ACA Forms › Understanding New Jersey Health Insurance Mandate
At a Glance
New Jersey requires employers and coverage providers to report health insurance information to the state, even if they are located outside New Jersey. Acceptable forms include NJ-1095, Form 1095-A, 1095-B, or fully completed 1095-C (with Part III). Electronic filing is required using IRS XML format or pipe delimited text. Requirements vary based on company size and whether coverage is fully insured or self insured.
What is the New Jersey Health Insurance Mandate?
The state of New Jersey (NJ) mandates that all employers, insurers and other coverage providers report health insurance information. This mandate applies to both in-state and out-of-state coverage providers if they have NJ residents covered under the offered plan.
What forms must be filed with New Jersey?
The state accepts the following forms:
- NJ-1095 forms,
- Fully completed Federal Form 1095-A,
- 1095-B and 1095-C forms, and/or
- 1095-C forms with Parts I and III completed.
Please note: 1095-C forms with only Part I and II completed will NOT meet any NJ filing requirements. These should only be included in a filing with other forms that do meet the NJ filing requirements.
Who must submit ACA data to the state of NJ?
Filing requirements vary depending on the size of the company and whether they offer fully-insured, self-insured, or a participant in a multiemployer plan.
As a reminder:
- Applicable Large Employers (ALEs) are employers with 50 or more full-time and full-time equivalent employees during the prior calendar year.
- Non-ALEs are employers with fewer than 50 full-time and full-time equivalent employees during the prior calendar year.
Fully Insured
- Single-Company, ALEs & Non-ALEs - Typically, the health coverage provider (insurer) completes a fully completed Form 1095-B or NJ-1095 for each covered member. However, if the insurer fails to meet the filing requirements, then the employer is obligated to send the ACA data.
- Fully Insured Employers that participate in a Multiemployer Plan - Typically, a plan sponsor files a Form 1095-B or NJ-1095 for those who are enrolled. If the plan sponsor fails to meet the requirements, then the employer must complete the ACA filing itself.
Self-Insured
- Single Company, ALEs - Employers must file a fully-completed 1095-B, 1095-C or NJ-1095 for each person who was full-time for at least one month and for any employee that was enrolled in the plan.
- Single Company, Non-ALEs - The employer must file a 1095-B or NJ-1095 for each covered employee.
- Self-insured Employers that participate in a Multiemployer Plan - A plan sponsor typically files Forms 1095-B or NJ-1095 for each covered employee.
How can employers file with New Jersey?
Employers and coverage providers can send their ACA data in the IRS XML format, as long as the files are the fully completed Forms 1095-B or 1095-C. Pipe delimited flat text format can also be used.
There is no paper filing option available.
What are the ACA deadlines for NJ??
Deadlines for New Jersey ACA filings are as follows:
- The deadline to furnish forms to recipients is March 1st
- The deadline to file your New Jersey ACA forms is April 2nd
Author
Michaela Porterfield
Content Writer at BoomTax
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Dedicated to simplifying complex IRS regulations for employers, with expertise in ACA, 1099, and W-2 compliance.
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BoomTax and its affiliates do not provide tax, legal, or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal, or accounting advice. You should consult your own tax, legal, and accounting advisors prior to engaging in any transaction.
