Filing Requirement
What is the difference between a 1095-B and 1095-C form?
The critical difference comes down to employer size: Employer Size Funding Type Form Required Under 50 full-time employees Self-insured 1095-B Under 50 full-time employees Fully insured None (carrier files 1095-B) 50+ full-time employees Self-insured ...
What Does 1095-B Report?
Form 1095-B reports minimum essential coverage (MEC) information to the IRS, including: The coverage provider's information The policyholder's information All individuals covered under the plan The months during which coverage was in effect
Who is required to file 1095-B forms?
Providers of minimum essential coverage (MEC) are required to file 1095-B forms. For employers specifically, this means small self-insured employers with fewer than 50 full-time employees. Health insurance issuers and carriers must file Form 1095-B ...
What is an Aggregated ALE Group?
An Aggregated ALE Group consists of related companies that must be combined when determining ALE status, even if each individual company has fewer than 50 employees. Companies with a common owner or that are otherwise related under certain rules of ...
How do I calculate full-time equivalent (FTE) employees?
Full-time equivalent employees (FTEs) represent the combined hours of part-time employees converted to full-time units. Even employers with fewer than 50 full-time employees may qualify as an ALE when FTEs are factored in. Calculation Steps Add up ...
What is an Applicable Large Employer (ALE)?
An Applicable Large Employer (ALE) is any employer that averaged 50 or more full-time employees, including full-time equivalent employees (FTEs), during the prior calendar year. Whether an employer is an ALE is determined each calendar year, and ...
Who is required to file 1095-C forms?
Applicable Large Employers (ALEs) are required to file 1095-C forms. Employers with 50 or more full-time employees (including full-time equivalent employees) in the previous year use Forms 1094-C and 1095-C to report information required under ...