ACA – 6055 & 6056 Employer Reporting
Affordable Care Act: Employer Reporting Requirements
Employers that have 50 or more full-time employees as defined by IRS Section 4980H are Applicable Large Employers (ALEs). They must follow the requirements for ALEs that self-fund, which means that they must report and submit under both Sections 6055 & 6056 (may use combined reporting). Each CCMHG ALE and Non-ALE is responsible for its own reporting.
Employers that have fewer than 50 full-time employees as defined by IRS Section 4980H are non-Applicable Large Employers (non-ALEs). Non-ALES that are participating in a MA municipal joint purchase group that self-funds its health plans must report under Section 6055. This means these Non-ALEs must fill out and submit IRS Forms 1094-B and 1095-B.
IRS Extends Deadline for Supplying ACA Information Forms to Employees
The IRS extended the deadline for insurers, sponsors of self-insured health plans, and applicable large employers (“ALEs”) to provide statements to individuals under sections 6055 and 6056 of the Internal Revenue Code.
The deadline for issuing forms 1095-B or 1095-C to individuals is February 28, 2024.
2023 IRS FORMS & INSTRUCTIONS
Instructions for forms 1094-b & 1095-b – (All Employers need to complete Forms 1094-b & 1095-b)
Form 1094-b – Transmittal of Health Coverage Information Returns
Form 1095-b – Health Coverage
Instructions for forms 1094-c & 1095-c – (Only Employers with 50 or more full-time employees need to complete Forms 1094c-c & 1095c)
Form 1094-c – Transmittal of Employer-Provided Health Insurance Offer & Coverage Information Returns
Form 1095-c – Employer-Provided Health Insurance Offer & Coverage