Rhode Island Individual Mandates ACA Reporting Requirements

Employers who provide “Minimum Essential Coverage” to Rhode Island residents during any month of the calendar year must submit their
ACA reporting through the Division of Taxation’s website.

These employers must also distribute written statements to the primary insured employee (R.I. resident) containing the name, address, and contact information of the person required to complete their tax returns.

Rhode Island employers or out-of-state employers who employ Rhode Island residents must file the same information found in the 1095-B/C federal forms to the State of R.I. using the R.I Division of Taxation webpage.

There is no pre-registration required to access this webpage. You can just navigate to the webpage from the R.I. Division of Taxation website and enter your company’s information, your contact information, and information about the file when you are ready to upload your file(s).

Once you successfully upload your files, you will receive a real-time confirmation. If any issues are found with the file(s), you will be contacted using the contact information you provided during the file upload process.

Employers offering fully insured plans, must submit 1094-C / 1095-C to the state and furnish 1095-C copies to their employees. Usually, insurance carriers will distribute Form 1095-B to these employees. If their insurance carrier fails to do this, employers must fulfill these obligations to avoid facing penalties.

Employers with self-insured plans are solely responsible for submitting Forms 1095 and 1094-B/C to the state and distributing written statements to the primary insured employee.

To file Forms 1095 &1094-B/C with the state and furnish written statements to the residents of Rhode Island, the employer must have the
following information:

• Name, address, and a TIN of the primary insured
• Name, TIN, SSN, or DOB of each other individual acquiring coverage under the policy.
• The dates or months for which the individual was covered under MEC throughout the calendar year.
• Name, address, EIN, and contact info of the plan provider.
• For self-insured group health plans, the name, address, EIN, and contact information of the plan sponsor.
• The offer of coverage code for each recipient/employee, broken down by month.
• The recipient/employee’s premium share of coverage, by month
• Any safe harbor relief codes that are applicable

As of this article’s publication, it is not clearly mentioned whether there are any employer penalties for failure to fulfill these obligations. Once the IRS establishes this information, we will provide an update accordingly.

ACAwise is a comprehensive ACA reporting solution that completely takes care of the Rhode Island healthcare mandate reporting requirements
for employers.

With extensive experience in handling the e-filing of both the federal ACA reporting and the State individual mandate reporting, ACAwise can quickly and accurately report your healthcare coverage information to the state of Rhode Island without any additional effort from your end.

Send us your payroll, benefits, and employee census data, using an excel template or use our own template. We will generate your Forms 1094 & 1095 and e-file it with the IRS and the state of Rhode Island. We can also handle the mailing of your Form 1095 copies to your employees before the recipient copy deadline.

We simplify your Rhode Island state reporting. Send us your requirements to [email protected] or contact us at
(704)-954-8420. Know more about our services.