ACA Forms | ACA Form 1095

Affordable Care Act (ACA) regulations require employers to report healthcare coverage information to employees and the IRS using forms 1095-B and 1095-C. We also offer ACA envelopes that coordinate with the both forms.

1095-B

Employers, government agencies, and other health insurance issuers file Form 1095-B, Health Coverage, to report that their employee or an individual is enrolled in a sponsored plan that offers minimum essential health coverage for some or all of the tax year. Minimum essential coverage does not include coverage consisting solely of excepted benefits, such as vision and dental coverage not part of a comprehensive health insurance plan. Sponsored health insurance plans may include eligible employer-sponsored plans, such as a self-insured group health plan for employees or group health insurance coverage for employees under a governmental plan like the Federal Employees Health Benefits program. Additionally, sponsored health insurance plans may include government-sponsored programs such as Medicare Part A or certain Medicaid programs.

1095-C

Employers use Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, to report the health insurance coverage offered to their employee during the tax year. Generally, applicable large employers (ALE) with 50 or more full-time employees (including full-time equivalent employees) in the preceding calendar year are required to file Form 1095-C and a transmittal Form 1094-C with the IRS.  ALE Members that offer employer-sponsored, self-insured coverage also use Form 1095-C to report information to the IRS and to employees about individuals who have minimum essential coverage under the employer plan. Deadlines for Filing ACA Forms