Learn More Abou IRS 6055, 6056 Reporting and Blue Cross, BCN Support For Self

Self-funded groups need to file minimal essential coverage employee reports directly to the Internal Revenue Service. Insurance carriers cannot report this information to the IRS for self-funded groups.
 
The chart below describes sections 6055 and 6056 reporting requirements for self-funded groups.

For more information on IRS reporting requirements for underwritten groups, please see this Blue Alert published in April.

Important note: Self-funded groups are responsible for determining whether the coverage they provide meets minimum essential coverage standards set by the U.S. Department of Health and Human Services and the IRS.

How Blue Cross and BCN can help
In January 2016, self-funded groups will be able to obtain a report from Blue Cross Blue Shield of Michigan and Blue Care Network with all of the current information they have in their systems that may help them with their 6055 obligations. If a self-funded group has not provided Social Security numbers or taxpayer identification numbers for dependents at the time of the report request, that information will not be included in the report.
 
Throughout 2015, your self-funded groups can continue to update membership data using their current enrollment tools. This data will be included in the report they are creating which will be available in January 2016.