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PPACA Group Calc

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Employer Name:_____________________________________________________

Monthly Employee Count Calculator
Number of Full-time employees
(30 or more hours per week)
Total Hours worked by all
part-time employees
Monthly Total

Date:______________________________________
Signature:__________________________________

PPACA Group Size Calculator Disclaimer
Nexgen Benefits has provided this calculator as a courtesy to assist in the determination of Large Employer Status for purposes of the Patient Protection and Affordable Care Act (PPACA). Nexgen Benefits cannot be held liable for any regulatory changes, or interpretation of those regulations, by any government agency in regards to this calculation. Nexgen Benefits is also not liable for the accuracy of the data entered into this calculator by an employer, the accuracy of the resulting calculation and/or the ultimate determination of employer size as required by PPACA.