IRS Form 1095-C. Employer-Provided Health Insurance Offer and Coverage

IRS Form 1095-C. Employer-Provided Health Insurance Offer and Coverage

Form 1095-C is a tax form used by employers with 50 or more full-time employees, including full-time equivalent employees, to report information about their employees' health insurance coverage. The form consists of three parts.

  • Part I of Form 1095-C includes information about the employer, including the employer's name, address, and employer identification number (EIN).
  • Part II of Form 1095-C includes information about the employee's health insurance coverage, including the months in which the employee was offered coverage, the employee's share of the monthly premium, and whether the coverage met the minimum essential coverage requirements under the Affordable Care Act.
  • Part III of Form 1095-C includes information about the employer's offers of coverage to the employee's spouse and dependents, if applicable.

The most important fields on Form 1095-C are the employee's name, Social Security number, and the months in which the employee was offered coverage.

Form 1095-C is compiled by employers with 50 or more full-time employees, including full-time equivalent employees, who are required to offer health insurance coverage to their employees under the Affordable Care Act. The parties to the document are the employer and the employee.

When compiling Form 1095-C, employers should consider the accuracy of the information provided, as well as the timing of the form's distribution to employees.

The advantages of Form 1095-C include providing employees with information about their health insurance coverage, which can be used to help them make informed decisions about their healthcare. It also helps the IRS verify that individuals have minimum essential coverage under the Affordable Care Act.

The problems that can be encountered when filling out Form 1095-C include inaccuracies in the information provided, as well as confusion about the requirements for offering health insurance coverage under the Affordable Care Act.

Related forms include Form 1095-A, which is used by individuals who purchased health insurance coverage through the Health Insurance Marketplace, and Form 1095-B, which is used by insurers or employers with fewer than 50 full-time employees to report information about an individual's health insurance coverage.

Form 1095-C is submitted to the IRS along with Form 1094-C, which is used to summarize the information reported on Form 1095-C. Copies of Form 1095-C are also distributed to employees. The form is submitted electronically if required by the IRS, otherwise, it can be mailed to the IRS.

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