Form 1094 and 1095 are essential documents that provide the government with necessary healthcare coverage information about employees. The government uses these documents to track employers’ compliance with the Affordable Care Act (ACA).

Forms 1094 generally serve as summaries of forms 1095. There are different types of forms 1094 and 1095, each serving a different role., they include;

• Form 1095A
• Form 1095 B
• Form 1095 C
• Form 1094 B
• Form 1094 C

Form 1095 A

This form is for anyone whose health insurance is from the marketplace. You will receive this form from the insurance provider and not the IRS. The document should be filled together with your other tax documents when filing your returns.

The form has information on the marketplace plan you or a member of your household has, such as ;

• All the premiums paid
• Premium tax credit spent
• The second-lowest-cost silver plan (SLCSP)

The form is generally available in your health.gov account by mid-January.

Form 1095 B

The document is for individuals who buy their health coverage directly from an insurance provider or get it from a small business employer. The employer or the insurance provider is responsible for filling out this form.

This form generally has four parts, each with specific information. The parts include;

1. Responsible or primary individual information; This section contains the details of the primary individual covered by the insurance plan. The information includes their name, DOB, SSN, and address.
2. Employer’s information. Group health providers are responsible for completing this section. It contains the name, EIN, and address of the employer.
3. Coverage provider; it provides information on the insurance provider, this includes their name, address, contact phone number, and EIN.
4.  Covered individuals. The section contains the details of all the people covered by the plan. They include the primary individual and their spouse or any other dependent.

Employers can send the files electronically or do a paper filing. Those with more than 250 files are encouraged to do an electronic filing.

Form 1095 C

This form is for employees who receive their coverage from large businesses. Employers with more than 50 full-time employees or their equivalent must fill out this form. They must then file it with the IRS and send a copy to the covered employee.

The form provides the following information;

• The coverage the employer offers the employee
•  Lowest-cost premium 
• The months of the year the insurance cover was available.

The employer must fill in the form for all workers employed in any month of the previous year. IRS uses this information to determine individuals eligible for subsidies on personal health coverage during a particular year.

The form is not required when an individual is filling out personal tax returns.

Form 1094 B

Forms 1094 B contain a summary of the information on all 1095 B forms. The employer sends the file only to the IRS and is not required to send it to the employees. The files accompany the 1095 B forms.

Form 1094 C

The form provides a summary of forms 1095C. All applicable large employers (ALE) must fill out this form and send it to IRS. 

You will not fill out or need to access 1094 forms as an employee. You can use online resources to get more information on forms 1095 and 1094.