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Are You Ready to File 1095-B & 1095-C?

Are you an employer with 50 full-time employees (or 50 full-time equivalents)? Do you self-insure medical insurance coverage for employees? If you answered yes, you are likely subject to the new Affordable Care Act reporting requirements for 2015.

The complex ACA reporting on Forms 1095-B, 1095-C, 1094-B and 1094-C requires employers to pull together information from multiple resources. Payroll, insurance and benefits departments may need to coordinate the process and it’s critical that employers start the process now.

Important 2016 Deadlines to add to your calendar

  • Forms 1095-B and 1095-C are due to individuals by Feb. 1, 2016.
  • Forms 1094-B, 1095-B, 1094-C and 1095-C are required to be filed with the IRS by Feb. 29, 2016 if filing on paper, or March 31, 2016, if filing electronically.

Reporting by self-insured employers

Every person who provides medical insurance coverage to an individual during a calendar year must file an information return and a transmittal. Most insurance companies will use transmittal Form 1094-B and information return Form 1095-B. However, employers – including government employers – sponsoring self-insured group health plans will report information about the coverage in Part III of Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, instead of on Form 1095-B.

Employers with fewer than 50 employees that are not subject to the employer shared responsibility provisions, but who sponsor self-insured group health plans, will use Forms 1094-B and 1095-B to report information about covered individuals.

Reporting by ALEs (applicable large employers)

Employers with 50 or more full-time employees, including full-time equivalent employees, use transmittal Form 1094-C and information return Form 1095-C to report the information required under the Affordable Care Act about offers to insure and enrollment in health coverage for their employees. In addition to reporting the coverage that they offer, applicable large employers who sponsor self-insured group health plans will use Forms 1094-C and 1095-C to report information about the coverage they provide to the covered individuals. ALEs must report even if you offered no insurance coverage.

Check the IRS website for additional information at IRS.gov/aca. Get ready now for the newest reporting requirements. The time to report is coming quickly and the information needed to file is extensive.

Be sure to contact your tax professional to see if you have a filing requirement or require assistance with the filings.

By Melinda Nelson, CPA