For which employees does an ALE file Form 1095-C?
Typically, ALEs will file a Form 1095-C for each employee who was a full-time employee for any month of the calendar year. Additionally, ALEs that sponsor self-insured plans must file a Form 1095-C for any employee who enrolls themselves or a family member in the coverage, regardless of their full-time status.
What information must an ALE provide to its full-time employees?
All ALEs will need to send a completed copy of each Form 1095-C to the employee to whom it refers. Form 1094-C is sent only to the IRS, however, and not to individual employees.
For which employees is an ALE not required to file Form 1095-C?
Unless the employee or the employee’s family member was enrolled in a self-insured plan sponsored by the ALE, ALEs do not need to report Form 1095-C for these employees:
- An employee who wasn’t a full-time employee for any month of the year
- An employee who was in a limited non-assessment period for each month of the year
Part III of Form 1095-C only needs to be completed by ALEs that sponsor a self-insured health plan for employees and family members of those employees who enrolled in the self-insured coverage. Do not complete Part III if you’re an ALE that offers coverage through an employer-sponsored health plan.
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