To assign a cost to your plan, go to the Plan Cost tab. Remember, for the purpose of ACA reporting, we are only concerned with the pricing for lowest-cost self-only coverage.



  • Start Date: Enter the first date this pricing was offered to employees.
  • End Date: Enter the last date that this pricing was offered to employees.
  • Monthly Employee Required Contribution: Enter the contribution amount for the lowest-cost, self-only coverage available under this plan.
  • Monthly Employee COBRA Rate: Enter the COBRA cost for self-only coverage minus the 2% administration fee.
  • Monthly Opt Out Credit: This is the amount the employee receives from the employer if they opt out of the company provided health plan. This amount will be used to determine affordability on Line 15 of the 1095-C. Note: You should only enter Opt-Out information if the Opt-Out credit was implemented on 12/16/15 or later. 


You must provide Plan Cost data for the entire year:

  • If your plan renewed on January 1 and the lowest single-only coverage pricing did not change during the year, you only need one line of cost data.
  • If your plan renewed at another date with a higher price (or the price of the lowest single-only coverage changed for any other reason during the year), you need to add additional lines to ensure every day of the year is covered:



Note: Because we are only concerned with the lowest-cost, single-only coverage, there should only be one price listed for a plan at any given date. Therefore, the system will reject any overlapping dates.


Calculating Monthly Employee Required Contribution

When calculating your Monthly Employee Required Contribution, use the lowest-cost, single-only plan. Remember that this is a MONTHLY contribution amount, not the amount contributed for each pay period. Use one of these methods to determine the Monthly Employee Required Contribution:

  • Method 1: If you know the ANNUAL Employee Required Contribution, divide this amount by 12.
  • Method 2: Multiply the Employee Required Contribution for each pay period by the number of pay periods each year, and then divide that number by 12. For example, if employees are paid weekly, multiply their weekly contribution by 52 and divide that by 12.


Calculating Monthly Employee COBRA Rate

When calculating your plan's Monthly Employee COBRA Rate, use the lowest-cost, single-only plan & make sure to deduct any administrative fees (typically 2%).



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