ACA Affordable Care Act
Requirements - Reporting - Forms - Dates
Employers with Under 50 Employees
Employer is not required to provide insurance, but must provide each employee with a form 1095-B. Employer is required to send one Transmittal Form 1094-B and a 1095-B form for each employee or electronic media to the IRS.
Employees that are covered through the Marketplace (Federal or State Exchange) Line 8C or D will be provided a 1095-A by the insurance company.
• 1095-B 2 copies
Send 1 copy to each employee
Send 1 copy for each employee with your 1094-B Transmittal or send as electronic media
Types of self-insurance, 1095-B, Line 8, A-F
A - SHOP (Small Business Options Program) not available in 2015
B - Employer provides full insurance or Employer & Employee share insurance cost
C - Governments Sponsored Program - Federal or State Exchanges, Medicare, Medicaid, etc.
D - Individual Market Insurance - Employee provides his own Insurance
E - Muti employer Plan
F - Miscellaneous
• 1094-B Transmittal Form -Send 1 sheet for each company with a 1095-B for each employee or electronic media
Employers with over 50 Employees
Employer is required to provide insurance or pay a penalty. The employer must provide each employee with a form 1095- C.
Employer is required to done Transmittal Form 1094-C and electronic media to the IRS for each employee if over 250 employees. If under 250 employees the employer may use paper forms 1094-C, pages 2 & 3
• 1095-C Send 1 copy to each employee
• 1094-C Transmittal Form - Send 1 sheet for each company with electronic media for employees if over 250 employees. If under 250 you can use pages 2 and 3 or electronic media
For both under 50 or over 50 employees
IRS - Paper by Feb 28, Electronic Mar 31