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13091: ACA Reporting Forms 1095-A, 1095-B, 1094-C, 1095-C


ACA

What kind of reporting is required for the Affordable Care Act (ACA) regarding health insurance being reported by employers, insurance companies, and marketplaces?


Form 1095-A, Health Insurance Marketplace Statement

Form 1095-A is filed by Health Insurance Marketplaces to report information on all enrollments in qualified health plans in the individual market through the Marketplace. The report is filed with the IRS on or before January 31 following the calendar year and a copy is sent to individuals. See the Instructions for Form 1095-A.

Form 1095-A information is entered on screen ​95A​. This information carries to ​Form 8962​, unless the income is below the Poverty Level. When you view the return you will not see a 1095-A form, only the 8962. No form 1095-A is produced in view mode. 

See Screen 95A for a data entry demonstration.

Form 1095-B, Health Coverage

Filing is optional for Coverage Year 2014, but required for Coverage Years starting in 2015.

Health coverage provided by an insurance company, self-insured small employer or government agency is reported on Form 1095-B. The report is filed with the IRS on or before February 28 if filing on paper (or March 31 if filing electronically) following the calendar year and a copy is sent to the responsible individual (generally the primary insured, employee, parent or uniformed services sponsor). For more information, see Pub. 5201, The Health Care Law and Your Taxes, , the IRS page Questions and Answers on Information Reporting by Health Coverage Providers (Section 6055), and the Instructions for Forms 1094-B and 1095-B.

Form 1094-C, Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Return

Filing is optional for CY 2014, but required for Coverage Years starting in 2015.

All Applicable Large Employer (ALE) Members are required to file Forms 1094-C and 1095-C for Coverage Years starting in 2016.

Health coverage provided by a self-insured large employer (an "applicable large employer" or ALE - over 50 employees) is reported on Form 1095-C. The report is filed with the IRS on or before February 28 if filing on paper (or March 31 if filing electronically) and a copy is sent to employees. For more information, see ACA Information Center for Applicable Large Employers (ALEs) as well as the Instructions for Forms 1094-C and 1095-C.

Form 1095-C, Employer-Provided Health Insurance Offer and Coverage

See instructions for more information on Forms 1094 and 1095-C and who must file: https://www.irs.gov/pub/irs-pdf/i109495c.pdf.  

Note: Data entry screens for Forms 1095-B, 1094-C, and 1095-C are not available in Drake Software.

Information reported on Form 1095-C may be helpful in completing screen 8965 in the software (Drake18 and prior).

Due to changes from the TCJA, screen 8965 is not available starting in Drake19 as the penalty for not having minimum essential coverage is zero starting in tax year 2019. No exemptions are available, or necessary, starting with tax year 2019. The following information applies to tax year 2018 and prior.


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