Forms and Publications Search Results

Form 1095-C is used by applicable large employers (as defined in section 4980H(c)(2)) to verify employer-sponsored health coverage and to administer the shared employer responsibility provisions of section 4980H.

Instructions for Forms 1094-C and 1095-C, which employers with 50 or more full-time employees (including full-time equivalent employees) in the previous year use to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees.

Form 1094-C, Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns, is the transmittal form that must be filed with the Form 1095-C.

Publication 5223, General Rules and Specifications for Affordable Care Act Substitute Forms 1095-A, 1094-B, 1095-B, 1094-C, and 1095-C, sets forth the requirements for using official Internal Revenue Service (IRS) forms to file information returns with the IRS, preparing acceptable substitutes of the official IRS forms to file information returns with the IRS, and using official or acceptable substitute forms to furnish information to recipients.

Form 4423, Application for Filing Affordable Care Act (ACA) Information Returns - If you are a foreign organization without an Employer Identification Number (EIN) and you need to request authorization for a Transmitter Control Code (TCC) to act as a Transmitter or Software Developer for electronic filing of Form 1094-B, Transmittal of Health Coverage Information Returns and Form 1095-B, Health Coverage; and/or Form 1094-C, Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns and Form 1095-C, Employer-Provided Health Insurance Offer and Coverage.