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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-B
for the current year.
IRS Form 1094-B Transmittal of Health Coverage Information Returns
What Is IRS Form 1094-B?
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-B?A: IRS Form 1094-B is a transmittal form used to send health coverage information returns to the IRS.
Q: Who needs to file IRS Form 1094-B?A: Health insurance providers, such as insurers and certain employers, who are required to report information about the health coverage they offer.
Q: What information is reported on IRS Form 1094-B?A: IRS Form 1094-B reports information about the individuals covered under a health insurance plan, including their names, Social Security Numbers, and the months they were covered.
Q: When is IRS Form 1094-B due?A: IRS Form 1094-B is typically due to the IRS by the end of February following the calendar year being reported.
Q: What happens if you don't file IRS Form 1094-B?A: Failure to timely file IRS Form 1094-B can result in penalties imposed by the IRS.
Form Details:
- A 1-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-B through the link below or browse more documents in our library of IRS Forms.
