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Delta Dental Quoting

Employer contribution entered in Dental Contribution under Group Information affects the Delta Dental plans and rates returned. Please be aware that Delta Dental will require groups with 100% employer contribution to have 100% participation.

If you need assistance, please contact our Quotes team at quotes@claremontcompanies.com or 800.696.4543.

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ACA/Healthcare Reform

Where do individuals get the IRS forms to show that they had qualifying health care coverage and thus have complied with the Individual Mandate?

If an individual had qualifying health care coverage, also known as minimum essential coverage, the provider of that coverage is required to send the individual a Form 1095‐A, 1095‐B, or 1095‐C (with Part III completed) that includes individuals in the family who were enrolled in the coverage and their months of coverage.

 

  • Individuals enrolled in health care coverage through Covered California will receive a Form 1095‐A from Covered California.
  • Individuals enrolled in individual plans outside of Covered California will receive a Form 1095‐B from the carrier.
  • Individuals enrolled in a government‐sponsored health program will receive a Form 1095‐B from the agency that administers the program or provides the coverage.
  • Individuals enrolled in fully-insured health coverage provided by their employer will receive a Form 1095‐B from the carrier.
  • Individuals enrolled in self-insured health coverage provided by a small employer will receive a Form 1095‐B from their employer.
  • Individuals enrolled in self-insured health coverage provided by an Applicable Large Employer will receive a Form 1095‐C from their employer.

 

These forms must be sent on or before January 31 of the year following the calendar year in which minimum essential coverage is provided.  Even if individuals have not received one of these forms, but had health care coverage, according to the IRS, they can rely on other information they have about their coverage to complete their tax forms.  Consult with a tax advisor to determine what documents are acceptable.