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BEN-18 IT1 Contract Field & IT171 Eligibility Guide

Purpose

The purpose of this document is to provide appropriate entries in the IT0001 Organizational Assignment Contract Feld and IT0171 benefit program coding for Temporary employees.  This includes Rehired Retiree Temps and Rehired Retiree PT-Perm/Prob/TmLtd employees to ensure appropriate ACA status and benefit eligibility. 

Regular Temporary Employees

Coding for Regular Temporary Employees who are NOT rehired retirees.

IT1/CF Code   A1 A2 A3
IT1/CF Text   ACA Full-Time (>= 30 hours/week) ACA Non-Full-Time (< 30 hours/week) ACA Seasonal (to be employed < 6 months)
ACA Status   >30  <30 <30
IT171   ACA/ B011* NOB / B011* NOB / B011*
eBenefits Employment Status Category   Direct Bill Non-Perm FT  Not Eligible Not Eligible
Eligible SHP Plan   HDHP N/A N/A
Full Definition  
  • Hired with the expectation of working 30 or more hrs/wk
  • Eligible for benefits under ACA for the HDHP plan
  • Hired with the expectation of working less than 30 hrs/wk
  • Not eligible for benefits under ACA
  • Hired as a Seasonal employee to be employed < 6 months; work expectation may be 30 or more OR less than 30 hrs/wk
  • Not eligible for benefits under ACA

*2nd Program Grouping (B011) may be different based on the employee’s Agency or retiree status:  B001 – Judicial, B002 – DPI, etc.

Rehired Retiree Temporary Employees from TSERS, CJRS, LEORS, ORP, and Public Schools

Coding to be used for Rehired Retiree Temporary Employees and Rehired Retirees in Full-time (FT) or Part-time (PT) Permanent, Probationary, or Time Limited positions.

  • All Subject to earnings limits
  • Must report to ORBIT
  • All participate in State Health Plan (SHP)

Rehired Retiree (RT) IT1/Contract Field & IT171 Eligibility Guide

Rehired Retiree Group  

Rehired retiree temps from TSERS, CJRS, LEORS, ORP, Public Schools

  • All Subject to earnings limits
  • Must report to ORBIT

All participate in SHP

All Other Rehired Retiree Temps 

  • All Exempt from Earnings limits
  • Do not need to report to ORBIT
    • Includes:
      • Local/County/City Govt*
      • LGERS*
      • Federal Govt
      • Military (Natl G, Army, Marines, etc.)
      • Local Community Colleges*
      • Private Industry

*Some participate in SHP

Codes to be used for Rehired Retiree Temps and Rehired Retirees in a PT-Perm/Prob/TmLtd positions
 

IT1/CF Code   RS R2 RO R3*- participate in SHP R4
IT1/CF Text   Ret Sub to Lmt ACARetSub30+Hrs Ret Non-NC Govt ACARetNoG30+HRS ACARetPri30+HRS
ACA Status   <30 >30 <30 >30 >30
IT171   NOB / B006 ACA / B006 NOB / B006 ACA / B006 ACA / B011
eBenefits Employment Status Category   Not Eligible Direct Bill Non-Perm FT (Retiree) Not Eligible Direct Bill Non-Perm FT (Retiree) Direct Bill Non-Perm FT 
Eligible SHP Plan   Can remain in retiree coverage Must dis-enroll in SHP retiree coverage but eligible for 70/30 or 80/20 Can remain in retiree coverage Must dis-enroll in SHP retiree coverage but eligible for 70/30 or 80/20  Can remain in retiree coverage but eligible for HDHP
Full Definition  
  • Rehired Retiree from a TSERS, LEORS, CJRS, ORP or Public School employer
  • Subject to earnings limits, therefore, must be reported to ORBIT
  • Rehired with the expectation of working less than 30 hrs/wk
  • Not eligible for benefits under ACA
  • Can remain in the retiree health insurance
  • Rehired Retiree from a TSERS, LEORS, CJRS, ORP or Public School employer
  • Subject to earnings limits, therefore, must be reported to ORBIT
  • Rehired with the expectation of working 30 or more hrs/wk
  • Eligible for benefits under ACA
  • Must dis-enroll in SHP retiree health insurance or take a 13-week break
  • Eligible to enroll in 70/30, 80/20 or a Marketplace plan
  • Rehired Retiree from a private industry, local/city/county/federal govt, military or local community college
  • Exempt from earnings limits, therefore, does not need to be reported to ORBIT
  • Rehired with the expectation of working less than 30 hrs/wk
  • Not eligible for benefits under ACA
  • Can remain in the retiree health insurance
  • Rehired Retiree from one of the employers listed above that participates in SHP for retiree hlth ins
  • Exempt from earnings limits, therefore, does not need to be reported to ORBIT
  • Rehired with the expectation of working 30 or more hrs/wk
  • Eligible for benefits under ACA
  • Must dis-enroll in SHP retiree health insurance or take a 13-week break
  • Eligible to enroll in 70/30, 80/20 or a Marketplace plan
  • Rehired Retiree from a private industry, local/city/county/federal govt, military or local community college that DO NOT participate in SHP for retiree hlth ins
  • Exempt from earnings limits, therefore, does not need to be reported to ORBIT
  • Rehired with the expectation of working 30 or more hrs/wk
  • Eligible for benefits under ACA
  • Eligible to enroll in HDHP

Note:  

  • The IT0001/contract field will auto-populate based on what ACA status is entered on the PCR during the action.
    • Currently the PCR ACA status options include:
      • ACA Full Time (>= 30 hours/week) = A1
      • ACA Non-Full Time (<30 hours/week) = A2
      • ACA Seasonal (to be employed < 6 mos) = A3
      • ACARetSub (>30 hours/wk) = R2
      • ACARetNoG (>30 hours/wk) = R3
      • ACARetPri (>30 hours/wk) = R4
      • Ret Non-NC Govt (< 30 hours/wk) = RO
      • Ret Sub to Lmt (<30 hours/wk) = RS
    • A1/A2/A3 are used for Regular Temp Employees, NOT rehired retiree temps.
    • RS/R2/RO/R3/R4 are used for Rehired Retiree Temps.
      • Note:  RE/R1 are no longer being used.
  • The IT0171 benefit program groupings will auto-populate based on the IT0001 contract field.
  • The IT0171 program groupings generate profiles on the benefits demographic file that is sent to Benefitfocus/eBenefits.  These profiles generate which plans in eBenefits will populate for enrollment.
  • Once enrollment is completed in Benefitfocus/eBenefits, the plan will transfer to BEACON into the IT0167 Health Plans record.
  • The IT0171 data and IT0167 data is what determines how the 1095c form data is populated for submission to the IRS to show:
    • Eligible employees
    • Offers of coverage provided, and
    • Health Plan enrollments

Resources for my reference:

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