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TML Kofth- <br />Mi l e 1 . <br />",,'uIM 0 AIeJ f ,) J�°�,�I <br />2019 <br />"roC [Organization's Governing Body] <br />i; i=: Purpose of Resolution Authorizing Representation in IRS Matter and Delegating Authority to <br />Execute Form 2848 IRS Power of Attorney <br />This memo explains the purpose of the resolution authorizing representation in the IRS matter concerning <br />notice of proposed penalties for the late filing of IRS Forms 1094-C and 1095-C for the 2016 and 2017 federal <br />tax years. <br />Background: <br />In summary, TML IEBP was required to file forms 1094-B, 1095-B, with the IRS regarding health insurance <br />coverage provided to Pool group employees. Forms 1094-B and 1095-B (the "'B' Forms") are required to be filed <br />by health insurance issuers and carriers to report information to the IRS and employees regarding provision of <br />minimum essential coverage under the Affordable Care Act. A separate 1095-B is filed for each employee with <br />the IRS, and a copy is provided to the employee. Form 1094-B reports summary information for the <br />issuer/carrier and transmits the Forms 1095-B to the IRS. TML IEBP has timely filed "B" Forms as an "issuer" of <br />coverage each year since 2015, and provided copies to all Pool groups' employees. <br />Forms 1094-C and 1095-C (the "'C' Forms") are required to be filed by employers with more than 50 full-time <br />employees (Applicable Large Employers, or ALES) to report information to the IRS about the ALE's offer of health <br />coverage to its employees. As with the "B" Forms, a separate 1095-C is filed for each Pool ALE Member employee <br />with the IRS, and a copy is provided to the employee. Form 1094-C reports summary information for the ALE <br />and transmits the Forms 1095-C to the IRS. The "C" Forms are used to determine if the employer is required to <br />make the employer shared responsibility payment under § 4980H of A.C.A., and the eligibility of employees for <br />a "premium tax credit." TML IEBP filed "C" Forms for 2015 for all Pool ALE Members it identified as an ALE based <br />on the number of employees enrolled in the benefit plan. However, due to an administrative error, TML IEBP <br />did not file the forms for tax years 2016 or 2017 until the fall of 2018. <br />IRS Notices <br />Several Pool ALE groups received IRS notices in August 2018 stating that the group was required to file the "C" <br />Forms for 2016. TML filed "C" Forms for each Pool ALE group for 2016 on October 29, 2018, and for tax year <br />2017 on November 13, 2018. ALE groups have started receiving letters proposing to issue a penalty for failure <br />to timely file the "C" Forms for tax year 2017. No letters proposing penalties have been received to date for <br />tax year 2016. <br />f o0ow u,", <br />Fh� 1 J'�1J.�]re�1kk� 18,21 V'•CGaI I ifrford Lai �G , °,uil e 3,00 <br />fir ,%aMln Texas 78754-51.151 Porrr <br />�122 (E'11 2) 7'19 HOC) - (a001 82 E")385: trnth althb m Pits cxrg <br />