Overview of ACA 1095-B and 1095-C Reporting Obligations

Under the Affordable Care Act (ACA), all U.S. citizens employed domestically must acquire healthcare coverage. The IRS enforces this by overseeing Sections 6055 and 6056 of the ACA.

Explore further to understand the implications of Sections 6055 and 6056.

For more info on Tax Year 2023 Form 1095-B, click here.

For more info on Tax Year 2023 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.

2022 Affordable Care Act Reporting Changes

In the 2022 tax year, there were no modifications to the ACA Forms. Fundamentally, ACA reporting can be accomplished using two forms. Health coverage providers to individuals and employers with less than 50 employees should utilize 1095-B and 1094-B. ALEs who extend healthcare coverage to their employees and dependents should use 1095-C and 1094-C.

Changes to Form 1095-C for the 2021 Tax Year

In the 2021 tax year, the IRS introduced two new ACA codes to Form 1095-C for the purpose of reporting individual coverage HRAs and other related information.

Discover more about all Form 1095-C Code Instructions for the 2022 Tax Year.

What is Required to E-File ACA Form 1095-C?

At a minimum, you need the following information to complete a 1095-C:

1. Part I - Employee: Basic census data, including the employee's name, SSN, and address

   

   Employer or Applicable Large Employer (ALE): Company name, EIN, and address

   

2. Part II - Employee Offer of Coverage: ACA Codes Box 14 - 17, premium amounts, and optional data for ICHRA plans.

   

   • Employee Age on January 1^st
     • This should only be completed if certain ICHRA codes (1L, 1M, 1N, 1O, 1P, 1Q, 1T, or 1U) are entered on Line 14.
   • Plan Start Month
     • This should be completed with the month the employer's plan year begins. This must be completed with the two-digit number corresponding to the month (00-12). If there is no plan in which the employee was offered coverage, 00 should be entered.
   • Employee Required Contribution
     • This should be completed with the employee's share of the lowest-cost self-only plan offered to the employee. This line should only be completed when specific codes (1B, 1C, 1D, 1E, 1J, 1K, 1L, 1M, 1N, 1O, 1P, 1Q, 1T, or 1U) are entered in Line 14.
   • ZIP Code
     • This should only be completed if certain ICHRA codes (1L, 1M, 1N, 1O, 1P, 1Q, 1T, or 1U) are entered on Line 14.

3. Part III - Covered Individuals: Name, TIN, Date of Birth (optional if TIN entered), and checks for the covered months

   

   This section should only be completed if you offered employer-sponsored, self-insured health coverage, including an individual coverage HRA.

   ALL individuals covered under the offered plan should be listed here, including the employee.

   Please note: each line should list a different covered individual. Either (d) or (e) should be completed for each covered individual.

What Data is Necessary to File ACA Form 1095-B Electronically?

1. Personal Details: Name, EIN, and Address

   

2. Employer/Coverage Provider Information: Name, EIN, and Address

   

3. Details of Issuer: Name, EIN, and Address

   

Consult our 1095-B guide to understand how to complete your Form 1095-B.

Submission Deadlines for Form 1095-B and Form 1095-C in Tax Year 2023

Here are the critical dates for filing and distributing Form 1095-B & 1095-C deadlines.

What are the 1095-C State Reporting Deadlines?

Besides e-filing with the IRS, certain states require employers to report health coverage information to their respective state departments. Below are the states that require Individual Mandates and their respective deadlines:

With BoomTax, you also have the option to e-file your ACA Form 1095 with the IRS and the applicable states ahead of the deadline.

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BoomTax is an IRS-authorized e-file provider for various IRS tax forms, including 1095 forms, 1095-B, 1095-C, 1094-B, and 1094-C.