The Affordable Care Act (ACA) is a law that requires most Americans to maintain health insurance. In order to make sure insurance providers and recipients are in compliance with this law, the IRS added sections 6055 and 6056 to the Internal Revenue Code, which require individuals to file certain new forms along with their tax returns to indicate the coverage they either offered (providers) or were enrolled in (recipients).
Who is Required to File ACA Reporting Forms?
Under Section 6055 and 6056 of the IRS code, any of the following that provide Minimum Essential Coverage (MEC) to an individual must report so to the IRS.
- Health insurance issuers/carriers for insured coverage,
- Plan sponsors of self-insured group health plan coverage (this includes employers who aren't categorized as large employers), and
- The executive department or agency of a governmental unit that provides coverage under a government-sponsored program.
According to Section 6056 of the IRS code, Applicable Large Employers (ALEs) must also file forms with the IRS and provide copies to each of their full-time employees. ALEs are classified as having 50 or more full-time employees, including full-time equivalent employees, in the previous tax year.
Form 1094 & 1095
The forms now required to be filed under Sections 6055 and 6056 are Forms 1094-B, 1094-C, 1095-B, and 1095-C. Forms 1094-B and 1095-B are to be filed by health insurance providers, and Forms 1094-C and 1095-C are to be filed by ALEs. Forms 1094 and 1095 are sent to the IRS, and copies of Form 1095 are sent to the recipients of each provider or employer.
Information Needed to File ACA Forms
Employers and health insurance providers are required to file these ACA forms with the IRS to report all individuals that were offered and/or provided at least the Minimum Essential Coverage (MEC) of health insurance during the year. These reports also provide information to the IRS about the coverage offered in general and which months of the year recipients were covered.
ACA Filing Deadlines
IRS Forms 1095-B or 1095-C must be provided to those offered health insurance coverage by January 31st the year following the calendar year the coverage was offered. If paper filing your ACA return, these 1095 Forms, along with transmittal Form 1094-B or 1094-C, are due to the IRS by the last day of February. If you're e-filing, your deadline to have your ACA return transmitted to the IRS is March 31st.
E-Filing ACA Forms
If you're required to file more than 250 forms, the IRS requires you to e-file your ACA forms. But even if you have less than 250 forms to file, it's strongly encouraged that you e-file anyway. E-filing offers an easy, secure, and environmentally friendly alternative to paper filing. And when you e-file with us, you're choosing the quickest and easiest method to e-file. Take a look around our program to see why you won't want to file any other way!