will take effect for the OptumRx direct Prescription Drug Lists (PDLs) on January 1, 2018. Learn more

New Sales Automation Management Tool

Check out our new Sales Automation Management (SAM). Learn more

UnitedHealth Group News

Visit our newsroom for the latest about programs, reports and initiatives designed to help people live healthier lives.