Essential Information for Employers about ACA Penalties 2025
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Essential Information for Employers about ACA Penalties 2025
The Affordable Care Act (ACA) mandates that all employers and insurance providers meet annual ACA reporting obligations.
Thus, any entity offering Minimum Essential Coverage (MEC) to an individual must report this information.
A Quick Rundown on Penalties Related to ACA Form 1095
What are the types of Form 1095 Penalties?
ACA penalties are typically split into two categories:
Employer Shared Responsibility Payment (ESRP):
This penalty applies to large employers who do not offer minimum essential coverage to at least 95% of their full-time employees (and their dependents),
and at least one of their full-time employees receives a premium tax credit for purchasing individual coverage on one of the health insurance marketplaces.
The ESRP is also known as the "employer mandate" or "play or pay" penalty.
Reporting and Disclosure Penalties:
These penalties are assessed for failing to file required information returns with the IRS or to provide required statements to individuals.
These information returns include Form 1094-C and Form 1095-C, which large employers must file under the ACA's reporting requirements.
Please click here to learn more about the various types of IRS ACA penalties
and their corresponding fines.
What is Form 1095-B?
Form 1095-B is an information return filed by health insurance providers
or employers offering self-funded coverage with fewer than 50 full-time + full-time equivalent employees.
Insurance Providers
OR
Self-Funded Small Employers
less than 50 full-time + full-time equivalent employees
For more info on Tax Year 2024 Form 1095-B, click here.
What is Form 1095-C?
Form 1095-C
is an information return filed by employers with at least 50 full-time + full-time equivalent employees.
These employers are known as 'Applicable Large Employers' or ALEs by the IRS.
This form tells the IRS if the employer met ACA guidelines for the healthcare coverage they offer, and it requires that employees receive a recipient copy.
Applicable Large Employers
at least 50 full-time + full-time equivalent employees for all EINs added together that share a common owner
For more info on Tax Year 2024 Form 1095-C, click here
We also recommend checking out the IRS.gov ACA FAQ,
which contains many common 1095-C questions in an easy-to-understand format.
All Features Included
Purchasing any BoomTax package will give you everything you need to complete your filing.
This includes:
Federal E-File
State E-File
Recipient Copy Download as PDF
Official IRS Copy Download as PDF
Unlimited Corrections
1095-B/C Bulk Import
Import many companies in one spreadsheet to simplify data input.
Data Validation
We validate your data against hundreds of IRS rules.
Hands Off E-File
No IRS registration or testing required.
Free Corrections
Make as many changes as needed for free.
Causes for IRS Penalties on Employers
Employers can incur ACA penalties and receive letter 226J from the IRS due to the following circumstances:
Non-compliance to IRS reporting requirements (Sections 6055 and 6056)
Non-compliance with the ACA Employer Mandate (Section 4980H (a) and (b))
Failure to provide MEC to 95% of full-time employees
Failure to provide affordable coverage to full-time employees
What are the penalties for not submitting ACA Forms 1095-B & 1095-C?
The IRS determines ACA penalties based on various factors, including missing the deadline,
providing incorrect information, or using paper forms when electronic filing is required.
The IRS has increased the penalty amounts for the 2024 filing year.
How can I Request an Extension for Filing ACA Form 1095-B or 1095-C?
If you can't file ACA Form 1095-B or 1095-C on time, you can request an automatic, 30-day extension by filing Form 8809OR by requesting a time extension directly from BoomTax.
Learn to request an ACA Form extension or check out our extensive deadlines.
Can I submit ACA 1095 Forms with BoomTax?
BoomTax will streamline your ACA filing process in 3 simple steps!
Import Your Data
You can import your data as Excel, XML, or use files from popular payroll providers like QuickBooks, UKG, ADP, and many more.
Step-By-Step Wizard
We walk you through the process with no complicated jargon. You can also live chat with a real person as you work on your filing for hands-on help.
E-File & Mail Employee Copies
Once your data is loaded, you can e-file and distribute employee copies in minutes.
BoomTax and its affiliates do not provide tax, legal, or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal, or accounting advice. You should consult your own tax, legal, and accounting advisors prior to engaging in any transaction.