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The IRS 1094-C form plays a crucial role in the Affordable Care Act's reporting requirements for applicable large employers (ALEs). Primarily, this form serves as a transmittal document that provides the IRS with information about the health insurance coverage offered to employees and their dependents. Employers must accurately complete this form to report not only the number of full-time employees but also the months in which health coverage was available to those employees. The 1094-C encompasses various sections that outline details such as employer information, the total number of Form 1095-C submissions, and the type of health coverage provided. By doing so, ALEs can demonstrate compliance with the health coverage mandate, thereby avoiding potential penalties. Timely submission of the 1094-C is essential, particularly since deadlines align with other tax reporting schedules, and errors can lead to complications with the IRS. Understanding the nuances of this form is vital for businesses to ensure compliance and maintain good standing with tax regulations.

IRS 1094-C Example

Form1094-C

 

Transmittal of Employer-Provided Health Insurance Offer and

 

Department of the Treasury

 

Coverage Information Returns

 

Go to www.irs.gov/Form1094C for instructions and the latest information.

Internal Revenue Service

 

 

 

 

 

Part I

Applicable Large Employer Member (ALE Member)

CORRECTED

120118

OMB No. 1545-2251

2020

1 Name of ALE Member (Employer)

2 Employer identification number (EIN)

 

 

3Street address (including room or suite no.)

4

City or town

5 State or province

6

Country and ZIP or foreign postal code

 

 

 

 

 

7

Name of person to contact

 

8

Contact telephone number

 

 

 

 

 

9

Name of Designated Government Entity (only if applicable)

 

10

Employer identification number (EIN)

 

 

 

 

 

11Street address (including room or suite no.)

12 City or town

13 State or province

14 Country and ZIP or foreign postal code

 

 

 

For Official Use Only

15Name of person to contact

16 Contact telephone number

17

Reserved

 

 

 

 

 

 

 

 

 

18

Total number of Forms 1095-C submitted with this transmittal . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

19

 

 

Is this the authoritative transmittal for this ALE Member? If “Yes,” check the box and continue. If “No,” see instructions

 

 

Part II ALE Member Information

20

Total number of Forms 1095-C filed by and/or on behalf of ALE Member

. . .

.

.

. . . . . . .

 

21

Is ALE Member a member of an Aggregated ALE Group?

. . .

.

.

. . . . . . .

.

Yes

 

If “No,” do not complete Part IV.

 

 

 

 

 

 

 

 

 

 

22

Certifications of Eligibility (select all that apply):

 

 

 

 

 

 

 

 

 

A. Qualifying Offer Method

 

B. Reserved

 

C. Reserved

 

 

 

D. 98% Offer Method

 

 

 

 

 

 

 

 

 

 

Under penalties of perjury, I declare that I have examined this return and accompanying documents, and to the best of my knowledge and belief, they are true, correct, and complete.

 

 

Date

Signature

Title

No

For Privacy Act and Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 61571A

Form 1094-C (2020)

 

 

 

 

 

 

 

 

120218

Form 1094-C (2020)

 

 

 

 

Page 2

Part III

ALE Member Information—Monthly

 

 

 

 

 

 

 

(a) Minimum Essential Coverage

(b) Section 4980H Full-Time

(c) Total Employee Count

(d) Aggregated

(e) Reserved

 

 

Offer Indicator

 

 

 

 

Employee Count for ALE Member

for ALE Member

Group Indicator

 

 

 

 

 

 

 

 

 

Yes

 

No

 

 

 

 

23

All 12 Months

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24

Jan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25

Feb

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26

Mar

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27

Apr

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28

May

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29

June

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30

July

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

31

Aug

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

32

Sept

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

33

Oct

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

34

Nov

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

35

Dec

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form 1094-C (2020)

 

 

120316

Form 1094-C (2020)

Page 3

Part IV

Other ALE Members of Aggregated ALE Group

 

Enter the names and EINs of Other ALE Members of the Aggregated ALE Group (who were members at any time during the calendar year).

Name

EIN

Name

36

 

51

 

37

 

52

38

 

53

39

 

54

40

 

55

41

 

56

42

 

57

43

 

58

44

 

59

45

 

60

46

 

61

47

 

62

48

 

63

49

 

64

50

 

65

 

 

 

EIN

Form 1094-C (2020)

File Breakdown

Fact Name Description
Purpose The IRS 1094-C form is used by applicable large employers to report health coverage information to the IRS.
Filing Requirement Employers with 50 or more full-time equivalent employees must file this form.
Frequency The form must be filed annually, typically by February 28 or March 31 if e-filing.
Information Included The 1094-C includes data about the employer, the total number of full-time employees, and the months each employee had coverage.
Transmittal Form The 1094-C serves as a transmittal for the 1095-C forms, which detail health coverage given to employees.
Penalties Failure to file can result in significant penalties for employers, based on the number of days late.
State-Specific Forms Some states, like California and Massachusetts, require additional state-specific forms in conjunction with the 1094-C.
Governing Law ACA (Affordable Care Act) provisions govern the filing and requirements of the 1094-C.
Electronic Filing Employers are encouraged to e-file the 1094-C, especially if filing more than 250 forms.
Form Availability The IRS provides the form online on their official website for download and printing.

Guide to Using IRS 1094-C

Filling out the IRS 1094-C form is an important task for employers who need to report information about health coverage offered to their employees. Following the steps below will guide you through the process to ensure accuracy and compliance.

  1. Gather necessary information about your organization, including your Employer Identification Number (EIN) and address.
  2. Obtain details about the health coverage you offered to your full-time employees during the reporting year.
  3. Start with Part I of the form. Fill out your employer name, address, and EIN accurately.
  4. Indicate whether your organization is part of a controlled group or affiliated service group by answering the corresponding questions in Part I.
  5. Move on to Part II. Report the information for each month during the year regarding the health coverage offered.
  6. Complete the certification section in Part II, confirming whether the coverage met the minimum essential coverage criteria.
  7. If applicable, fill out Part III. Enter information about full-time employees, including names and Social Security Numbers (SSNs).
  8. Make sure to review all entered information for accuracy and completeness.
  9. Sign and date the form. The signer must be an authorized representative of your organization.
  10. Submit the completed form to the IRS by the required deadline, along with any necessary attachments or related forms.

Get Answers on IRS 1094-C

What is the IRS 1094-C form?

The IRS 1094-C form serves as a transmittal document for employers to report information about their offers of health coverage to employees. This form is particularly important for applicable large employers (ALEs), those with 50 or more full-time employees, as part of the Affordable Care Act (ACA) requirements.

Who needs to file the 1094-C form?

Applicable large employers, defined as those with 50 or more full-time employees or full-time equivalent employees, are required to file the 1094-C form. This also includes any entity that is part of a controlled group of corporations or affiliated service groups, which share membership for health coverage purposes.

When is the deadline for filing the 1094-C form?

The deadline for filing the 1094-C form is generally the last day of February of the year following the calendar year to which the form pertains. If filing electronically, this deadline extends to March 31. It's crucial to check the IRS website for any specific updates on deadlines.

What information is required on the 1094-C form?

The 1094-C form requests various pieces of information, including:

  • The employer's name, address, and Employer Identification Number (EIN).
  • Information regarding the number of full-time employees.
  • Any health coverage offered to full-time employees.
  • Details about the months during which coverage was offered.

This data helps the IRS assess compliance with ACA regulations concerning health coverage.

How do I file the 1094-C form?

The form can be filed either on paper or electronically. If filing on paper, a completed 1094-C must be mailed to the IRS. When filing electronically, employers can use the IRS’s e-file system or third-party software that supports ACA reporting.

What happens if I fail to file the 1094-C form?

Failing to file the 1094-C form can lead to penalties from the IRS. These penalties may vary based on the number of days late and the size of the employer. It's essential to file on time to avoid these financial consequences.

Can I correct a mistake on a filed 1094-C form?

Yes, if you discover an error after filing, you can submit a corrected form. Be sure to follow the IRS instructions for corrections, which may require marking the corrected form appropriately to indicate changes.

How do I provide copies of the 1094-C form to my employees?

Employers must provide a copy of the 1095-C form, which is related to the 1094-C, to each full-time employee. This can be done electronically or by mailing paper copies, but employees must consent to receive electronic forms.

Where can I find additional resources or assistance regarding the 1094-C form?

For further assistance, visit the IRS website, where detailed instructions and resources are available. You may also consult a tax professional or legal expert for specific questions related to your situation.

Common mistakes

Completing the IRS 1094-C form can be complicated, and many people make mistakes that can lead to issues with their tax submissions. One common error is failing to include accurate employer information. The form requires the correct name, address, and Employer Identification Number (EIN). Missing or incorrect details can result in delays or even penalties.

Many individuals also misinterpret the employee count. It’s essential to report the total number of full-time employees accurately. Including part-time employees in this count can trigger misunderstandings with the IRS and may affect healthcare coverage requirements.

Another frequent mistake is omitting the necessary offer of coverage details. The form asks for information about the health coverage provided to employees. Be sure to specify whether the coverage meets minimum value and affordability standards. Neglecting to provide this information can lead to compliance issues.

Inadequate identification of controlled groups is yet another pitfall. Organizations that are part of controlled groups must report combined employee counts and coverage offers accurately. Failing to recognize this can cause discrepancies in submitted data.

People often underestimate the importance of signing and dating the form. A signed and dated form is crucial for it to be considered valid. Not doing so can lead to rejections or delays in processing.

Improperly identifying Applicable Large Employers (ALE) can complicate the entire process. It’s essential to determine if your organization meets the criteria for being classified as an ALE. Misclassification could amplify tax liabilities or compliance penalties.

Using previous years' data is another common error. Each year's guidelines and requirements for the 1094-C form can change significantly. Relying on outdated information can lead to a host of issues down the line.

Providing incomplete coverage details is also a significant concern. Employers must furnish comprehensive information about the coverage they offered, including the months the coverage was available. Leaving any gaps in this information can result in compliance problems.

Another mistake is misreporting the plan year. Ensure that the correct plan year is indicated. This is especially critical if your organization operates on a non-calendar plan year, as discrepancies can confuse the IRS.

Lastly, failure to retain copies of submitted forms can present problems in the future. Keeping a record of all forms filed is necessary for reference and can help in case any questions arise from the IRS down the line.

Documents used along the form

The IRS 1094-C form is a crucial document for employers to report health coverage information to the Internal Revenue Service. It serves as a transmittal form for the 1095-C forms, which detail the individual employee's health insurance coverage status. Along with the 1094-C, other documents are often used to ensure compliance with the Affordable Care Act (ACA) and to provide accurate reporting of health insurance offerings. Below are some of the key documents frequently associated with the 1094-C form.

  • IRS 1095-C Form: This form is provided to employees by their employer. It details the health coverage offered to each full-time employee and indicates whether or not they were covered for the entire year. The 1095-C serves as proof of health coverage when individuals file their tax returns.
  • Form 1095-B: Similar to the 1095-C, this form is often used by health insurance providers to report the coverage provided to individuals. It provides information about who was covered and the period of coverage, which can be important for tax reporting purposes.
  • Form 5500: This annual report provides information about employee benefit plans, including health insurance plans. Employers must file Form 5500 to ensure compliance and to disclose information about the plans they offer to employees.
  • W-2 Forms: Employers file W-2 forms to report wages, tips, and other compensation paid to employees. In relation to ACA reporting, W-2 forms can include information about health insurance coverage and benefits provided to employees.
  • Proof of Health Coverage: This may include documents that confirm the employee was enrolled in a health plan throughout the year. These documents might include enrollment confirmation emails or benefits summaries that specify coverage levels and effective dates.

Understanding these documents in relation to the IRS 1094-C form is essential for employers to maintain compliance with health care reporting requirements. Proper documentation helps ensure that both employers and employees fulfill their obligations under the ACA, ultimately contributing to a smoother tax filing process.

Similar forms

  • IRS 1095-C Form: This form provides details about health insurance coverage offered to employees. It complements the 1094-C by reporting individual employee coverage and must be submitted to both the IRS and employees.
  • IRS 1094-B Form: Similar to the 1094-C, this form summarizes health insurance coverage but is used primarily for small employers and individual coverage health plans. It reports the same type of information but applies to different groups.
  • W-2 Form: While not directly tied to health coverage, the W-2 form reports an employee's annual wages and tax withholding. It shares similarities in that it provides essential information about the employee's compensation and benefits but focuses on income rather than health insurance.
  • Form 5500: Used mainly by employers offering retirement plans, Form 5500 provides an annual report about plan finances and operation. Like the 1094-C, it aims at compliance with federal regulations but relates specifically to retirement rather than health insurance.

Dos and Don'ts

When filling out the IRS 1094-C form, it’s essential to be careful and thorough. Here are ten do's and don'ts to keep in mind:

  • Do double-check your employer identification number (EIN) for accuracy.
  • Do ensure that all employees covered by your health plan are correctly reported.
  • Do use the correct tax year when completing the form.
  • Do provide all required contact information, including the name and phone number of a contact person.
  • Do verify that you are using the most current version of the form.
  • Don't leave any fields blank unless instructed to do so.
  • Don't forget to sign and date the form before submission.
  • Don't include any personal information that is not required.
  • Don't confuse the 1094-C form with other IRS forms; be sure you are completing the correct one.
  • Don't miss the filing deadlines to avoid potential penalties.

Misconceptions

The IRS 1094-C form plays a crucial role in reporting information about health coverage offered by applicable large employers (ALEs). However, several misconceptions exist regarding its purpose and requirements. Below is a list of common misunderstandings related to Form 1094-C.

  • It is optional for all employers. Some believe that submitting Form 1094-C is optional for all employers. However, it is mandatory for applicable large employers who must report their health coverage information.
  • Form 1094-C is only for full-time employees. There is a misconception that the form only pertains to full-time employees. In reality, it also includes information about part-time employees who received health coverage.
  • Filing late results in no penalties. Some assume that filing Form 1094-C late will not incur penalties. In fact, the IRS imposes fines for late submissions, making timely filing crucial.
  • Companies with no employees do not need to file. Many believe that if a company has no employees, it does not need to submit the form. This is incorrect for applicable large employers, as they may still have to report certain information.
  • Form 1094-C does not need to match 1095-Cs. There is a belief that the data on Form 1094-C does not need to align with the information on each employee's Form 1095-C. However, consistency between these forms is essential to avoid discrepancies.
  • The form is only relevant during tax season. Some think that Form 1094-C is only relevant during tax season. In truth, it requires year-round attention to comply with reporting obligations accurately.
  • Employers cannot amend the form once filed. It may seem that once submitted, the form cannot be amended. However, employers can correct errors by filing an amended Form 1094-C.
  • All employees receive a copy of Form 1094-C. Some individuals believe that employees receive their copy of Form 1094-C. In fact, this form is usually submitted only to the IRS and is not distributed to employees.
  • Only large businesses need to worry about this form. There is a misconception that only large businesses are affected. However, certain small businesses that meet specific criteria may also be required to submit the form.
  • The deadline for filing is the same every year. Some may assume that the filing deadline for Form 1094-C is constant. In reality, this date may shift each year, depending on IRS announcements.

Key takeaways

  • The IRS 1094-C form serves as a transmittal form to report information about applicable large employers (ALEs) and their compliance with the Affordable Care Act (ACA).

  • Ensure accuracy while filling out the form; mistakes can lead to penalties or delays in processing.

  • Collect all necessary records beforehand. You'll need information about your employee counts and health coverage offerings.

  • Make sure to include your Employer Identification Number (EIN), as it is crucial for proper identification and processing of your form.

  • Failing to file by the deadline can result in significant fines, so keep track of submission dates.

  • The form must be submitted electronically if you are filing 250 or more forms. Smaller employers can file by mail.

  • Keep a copy of the submitted form and any correspondence with the IRS, as you may need it for future reference or audits.