Reporting Minimum Essential Health Coverage with Form 1095-B
What is Form 1095-B?
Form 1095-B is an IRS form used to verify that employers provide employees and their dependents with the Minimum Essential Coverage (MEC) mandated by the Affordable Care Act (ACA) health insurance requirements.
What Information is included on Form 1095-B
- Provider Information: The entity providing health coverage (insurer, employer, or government program).
- Covered Individuals: Names and Social Security Numbers (or other taxpayer identification numbers) of covered individuals.
- Coverage Months: The duration (months) for each individual had minimum essential health coverage.
Who Files Form 1095-B
Typically, Form 1095-B is issued by insurers or by employers with fewer than 50 full-time employees who sponsor self-insured group health plans and government programs like Medicare and Medicaid.
- Health Insurance Providers: Private insurers and government programs providing minimum essential coverage.
- Small Employers with Self-Insured Plans: Employers with fewer than 50 full-time employees offering self-insured health coverage.
What is the Significance of 1095-B?
The IRS uses Form 1095-B to confirm that individuals and families have health coverage in compliance with the ACA’s mandate, which requires most people to have health insurance or face a penalty (though the federal penalty has been removed starting in 2019).
- Some states still mandate penalties, making this form valuable for state tax filing purposes.
Compliance Actions for 1095-B
Deadline: March 3, 2025
Insurers and applicable employers must provide Form 1095-B to individuals by March 3, 2025, for the 2024 tax year to ensure they have accurate tax filing information.
Form 1095-B Submission Deadlines
Paper Filing Deadline: February 28, 2025
Electronic Filing Deadline: March 31, 2025
Employers can file Form 1095-B electronically or by paper.
Steps for Employers to File Form 940
1. Compile Employee Data:
Assemble health coverage data for each covered individual, including coverage months and plan details.
2. Complete Form 940:Fill out Form 1095-B with the months minimum essential coverage was provided.
3. Distribute Forms to Individuals:Distribute forms by March 3, 2025, either electronically (with recipient consent) or by mail.
4. File With the IRS:Submit Form 1095-B to the IRS by the applicable deadline— February 28, 2025 by paper or March 31, 2025 if filling electronically.
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