What's the difference between

1095-C vs. 1094-C Forms

The 1095-C and 1094-C forms serve different roles in ACA (Affordable Care Act) compliance, particularly for Applicable Large Employers (ALEs).

Here’s a quick breakdown of each

Form 1095-C

Purpose: Provided to employees to report healthcare coverage.

Details: Summarizes the type and duration of health insurance offered to each full-time employee and verifies whether it meets ACA requirements.

Employee Distribution: Must be provided to employees and filed with the IRS.

Function for Employees: Allows employees to confirm their healthcare coverage for tax purposes.

Form 1094-C

Purpose: A transmittal form that tracks, summarizes, and records the employer’s ACA compliance status for the IRS.

Details: Contains information on the employer’s size, number of employees, and overall health coverage offered.

Filing with IRS: Submitted only to the IRS (not employees), often alongside multiple 1095-C forms.

Function for IRS: Helps the IRS determine if the employer meets ACA standards and whether penalties may apply.

In short, Form 1095-C is specific to each employee’s coverage details, while Form 1094-C acts as a summary report on behalf of the employer to the IRS. Consolidated Appropriations Act of 2021 (CAA) introduced new regulation

Was this helpful

One Response

Leave a Reply

Your email address will not be published. Required fields are marked *

jQuery(document).ready(function($) { $('#thumbs-up').click(function(e) {e.preventDefault(); $('input[name="response"]').val('yes'); $('.elementor-form').submit(); // Trigger form submission }); $('#thumbs-down').click(function(e) { e.preventDefault(); $('input[name="response"]').val('no'); $('.elementor-form').submit(); // Trigger form submission }); });