The Affordable Care Act requires applicable large employers to
file:
·
Form
1094-C, Transmittal of Employer-Provided Health Insurance Offer and
Coverage Information Returns
Here are eight basic
facts for employers:
o The due
date for furnishing the 2015 Form 1095-B and the 2015 Form 1095-C to the
insured and employees is extended from February 1, 2016, to March 31, 2016.
o The due
date for health coverage providers and employers furnishing the 2015 Form
1094-B and the 2015 Form 1094-C to the IRS is extended from February 29, 2016,
to May 31, 2016 if not filing electronically.
o The due
date for health coverage providers and employers electronically filing the 2015
Form 1094-B and the 2015 Form 1094-C with the IRS is extended from March 31,
2016, to June 30, 2016.
While the IRS is prepared to accept information reporting returns beginning in January 2016 and employers and other coverage providers are encouraged to furnish statements and file the information returns as soon as they are ready.
·
An ALE is required to
file Form 1094-C with the IRS; however, an ALE is not required to furnish a
copy of Form 1094-C to its full-time employees.
·
Generally, an ALE must
file Form 1095-C or a substitute form for each employee who was a full-time
employee for any month of the calendar year.
·
In addition, an ALE that
sponsors a self-insured plan must file Form 1095-C for each employee who
enrolls in the self-insured health coverage or enrolls a family member in the
coverage, regardless of whether the employee is a full-time employee for any
month of the calendar year.
·
Form 1095-C is not
required for the following employees, unless the employee or the employee’s
family member was enrolled in a self-insured plan sponsored by an ALE member:
o An employee who was not a full-time employee in
any month of the year
o An employee who was in a limited non-assessment
period for all 12 months of the year.
·
If an ALE member
sponsors a health plan that includes self-insured options and insured options,
the ALE member should complete Part III of Form 1095-C only for employees and
family members who enroll a self-insured option.
·
An ALE member that
offers coverage through an employer-sponsored insured health plan and does not
sponsor a self-insured health plan should NOT complete Part III.
·
An ALE may provide a
substitute Form 1095-C; however, the substitute form must include the
information on Form 1095-C and must comply with generally applicable
requirements for substitute forms.
For more information, see the Instructions for Forms
1094-C and 1095-C
and these additional Questions and Answers.