IRS 1094 Forms and Templates

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What Are IRS 1094 Forms?

IRS 1094 Forms are transmittal documents used to send the Internal Revenue Service (IRS) summary information about the related IRS 1095 Forms that contain information about health coverage and insurance. This series includes two forms:

  • IRS Form 1094-B, Transmittal of Health Coverage Information Returns is a document used by insurance providers to send the IRS information about individuals who have essential health coverage meeting the standards of the Affordable Care Act.

Minimum essential coverage generally includes individual market plans, eligible employer-sponsored plans, and programs, sponsored by the government. This form must be filed with Form 1095-B, Health Coverage, which is sent by the IRS to taxpayers who are eligible to receive minimum essential health coverage. Form 1094-B (transmittal) is supplementary to Form 1095-B (returns). Form 1094-B is used as a cover sheet that the insurance provider needs to identify itself, state the number of Forms 1095-B submitted to the IRS, and the name and telephone number of the responsible party for the IRS to contact. The transmittal form requires the filer to state its full name, to write down the employer identification number (EIN), to provide the name and the telephone number of the person to contact. You must enter the filer's street address, indicate the number of 1095-B Forms submitted along with this document, and sign and date the form.

  • IRS Form 1094-C, Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns is a cover sheet document used to report to the IRS summary information about the Applicable Large Employer (ALE) and to transmit Form 1095-C, Employer-Provided Health Insurance Offer and Coverage.

An ALE is any single employer, or a group of employers, that employed at least 50 full-time employees on business days throughout the calendar year to which the IRS 1094-C Form relates. The form requires the filer to enter the ALE member's name, the EIN, the complete address, the name and telephone number of the person for the IRS to contact. It is necessary to provide all information on a Designated Governmental Entity if it files on behalf of the ALE member. You need to write down the total number of 1095-C Forms submitted. Indicate if the ALE Member is a member of an aggregated ALE group, and submit the names and the EINS of the other group members. Choose a certification of eligibility, if applicable. State if the ALE member offered minimum essential coverage to its employees, and provide the employee count.

When Are Forms 1094-B and 1094-C Due?

If you file the forms on paper, you must send them on or before February 28 of the year following the calendar year to which the return relates. If you want to file IRS Forms 1094 electronically, you have till March 31.

The requirement to file the forms are met if they are correctly addressed and mailed on or before the due date. If the due date falls on a Saturday, Sunday, or a legal holiday, file the form on the following business day. There is a penalty if you fail to provide an accurate information return - $270 for each return for which the failure has occurred.

Documents

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IRS Form 1094-B 2018 Transmittal of Health Coverage Information Returns

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Instructions for IRS Form 1094-c, IRS Form 1095-c 2018

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Instructions for IRS Form 1094-b, IRS Form 1095-b 2018

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Instructions for IRS Form 1094-c, Form 1095-c 2017

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