Form 1095-C Line by Line Filing Instructions for Employers
IRS Form 1095-C Filing Instructions
- Updated November 05, 2020 - 8.00 AM by Admin, ACAwise
Every year, ALEs (Employers with 50+ employees) must report to the IRS about their offered health coverage information to the employees. The information is to be reported through Form 1095-C under section 6056.
These instructions will help employers better understand their ACA Form 1095-C Filing Instructions.
What is the purpose of IRS Form 1095-C?
The purpose of filing Form 1095-C, Employer-Provided Health Insurance Offer and Coverage by the applicable large employers is to report their employee’s health coverage information to the IRS.
With this, employers can communicate to the IRS that they offered qualified health insurance coverage to the eligible full-time employees, and the coverage meets the minimum essential coverage requirements.
When is the deadline to file Form 1095-C?
The deadlines for filing Form 1095-C with the IRS and furnishing copies to the recipient are as follows:
- March 2, 2021, is the deadline to distribute recipient copies.
- March 1, 2021, is the deadline to paper file Forms 1095-C with the IRS.
- March 31, 2021, is the deadline to e-file Forms 1095-C with the IRS.
Instructions on How to Fill Out Form 1095-C?
These instructions will help you with completing the filing process of Form 1095-C.
1. Instruction to complete Part I, Employee & ALE Member of Form 1095-C
Before proceeding further to fill the employee’s offer of health coverage details, the IRS requires you to complete a few basic information about you & your employees.
You will need the following information to complete Line 1-13 in Part I of
- To complete Line 1 - 6 of Form 1095-C, you need the employee information such as Name, SSN, Street address, City, State, Zip Code
- To complete Line 7 - 13 of Form 1095-C, you need the employer information such as Name, SSN, Street address, City, State, Zip Code
2. Instruction to complete Part II, Employee Offer of Coverage of Form 1095-C
The IRS has recently made some changes in Form 1095-C related to ICHRA plan. So, before entering into the lines, employers need to fill the employee’s age & plan start month.
- Age: If the employee was offered an ICHRA, enter the employee’s age on January 1, 2020.
- Plan Start Month: ALE must complete this box for the 2020 Form 1095–C. Enter the two-digit number (01 through 12) representing the calendar month during which the plan year begins of the health plan in which the employee is offered coverage
After completing these fields, employers must start entering the employee’s offer of coverage information
Line 14-17 is all about the employee offer of coverage.
Offer of Coverage
This section of the form is where the ACA codes come into play. Line 14 is designed to collect information from the employer about their employee’s offer of coverage. In this line, employers need to indicate the employee’s coverage status for each month of the year by entering the appropriate code.
Indicator Codes for Employee Offer of Coverage (Form 1095-C, Line 14)
IRS designed the Code Series 1 indicator codes from 1A to 1S which represent the type of coverage, if any, offered to an employee, the employee’s spouse, and the employee’s dependents.
A code must be provided for each calendar month, January through December, even if the employee was not a full-time employee for one or more of the calendar months.
For instance, 1B represents that the employee was offered minimum essential coverage, but it was not extended to their spouse or dependants.
Reporting of ICHRA in Line 14 Codes of Form 1095-C for 2020
An ICHRA is an employer-sponsored reimbursement plan that allows employees to purchase their health insurance plan privately or on the open market.
In turn, the plan reimburses the employee to help them cover a portion of their medical costs and/or premiums. Click here to learn more about ICHRA.
Employee Required Contribution
The employer will need to indicate the Employee Required Contribution, which is the monthly premium that the employee was required to pay each month of the calendar year.
Section 4980H Safe Harbor and Other Relief
Line 16 is for employers who have used Safe Harbors or alternative methods for calculating the affordability of their health insurance coverage.
Line 16 Codes of Form 1095-C, Safe Harbor
IRS designed the Code Series 2 indicator codes from 2A to 2I to determine affordability.
For example, if a 2H is entered, this indicates that the employer used the Rate of Pay Safe Harbor to determine the affordability.
Line 17 is a new addition to Form 1095-C related to the ICHRA plan. Employers who offered ICHRA must now report the zip code of where their individual resides. This geographical information is used by the IRS to verify the plan’s affordability.
3. Instruction to complete Part III, Covered Individuals of Form 1095-C
After entering the offers of coverage details, you must start entering the individual coverage details.
Line 18-30 is all about the individual’s coverage details.
- In this section of Form 1095-C, the employer must indicate every covered individual by checking the boxes for every month of the year that they were covered. This includes coverage information for any spouses or dependents included in the health insurance coverage offer.
- Please note that if you are a self-insured employer, you only need to enter information related to the employees who were enrolled in the coverage.
Filing IRS Form 1095-C Electronically
As you can see, meeting the filing requirements for Form 1095-C is no easy feat, as this is a complex tax form.
However, there is no need to go it alone when it comes to your ACA reporting. Get Started with ACAwise, an IRS authorized provider that takes care of your e-filing of ACA Form 1094 and 1095 to the IRS.
We offer flexible services to help businesses like yours maintain their IRS compliance. Need ACA codes? We can generate them and e-file your forms with the IRS easily. We also offer a solution for printing and mailing your recipient copies as well. Learn more about our services here.
Let us take care of your ACA Reporting!
We file your 1094/1095 Forms with the IRS and postal mail the copies to employees before the deadline.
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