Forms That Provide Health Coverage Information


Forms That Provide Health Coverage Information

Health insurance protects you and your family from unexpected injuries, illnesses, or other health risks that could cost you money. As a result of the health care reform act, you may receive some paperwork at the beginning of the year detailing your health insurance plan(s) from the previous year.

The documents provided shed light on who should receive them and what they should do with them. We will look at some of the health coverage forms and their importance to your health and that of your loved ones.

Form 1094-C

The form provides all information of members under Applicable Large Employer. It is a transmittal form filled together with form 1095-C. Organizations must submit the two forms via mail or electronically to the IRS. You can get more facts and figures from

Form 1095-A

The Health Insurance Marketplace provides this form to individuals who receive health insurance through them.

The form is proof of insurance for the person. It details when coverage began and the monthly payments. Form 1095-A also details premium tax credits or subsidies received.

The IRS uses this information to get specific information about individuals who have signed up for the cover.

For the purpose of reporting enrollments in qualified health plans sold on the individual market through the Marketplace, health insurance exchanges are required to submit Form 1095-A. Individuals and organizations must submit the forms to the IRS via the Health and Human Services Data Hub.

Form 1095-B

The 1095-B form lists the kind of health insurance you have, any dependents it covers, and the length of coverage for the previous year. Your tax return proves that you and your dependents have at least the minimum necessary health insurance coverage.

The purpose of the Affordable Care Act, commonly referred to as Obamacare, was to make quality, low-cost health insurance available to more individuals.

Companies must file and submit the forms to the IRS through the mail before February 28 or March 31st for every calendar year.

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Form 1095-C

The Affordable Care Act mandates that certain employers provide the American workforce and their dependents with health insurance coverage.

Additionally, those employers must send all eligible workers an annual statement outlining the insurance options. Form 1095-C serves as that statement.

The form contains the following:

  • Name of employee and employer
  • Months in which the employee is eligible for coverage
  • The employee can pay the most affordable monthly contribution(premium) under the plan.

Employers with more than 50 full-time employees, also known as applicable large Employers(ALEs) by the law, must file this form. Employers usually have till the end of February if filing the form via paper or the end of March if filing electronically. Instead of the employer, the insurance company sends this form.

Form 1095-C merely lists the insurance options provided to an employee. The specifics of an employee’s insurance coverage, including covered dependents, appear in this form.  Employers who must file 250 or more 1095-C Forms must do so electronically. However, even if they file fewer than 250 returns, the IRS encourages employers to file electronically.

The information you need can be hard to find when it comes to health insurance. The IRS offers many forms that provide different details about your health coverage. But there are still some other places you can find information about medical coverage.

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July 2024