Updated IRS Health Care Tax Tip 2015-42: Employers Providing Self-Insured Health Coverage Must Report on Information Returns
Internal Revenue Service (IRS) sent this bulletin at 07/28/2015 03:37 PM EDT
|
Useful Links:News EssentialsThe Newsroom TopicsIRS Resources
|
Issue Number: Updated IRS Health Care Tax Tip 2015-42Inside This IssueEmployers Providing Self-Insured Health Coverage Must Report on Information Returns This tax tip is updated to clarify that self-insured employers that are not applicable large employers, those with fewer than 50 full-time or full-time equivalent employees in the preceding calendar year, should file Form 1095-B. Self-insured employers that are applicable large employers should report health coverage information on Form 1095-C. This tip does not apply to information reporting on health care coverage of individuals who are not employees or entitled to coverage because of a relationship to an employee. All providers of health coverage, including employers that provide self-insured coverage, must file annual returns with the IRS reporting information about the coverage and about each covered individual. Insurance Companies must report on coverage under employer plans that are insured. Employers should report this information on Forms 1094-B and 1095-B or on Forms 1094-C and 1095-C, depending on whether the employer is an applicable large employer for purposes of the employer shared responsibility provisions. An applicable large employer is generally defined as an employer that employed an average of at least 50 full-time employees – including full-time equivalent employees – in the preceding calendar year. ` As coverage providers, employers providing self-insured coverage that are not applicable large employers must:
If an employer providing self-insured coverage is an applicable large employer, it generally reports information regarding coverage of an individual on Form 1095-C instead of Form 1095-B. Form 1095-C combines reporting for two provisions of the Affordable Care Act for these employers. However, when reporting coverage of an individual who was not a full-time employee for any month of the year, an applicable large employer may choose to use Form 1095-B. The information reporting requirements are first effective for coverage provided in 2015. Thus, health coverage providers will file information returns with the IRS in 2016, and will furnish statements to individuals in 2016, to report coverage information in calendar year 2015. The information that a provider must report to the IRS includes the following:
For more information, see Questions and Answers on Information Reporting by Health Coverage Providers on IRS.gov/aca. Employers who provide self-insured coverage should review Publication 5215, Responsibilities for Health Coverage Providers. Applicable large employers should review Publication 5196, Reporting Requirements for Applicable Large Employers. Subscribe to IRS Tax Tips to receive easy-to-read tips from the IRS by e-mail. Thank you for subscribing to IRS Tax Tips, an IRS e-mail service. For more information on federal taxes please visit IRS.gov. This message was distributed automatically from the IRS Tax Tips mailing list. Please Do Not Reply To This Message. |