ACA 1095 Filing & Forms

These new forms are required to report on employee health care coverage. This is part of the Employer Shared Responsibility Rule of the Affordable Care Act.

Medium-to-large size businesses will need to file these forms!!

Who needs to file:

• Employers with 50 or more full-time employees (or full-time equivalent)
• Self-insured employers with fewer than 50 employees (a very small number of businesses)
• Health insurance companies
• Click for details on employers who qualify
• Businesses can file these forms themselves, or outsource to a payroll company, just like W-2 forms.

Forms 1095-B and 1095-C are used to report to the IRS, and include the following information:

• Enrolled employees and former employees
• Details of employees’ health insurance coverage
• Verification that the minimum essential coverage (MEC) requirement has been met.

Employees and their dependents will use this information to complete their personal tax returns – and those who do not have minimum essential coverage may receive a penalty on their tax returns.

1095-C is for applicable large employers

1095-B is for self-insured employers and health insurance companies

1094-C and 1094-B are the summary transmittal forms

You Need 1 Copy for the Employee and 1 Copy for the IRS, just like W-2 forms.
Order 2 Forms for each employee unless you are e-filing with the IRS.