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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 SMHG ALE and Non-ALE is responsible for its own reporting. See Slide #15 in “Presentation by Zywave”, below.
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 Due Dates for 2016 Information Reporting Requirements
Providers and certain employers must now furnish Individuals with either Form 1095-B or 1095-C by March 2, 2017. The due dates for issuers filing these forms and the associated Form 1094 with the IRS are February 28, 2017 for paper filers and March 31, 2017 for electronic filers.
PRESENTATION IRS IRS Affordable Care Act (ACA) Information Returns (AIR) Presentation – Employer Information Reporting Scenario Review – Forms 1094C & 1095C This presentation applies only to ALEs with 50 or more full-time employees including full-time equivalent employees
NEW!! 2016 IRS FORMS & INSTRUCTIONS
Instructions for 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
Form 1094-c – Transmittal of Employer-Provided Health Insurance Offer & Coverage Information Returns
Form 1095-c – Employer-Provided Health Insurance Offer & Coverage
Other Reporting Resource documents/links:
– Link to IRS Question & Answer
– HCR: Employer Reporting of Health Coverage – Code Sections 6055 & 6056
– Health Care Reform: Q&As on Reporting by Health Coverage Providers (Section 6055)
– Health Care Reform: Q&As on Employer Reporting of Health Coverage (Section 6056)
– Penalties Increased for Section 6055 and Section 6056 Reporting Violations
– What Information Must Be Reported? Code Section 6055 Code Section 6056