Links to IRS Forms 1094 and 1095 plus instructions!

Posted on Feb 3, 2016 in Health Care Reform

The forms for 1094 and 1095 healthcare reporting are available online from the Internal Revenue Service website.

As a refresher:

  1. Form 1094-C is used by employers to give an overview of their plan and cost, and to prove they offered minimum essential coverage to their employees.
  2. Form 1095-C is used by employees and employers to show if they had minimum essential health coverage during the year.

The Internal Revenue Service has the forms available online, along with instructions to help employers complete the forms.

Form 1094-C

Form 1095-C

Instructions for completing Forms 1094-C and 1095-C

Keep in mind that the links above are for reports due for plan year 2015. Each year the IRS may adjust these forms and update them, so be sure you are using the form for the correct tax year.

For questions on how to find plan information or plan reports to complete these documents, check with your Benefit Advisor or your Third Party Administrator.

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Employer Health Plan Reporting 6055 & 6056, 1095

Posted on Jan 28, 2016 in Health Care Reform

Employer reporting requirements and information on Forms 1095 and 1094

6055 Overview – Minimum Essential Coverage Reporting

Section 6055 requires health insurers and sponsors of self-insured plans to report on Minimum Essential Coverage (MEC) to the IRS annually. The reporting to both individuals and the IRS for 2015 is due in early 2016. It also requires insurers and self-insured plans to report to their MEC recipients, so the individuals can report that coverage when filing their federal taxes.

The 6055 reporting requirement has two goals:

  1. It helps individuals verify that they have MEC for purposes of satisfying the Individual Shared Responsibility requirement and
  2. It enables the IRS to crosscheck that information with insurers or self-insured plans.

Entities subject to 6055 reporting are health insurance issuers, sponsors of self-insured plans, government sponsored programs, such as Medicaid, and providers of other arrangements designated as MEC, such as high-risk pools.

The final rule states that self-insured employers are responsible for reporting this information to the IRS. Health insurers will provide reporting to the IRS for fully insured groups. If a self-funded employer needs information on covered members and their coverage dates for a calendar year to meet their part of their reporting obligation, a report of covered individuals may be available from the Third Party Administrator.

Information required to be reported to the IRS by health insurers and sponsors of self-insured plans who provide minimum essential coverage:

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