Key Facts About Information Reporting for Employers and Health Coverage Providers
Overview of the Purpose of Forms 1094 & 1095 and Reporting Deadlines
The information reporting provisions under the Affordable Care Act require insurers, self-insuring employers, and large employers to submit information returns to the IRS and individuals reporting on health coverage. The IRS is reminding employers and health coverage providers about the types of forms, the purpose of each, and noteworthy dates.
Form 1095-C, Employer-Provided Health Insurance Offer and Coverage
- This form is filed by applicable large employers (ALEs), which generally are employers with 50 or more full-time employees, including full-time equivalents.
- ALEs with fully insured health coverage send this form to full-time employees, with information about the coverage offered. (ALEs that do not offer coverage must still send this form to full-time employees.)
- ALEs with self-insured health coverage send this form to individuals they cover, with information about who was covered and when.
- This form is submitted to the IRS with Form 1094-C, Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns.
- The deadline for filing this form with the IRS is February 28, 2017 (or March 31, 2017 if filing electronically).
- The deadline for furnishing this form to the full-time employee is March 2, 2017, which is a 30-day extension from the original due date of January 31.
Form 1095-B, Health Coverage
- This form is filed by providers of minimum essential coverage, including employers that are not ALEs but who offer employer-sponsored self-insured health coverage.
- This form is used to report information to covered individuals about each person enrolled in coverage, and is sent to the person identified as the “responsible individual” on the form.
- This form is submitted to the IRS with Form 1094-B, Transmittal of Health Coverage Information Returns.
- The deadline for filing this form with the IRS is February 28, 2017 (or March 31, 2017 if filing electronically).
- The deadline for furnishing this form to the responsible individual is March 2, 2017, which is a 30-day extension from the original due date of January 31.
Additional Resources
The IRS provides a set of Q&As on information reporting for self-insuring employers and other providers of minimum essential coverage, as well as a set of Q&As for ALEs.
