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This version of the form is not currently in use and is provided for reference only. Download this version of
IRS Form 1094-C
for the current year.
IRS Form 1094-C Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns
What Is IRS Form 1094-C?
This is a tax form that was released by the Internal Revenue Service (IRS) - a subdivision of the U.S. Department of the Treasury. Check the official IRS-issued instructions before completing and submitting the form.
FAQ
Q: What is IRS Form 1094-C?A: IRS Form 1094-C is a transmittal form used to report health insurance offer and coverage information to the IRS.
Q: Who needs to file Form 1094-C?A: Employers who are subject to the Affordable Care Act (ACA) employer mandate are required to file Form 1094-C.
Q: What information is reported on Form 1094-C?A: Form 1094-C is used to report information about the employer, offers of health coverage, and the number of employees.
Q: When is Form 1094-C due?A: Form 1094-C is due to the IRS by February 28 (or March 31 if filed electronically) of the year following the calendar year being reported.
Q: Are there any penalties for not filing Form 1094-C?A: Yes, there can be penalties for not filing or filing incomplete or incorrect forms. It is important to timely and accurately file Form 1094-C to avoid penalties.
Form Details:
- A 3-page form available for download in PDF;
- This form cannot be used to file taxes for the current year. Choose a more recent version to file for the current tax year;
- Editable, printable, and free;
- Fill out the form in our online filing application.
Download a fillable version of IRS Form 1094-C through the link below or browse more documents in our library of IRS Forms.
Download IRS Form 1094-C Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns
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