Friday, November 4, 2016

ACA Reporting Requirements

A big part of Affordable Care Act compliance is making sure you report that compliance to the IRS and your coverage recipients. After all, if you don’t report it, how does anyone know your coverage was affordable? Or met minimum essential coverage (MEC)?

Reporting Requirements
When the ACA was passed, Sections 6055 and 6056 got added to the IRS’s Internal Revenue Code. These sections cover the reporting requirements of everyone who provides health insurance coverage to taxpayers each year.
  • Section 6055: This section says that every provider of MEC has to report coverage information by filing Return Forms 1094-B and 1095-B with the IRS and furnishing Form 1095-B statements to individuals.
  • Section 6056: This section says that Applicable Large Employers (ALEs) who provide MEC to their employees must report coverage information by filing Return Forms 1094-C and 1095-C with the IRS and furnishing Form 1095-C statements to employees.
Now, let’s take a moment to clarify those two points:
  • Section 6055 requires health insurance issuers/carriers for insured coverage, plan sponsors of self-insured group health plan coverage, and the executive department/agency of a governmental unit that provides coverage under a government-sponsored program to report on Forms 1094-B and 1095-B.
  • Section 6056 requires ALES, which are employers with 50 or more full-time employees throughout the year, to report on Forms 1094-C and 1095-C.

So now that you know whether or not you need to report, be sure to check out ExpressACAForms! We’re a full-service solution for your ACA e-filing, ensuring your forms are correctly e-filed with the IRS and sent out to your recipients.

And if you have any questions about the process or ACA reporting, just give our friendly customer support team a call! We’re available Monday through Friday, 9:00 a.m. to 6:00 p.m. EST by phone (704-839-2270) and live chat and available 24/7 through email at!

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