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ACA Form 1095-C Line 14 Offer of Coverage - Qualifying Offer Codes

Below is a list of the Offer of Coverage - Qualifying Offer Codes that are valid for line 14 on Form 1095-C:

1A: Minimum essential coverage providing minimum value offered to full-time employee with employee contribution for self-only coverage equal to or less than 9.5% mainland single federal poverty line and at least minimum essential coverage offered to spouse and dependents.

1B: Minimum essential coverage providing minimum value offered to employee only.

1C: Minimum essential coverage providing minimum value offered to employee and at least minimum essential coverage offered to dependent(s) (not spouse).

1D:  Minimum essential coverage providing minimum value offered to employee and at least minimum essential coverage offered to spouse (not dependent(s)).

1E: Minimum essential coverage providing minimum value offered to employee and at least minimum essential coverage offered to dependent(s) and spouse.

1F: Minimum essential coverage NOT providing minimum value offered to employee, or employee and spouse or dependent(s), or employee, spouse and dependents.

1G: Offer of coverage to employee who was not a full-time employee for any month of the calendar year and who enrolled in self-insured coverage for one or more months of the calendar year.

1H: No offer of coverage (employee not offered any health coverage or employee offered coverage that is not minimum essential coverage).

1I: Qualifying Offer Transitions Relief 2015:  Employee (and spouse or dependents) received no offer of coverage, received an offer that is not a qualifying offer, or received a qualifying offer for less than 12 months.

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