Forms 1094-C and 1095-C are IRS forms used by Applicable Large Employers (ALEs) - those with 50 or more full-time employees or equivalents - to report information about health insurance coverage offered to employees under the Affordable Care Act (ACA).
- Form 1095-C is provided to employees and the IRS to detail the health coverage offered (or not offered) to each full-time employee.
- Form 1094-C is a transmittal form sent to the IRS summarizing all the 1095-Cs submitted and confirming the employer’s compliance with ACA reporting requirements.
These forms help the IRS enforce employer shared responsibility provisions and determine employee eligibility for the Premium Tax Credit.
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Key Facts
- Purpose: To report employer-provided health coverage and demonstrate ACA compliance.
- Who Must File: Applicable Large Employers (ALEs) with 50+ full-time employees or full-time equivalents.
- Form 1095-C: Sent to each full-time employee and the IRS; includes offer of coverage and affordability info.
- Form 1094-C: Summary report submitted to the IRS; acts as a cover sheet for all 1095-Cs.
- Filing Deadline: Typically due to employees by January 31 and to the IRS by February 28 (paper) or March 31 (electronic).
- Penalties: Failure to file or provide forms may result in significant IRS fines per employee.
1. What is the difference between Form 1094-C and 1095-C?
Form 1095-C provides detailed information to employees about their health insurance coverage, while Form 1094-C is the summary "cover sheet" sent to the IRS with all 1095-C forms.
2. Who receives a Form 1095-C?
Each full-time employee of an Applicable Large Employer must receive a Form 1095-C, regardless of whether they enrolled in the employer’s health plan.
3. What information is included on Form 1095-C?
It includes data about the health insurance coverage offered, the months it was available, cost of coverage, and the employee's status during the year.
4. When are Forms 1094-C and 1095-C due?
Employers must furnish Form 1095-C to employees by January 31 and file both forms with the IRS by February 28 (if on paper) or March 31 (if filing electronically).
5. What happens if an employer doesn’t file Forms 1094-C and 1095-C?
Employers may face penalties of hundreds of dollars per employee for failure to file or furnish these forms, depending on how late they are and the size of the employer.
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