Form 1095-B/C

Posted by BAS - 04 February, 2016

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Employers with 50 or more employees and employers with self-funded health plans should be in the final stages of preparing the new reporting forms which must be mailed to employees by March 31. 

The 1095 Forms are intended to inform employees about coverage and offers of coverage. 

Form 1095-B

Form 1095-B is sent by an insurance company for an insured plan or by a small employer for a self-funded plan.  The form identifies the employer or issuer/coverage provider and identifies individuals (dependents) covered under the plan, for each month of coverage.

Form 1095-C

Form 1095-C is sent by a large employer (one who had 50 or more employees in the prior year).

A large employer with a self-funded plan completes all fields on the form.  It identifies information about the coverage offered, the employee’s share of lowest-cost monthly coverage for self-only minimum value coverage, and the employee’s full-time status or safe harbor.  This information is provided in complex code format.

A large employer with a self-funded plan also identifies all individuals (dependents) covered under the plan.

A large employer with an insured plan does not complete the coverage information, as that is provided by the insurance company.

Employers should be preparing their approach to Form 1095 filings.  For information about BAS’ Affordable Care Act data collection and reporting services, contact solutions@BASusa.com.


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