Form 1094-B Transmittal Summary
Use this 1094B summary transmittal form when submitting 1095-B forms to the IRS.
Use one 1094-B form for each employer. If e-filing, this form is not required.
Form 1094-B is used to summarize information on 1095-B Forms submitted to the IRS.
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Use this 1094B summary transmittal form when submitting 1095-B forms to the IRS.
Use one 1094-B form for each employer. If e-filing, this form is not required.
These new forms are required to report on employee health care coverage during the previous year. This is part of the Employer Shared Responsibility Rule of the Affordable Care Act.
The majority of businesses will need to file these forms!! Who needs to file:
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:
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
Form | What's Reported | Who Issues | Submit to IRS? | Recipient Copies? |
1095-B | Which months the insured and their family was covered under the plan. | Self-Insured Employers, with fewer than 50 full-time employees, that provides health insurance plans. | Feb. 28 paper; | Yes, by Jan. 31 |
1094-B | Summary transmittal record of | Accompanies 1095-B forms when mailed to the IRS. | Feb. 28 paper; | n/a |
1095-C | Whether or not the employer offered health insurance coverage to employees. | Employers with 50 or More Full-Time Employees (applicable large employers). Both insured and self-insured issue 1095-C | Feb. 28 paper; | Yes, by Jan. 31 |
1094-C | Summary transmittal record of | Accompanies 1095-C forms when mailed to the IRS. | Feb. 28 paper; | n/a |
These employers must file information returns with the IRS and also provide statements to full-time employees about health coverage the employer offered or to show the employer didn’t offer coverage.
Use the HealthCare.gov FTE Employee Calculator for more information.
To be prepared to report this information to the IRS and issue the new Form 1095C to employees, you’ll need to:
Your organization is an applicable large employer if you or other entities that must be combined together with your organization (for instance, other members of an aggregated group) employed an average of at least 50 full-time employees, including full-time equivalent employees, on business days during the preceding calendar year.
To determine if your organization is an applicable large employer for a year, count your organization’s full-time employees, full-time equivalent employees and, if you are a member of a combined group, the full-time employees and full-time equivalent employees of all members of the group for each month of the prior year and then average the numbers for the year.
An aggregated group is commonly owned or otherwise related or affiliated employers, which must combine their employees to determine their workforce size.
Employers average the number of employees across the months in the year to see whether they will be an applicable large employer for the next year.
In general: A full-time employee is an employee who is employed on average, per month, at least 30 hours of service per week (or at least 130 hours of service in a calendar month).
A full-time equivalent employee is a combination of employees, each of whom individually is not a full-time employee (has fewer than 30 hours of service per week), but who, in combination, are equivalent to a full-time employee.
To prepare for 1095 reporting, applicable large employers need to track information each month, including:
You need to track this information because you could be subject to an employer shared responsibility payment if either:
Form 1095-C: Employer Provided Health Insurance Offer and Coverage
What You Need to Do:
What Form 1095-C Reports:
How Form 1095-C Is Used:
What You Need for Form 1095-C:
What You Need to Do:
File with the IRS as a transmittal document for Forms 1095-C, Employer Provided Health Insurance Offer and Coverage.
What Form 1094-C Reports:
Provides a summary to the IRS of aggregate employer-level data.
How Form-1094-C Is Used:
Helps the IRS determine whether an employer is subject to an employer shared responsibility payment and the proposed payment amount.
What You Need for Form 1094-C
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