ACA CENTRAL:

Employer Guide & Glossary

ACA REPORTING: IRS FORM 1094-B & C

The key IRS forms for ACA reporting are FORM 1094-B & C, and FORMS 1095-B & C.

FORM 1094-B is an IRS transmittal form used by certain providers of minimum essential health coverage, including insurance cmpanies, non-ALE employers with self-insured plans, and providers of government-sponsored coverage.

The form acts as a cover sheet for submitting FORMS 1095-B, detailing the filer's identity and summarizing the coverage information.

FORM 1094-C is an employer form and FORMS 1095-B & C are employee forms. It acts as a cover sheet for the 1095-B forms, detailing the filer's identity and summarizing the coverage information. [1, 2, 3] You can find IRS DEADLINES for completing and e-filing these forms to the IRS here.

All ALEs must submit an employer FORM 1094-C to the IRS providing basic
information about the ALE and its health coverage for employees.

Employees do NOT get sent this form.

Most FORM 1094-C errors occur in Part III, Column [a], capturing whether the ALE offered medical coverage to at least 95% of its FULL-TIME EMPLOYEES in each month of the calendar year. This column should be carefully reviewed before IRS submission.

1094c 121134
  • NOTE: A COMMON FORM 1094-C ERROR. Even when an employer indicates YES in the initial 'ALL 12 MONTHS' check box, the subsequent month-by-month boxes must also all be ticked YES, even if this seems redundant. These boxes are often wrongly left blank or some ticked NO.

If you have questions regarding the completion of FORM 1094-C or any other aspect of ACA reporting & compliance, please contact BENEFITSCAPE, the leading ACA specialist.

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