- Posted by Scott Wham
- On February 10, 2016
As a result of the new IRS reporting requirements, employees of companies may be receiving a combination of IRS Forms 1095-A, 1095-B, and 1095-C:
- IRS Form 1095-A—IRS Form 1095-A is sent to individuals who enrolled in health coverage for themselves or their family members through the government’s Health Insurance Marketplace (e.g. healthcare.gov). The form is sent directly by the Health Insurance Marketplace. Form 1095-A is used to complete Form 8962 and to reconcile advance payments of the premium tax credit or claim the premium tax credit on tax returns.
- IRS Form 1095-B—IRS Form 1095-B is issued to individuals who had health coverage for themselves or their family members that is not reported on Form 1095-A or 1095-C. The form is send by health coverage providers including: insurance companies outside of the Health Insurance Marketplace, government agencies such as Medicare or CHIP, and employers that provide self-insured health coverage but are not required to file Form 1095-C (e.g. employers with less than 50 full-time employees including full-time equivalents who sponsor a self-insured group health plan). The 1095-B is used for information on whether an individual (or an individual’s family) had health coverage that satisfies the individual shared responsibility provision.
- IRS Form 1095-C—Form 1095-C provides information about the health coverage offered by an employee’s employer, and, in some cases, information about whether an employee enrolled in the employer’s coverage. The Form 1095-C is issued by Applicable Large Employers (e.g. employers with 50 or more full-time employees including full-time equivalents). The 1095-C may be used by an employee to help determine their eligibility for the premium tax credit.
It is important to note that none of the above forms are attached to tax returns. Employees should keep these forms for their records in the event that they need to substantiate their coverage.
To assist our clients, Kistler Tiffany Benefits is providing an employee communication that provides an outline of the forms, as well as FAQs explaining the forms, that employers may distribute to their employees. To review the outline, please click here.