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1094/1095
Pursuant to the Affordable Care Act (ACA) Federal forms 1095C and 1094C will need to be filed with the IRS each year. This section provides you with the data collection forms to use to accumulate the required information for the calendar year. For more details regarding the information required for these forms please see the following IRS links: http://www.irs.gov/pub/irs-pdf/f1095b.pdf, http://www.irs.gov/pub/irs-pdf/f1095c.pdf
Each employee should receive only one form – either the 1095B or the 1095C. In some cases, your insurer may provide the form to your employees.
NOTE: Please review the information on the back of the forms for additional essential information.
Each employee should receive only one form – either the 1095B or the 1095C. In some cases, your insurer may provide the form to your employees.
NOTE: Please review the information on the back of the forms for additional essential information.
- 1095C Employer Provided Health Insurance Offer and Coverage
- Part I Employee
- Employee: Enter the employee code or select from the drop down.
- Name: This will be automatically completed once the Employee field has been completed
- Applicable Large Employer Member: This will be completed based upon information entered under Tools/Organization.
- Plan Start Month: Enter the first month of your plan year.
- Part II Employee Offer and Coverage: If the employee was covered for all 12 months of the year, enter the responses in the Covered all 12 Months column. If they were covered less than 12 months, you will need to enter information in the months that they were covered.
- Offer of Coverage: Select the appropriate code.
- Employee Share: Enter the amount of the minimum essential coverage offered to the employee for self-only coverage.
- Applicable 4980H Code: Select the appropriate code.
- Part III Covered Individuals
- For each individual covered by the employee’s plan, you will need to provide their name, Social Security number, date of birth and months of coverage. If they were covered all 12 months of the year, you may just click on that box. If not covered for all 12 months, you will need to select which months they were covered.
- Part I Employee
- Full Time Status Report - This will generate a listing of all employees and the hours worked during the month. Those employees working 130 hours or more per month will be separated from those working less than 130 hours. You will need to select the starting date for the first payroll processed in each month. Do this for all months, as the starting date for one month is used as the ending date for the previous month. If you don’t want to print a report for a specific month, uncheck the check box for that month.
- Print 1094/1095 Form/e-File
- Contact Information: Enter your agency’s contact information and TCC # here. Click on Edit before attempting to change this information. Be certain to not use any special characters in phone number or Tax ID. These should be numbers only with no spaces.
- Print IRS 1095C: To print the forms, select the appropriate button.
- Print 1095C Employee Copy: To print the employee’s copy of the forms, select the appropriate.
- Print IRS 1094C: To print the forms, select the appropriate button.
- Create 1094C/1095C e-File: To create an e-File for uploading, select the appropriate button. NOTE: The e-File buttons will only be available if you have purchased and installed #425 1094/1095 e-File and security has been activated for this supplement. See this supplement under PR Supplements in your Help Manual for operating instructions. This e-file preparation service is also available from GMS for a fee. Contact [email protected] for more details regarding how you may have the e-file prepared for you by GMS.
- GMS Printing 1094/1095 Forms/e-File
- GMS will need a copy of your current database with the latest revision installed and a PDF print out of your Print IRS 1094C transmittal page.
- Notify [email protected] that your database is available for upload. Do not email your database.
- You will receive an email correspondence with a link to upload your database and support documents securely.
