ACA Background And Forms

May 8, 2018

The Affordable Care Act reporting has inflicted noteworthy information reporting duties on both insurance companies and employers as of 2015. The 1095-B (Health Coverage) and 1094-B (Transmitted of Health Coverage Information Returns) have to be filed by the coverage company in order to report individuals protected by coverage employer-sponsored group health plans. These forms are filed by small proprietors with self-covered health plans to report employees and their families who are covered by the self-covered plan. The forms 1095-C (Employees Provided Health Insurance Offer and Coverage)as well as 1094-C (Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns) these forms have to be filed appropriate large employers and small employers that are appropriate large employer group members. The forms 1095-C as well as 1094-C are also needed if the proprietor offers an insured or self-insured health plan or doesn’t offer a group health plan of any kind.

ACA Background And Forms

Eligibility

According to the Affordable Care Act Reporting employers that are eligible are those that typically had a standard of fifty full-time employees. A full-time employee, is an employee that normally works a minimum of thirty hours a week. A small employer had less than fifty full-time employees. But, small employers can be eligible for full-time group members if they are in a conglomerate group that together has a minimum of fifty full-time employees. Explained in section 414 conglomerate groups could be made up of controlled groups or associated service groups. If a company has collective owners, supply assistance for one another or work together to supply services to 3rd parties.

Due Date

For the previous calendar year forms 1095-B and for !095-C are required to be given to employees by the thirty-first of January. With the authorization of employees, employers can supply the forms to them electronically. An employer may ask for a 30-day extension of time to provide their employees with the necessary forms by sending a letter to the IRS before the January thirty-first deadline. The forms 1095-B and 1095-C as well as 1095-B and 1094_C for a calendar year need to be filed with the IRS by the next February twenty-eighth if filed on paper. However, if filed electronically the due date is March thirty-first. If an employer files a minimum of two hundred and fifty information returns than they have to be filed electronically.

Penalties

f an employer doesn’t give forms 1095-B or 1095-C to an employee they can receive a two hundred and sixty dollar penalty fee per return. Employers can also face another two hundred and sixty dollar fee for not providing the form 1095-B or 1095-C to the IRS in a timely fashion. So employers are facing penalty fees of five hundred and twenty dollars per return. A penalty fee may be lowered to fifty dollars per return if the returns are given to employees or filed with the IRS within thirty days of the original due date. If employers correct filing failures after thirty days but before August first the fee can be lowered to one hundred dollars per return.