Primer on the forms for New Health Care Reform Reporting

Posted by BAS - 30 July, 2015

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  • What is Form 1095-C?

Form 1095-C is used by an employer to report information about the offers of health coverage it makes to its employees. 

  • Who sends Form 1095-C?

Employers with 50 or more full-time employees (including full-time equivalent employees) send Form 1095-C to their full-time employees. Full-time employees receive 1095-C, whether covered under the plan or not. 

Employers that offer employer-sponsored self-funded health coverage send Form 1095-C to all employees covered under the plan, whether full-time or not.

  • What is Form 1094-C?

Form 1094-C is used to transmit to the IRS information about offers of health coverage an employer makes to its employees. 

  • Who transmits Form 1094-C?

A Form 1094-C must be filed when an employer files one or more Forms 1095-C. 

Each employer with a separate EIN is responsible for transmitting its own Form 1094-C to the IRS. If the employer is a member of an applicable large employer (ALE) group, it will identify the other ALE Group Members on its 1094-C transmittal. 

  • What is Form 1095-B?

Form 1095-B is used by health coverage providers/insurers to report information to individuals who have health coverage. 

  • Who sends Form 1095-B?

Health insurance issuers or carriers will issue Form 1095-B to covered individuals.  

  • What is Form 1094-B?

Form 1094-B is used to transmit to the IRS information about health coverage.  It is transmitted when a provider issues one or more Forms 1095-B.

  • Can an employee receive Form 1095-B and Form 1095-C?

Yes. An employee of an applicable large employer who maintains an insured plan will receive a form 1095-B from the insurer and a Form 1095-C from the employer.


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