Tuesday, December 15, 2015

What You Need to Know for Form 1095

With 2015 winding to an end, it may feel like the time you have to prepare yourself for the new Affordable Care Act forms is rapidly swirling down the drain. And it kind of is, but that’s okay! That’s why ExpressACAForms is here to help, with an explanation! After all, a great way to prepare yourself for the task at hand is with as much information as you can get.

So, exactly what information do you need before you dive head first into these forms?

Form 1095-B, Health Coverage
Form 1095-B is filed by every person who provides at least the minimum essential coverage (MEC) of health insurance to an individual during a calendar year. To complete this form, you will need the following information:
  • the complete name, EIN, address, telephone number, and contact information of the filer (that’s you),
  • the total number of Forms 1095-B that you’re filing,
  • the complete name, SSN or date of birth, and address of each recipient,
  • what type of coverage was offered to your recipients broken down by month, and
  • if you’re reporting Employer Sponsored Coverage or coverage provided by another issuer, you’ll need their name, EIN, address, and contact information.

Form 1095-C, Employer-Provided Health Insurance Offer and Coverage
Form 1095-C is completed by Applicable Large Employers (ALEs), or employers with 50 or more full-time employees in a calendar year. These ALEs are required under the ACA to offer MEC of health insurance to their full-time employees. A representative of an ALE will complete this form with the following information:
  • the name, SSN, and complete address of the employee,
  • the name, EIN, complete address, and contact number of the employer,
  • the Plan Start Month for the specific employee,
  • the Offer of Coverage code applicable to this employee,
  • the amount of the Employee Share of Lowest Cost Monthly Premium per month,
  • the names and SSNs or birth dates for all covered individuals (spouse, dependents, etc.) and the months in which they were covered,
  • and, if applicable, a Section 4980H Safe Harbor code.

Form 1094, Transmittal Form
In case you’ve heard of a Form 1094 and are wondering why we haven’t mentioned that yet in this post, it’s because that form is only used when paper filing. Form 1094-B or 1094-C essentially acts as a cover sheet and summary of the included 1095 forms. When you e-file, this form isn’t necessary.

So file with ExpressACAForms: you’ll be filing a few less forms! We’ve also got outstanding customer support waiting to help you through these new forms. Give us a call at (704) 829-2270 or send us a live chat Monday through Friday from 9 a.m. to 6 p.m. EST. Need help outside of those hours? We also offer 24/7 email support through

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