ACA Forms › 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.
A 1094-B and its 1095-Bs MUST be filed together
A 1094-C and its 1095-Cs MUST be filed together
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.
For more info on Tax Year 2023 Form 1095-B, click here.
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.
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.
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.
At a minimum, you need the following information to complete a 1095-C:
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
Part II - Employee Offer of Coverage: ACA Codes Box 14 - 17, premium amounts, and optional data for ICHRA plans.
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.
Personal Details: Name, EIN, and Address
Employer/Coverage Provider Information: Name, EIN, and Address
Details of Issuer: Name, EIN, and Address
Consult our 1095-B guide to understand how to complete your Form 1095-B.
Here are the critical dates for filing and distributing Form 1095-B & 1095-C deadlines.
Paper File Deadline
Employee Copy Deadline
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:
|Furnish Forms January 31st
File With State March 31st
District of Columbia
|30 days after the federal ACA e-file deadline
|December 15th of the reporting year
|Furnish Forms March 2nd
File With State March 31st
|File With State March 31st
|No additional requirements for employers
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.
You can import your data as Excel, XML, or use files from popular payroll providers like QuickBooks, UKG, ADP, and many more.
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.
Once your data is loaded, you can e-file and distribute employee copies in minutes.
Takes Only 30 Seconds
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.