About Form 1095-C

What is Form 1095-C?

Form 1095-C is used to report information about each employee and summary information for each employer to the IRS. In addition, Forms 1094-C and 1095-C are used in determining whether an employer owes a payment under the employer shared responsibility provisions under section 4980H. Form 1095-C is also used in determining the eligibility of employees for the premium tax credit.

Applicable Large Employers that offer employer-sponsored self-insured coverage use Form 1095-C to report information to the IRS and to employees. This includes information about individuals who have minimum essential coverage under the employer plan and therefore are not liable for the individual shared responsibility payment for the months that they are covered under the plan.

Who needs to file Form 1095-C?

An employer subject to the employer shared responsibility provisions under section 4980H must file one or more 1094-C (including Form 1094-C designated as the Authoritative Transmittal, whether or not filing multiple 1094-C forms), and must file Form 1095-C for each employee who was a full-time employee of the employer for any month of the calendar year. The employer is required to furnish a copy of the Form 1095-C to the employee. See the official IRS instructions or use this tool to determine if you have a filing requirement.

What is the deadline for filing Form 1095-C?

For tax year 2016, 1095-C forms are required to be mailed to the recipient by January 31, 2017 and e-filed with the IRS by March 31, 2017. You may also choose to submit paper forms, if filing under 250 forms, to the IRS by February 28, 2017.

Using Yearli To File Form 1095-C

Although managing the data required on Form 1095-C may seem like a daunting task, you can do it with Yearli and the ACA reporting experts at Greatland. Yearli was designed to allow you to easily import, add, edit, update and delete information required for reporting on Form 1095-C. Yearli simplifies the filing process, breaking the form into four logical sections:

ALE Information (Employer)

Lines 7-13 on Form 1095-C

Yearli makes it easy to import and manage employer information required on Form 1095-C, with built-in features to make data import quick and easy, such as:

  • Multiple Employers: Keeping 1095-C records for more than one employer? Yearli allows you to easily import, enter and maintain multiple employers. Convenient drop-down arrows provide easy organization and reference for each EIN.
  • Data Validation: Yearli will flag you if you enter invalid employer data, such as EIN. This happens on a field-by-field basis during data entry. So, you don't have to wait until you are finished with the form before you are flagged for invalid data. When importing data, you'll receive a report identifying any validation errors with employer information.
View ALE Info (Employer) Image

Employee Information

Lines 1-6 on Form 1095-C

Importing or entering employee data into Yearli is extremely easy. Yearli's data entry form allows you to quickly toggle between employees from the same company, making data entry a snap. You can even save partial or incomplete data. That way, if you need to obtain additional information you can. Simply return to the data entry form at a later time and add the incomplete information. It's as easy as that!

  • Data Validation: Yearli's data entry form will flag you if you enter invalid employee data, such as SSN or zip code. This happens on a field-by-field basis during data entry. So, you don't have to wait until you are finished with the form before you are flagged for invalid data.
  • Multiple Forms: Adding additional forms for an employee is easy. Once the data is entered, you can easily use the same employee data to complete a W-2 form, for example.
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Employee Offer and Coverage

Lines 14-16 on Form 1095-C

Line 14 - Offer of Coverage: Specifies the type of coverage, if any, offered to an employee, spouse and dependents. The code must indicate the coverage the employee was offered; however, it may not match the coverage in which the employee is actually enrolled. For example, if an employee is offered family coverage but enrolls in employee-only coverage, Line 14 must indicate that the employee was offered family coverage. A code must be entered for each calendar month even if the employee was not a full-time employee for one or more months. Alternatively, the "All 12 Months" box may be completed if the same offer applies to all 12 months.

Line 14 Code Descriptions
1A Qualifying offer: Minimum Essential Coverage (MEC) providing Minimum Value (MV) offered to full-time employee, and at least MEC offered to spouse and dependents. Employee contribution for self-only coverage is $93.18 or less (for 2015).
1B MEC providing MV offered to employee only.
1C MEC providing MV offered to employee and at least MEC offered to dependents (no spouse).
1D MEC providing MV offered to employee and at least MEC offered to spouse (no dependents).
1E MEC providing MV offered to employee and at least MEC offered to dependents and spouse. (If employee contribution for self-only coverage is more than $93.18 for 2015, use Code 1E.)
1F Offer of MEC NOT providing MV was made to employee, or employee and spouse or dependents, or employee, spouse and dependents.
1G Offer of coverage to employee who was not a full- time employee for any month and who enrolled in self-insured coverage for one or more months.
1H No offer of coverage to the employee, or the offer was not MEC.
1I Qualifying Offer Transition Relief for 2015: Employee (and spouse or dependents) received no offer of coverage, received an offer that is not a qualifying offer, or received a qualifying offer for less than 12 months.

Line 15 - Employee Share of Lowest Cost Monthly Premium for Self-Only Minimum Value Coverage: Enter the amount of the employee share of the lowest cost monthly premium for self-only minimum essential coverage (MEC) providing minimum value (MV) offered to the employee. This amount may not equal the amount the employee is actually paying for coverage. For example, an employee enrolls in family coverage with a monthly premium of $200.00. The monthly premium for employee-only coverage is $100.00 which is the amount that should be entered on Line 15.

Line 16 - Applicable Section 4980H Safe Harbor: Provides an opportunity for an employer to indicate an exception to a penalty. Completing this line is optional, however it is in the employer's best interest to provide the information if it is applicable.

Line 16 Code Descriptions
2A Employee not employed during the month.
2B Employee is not a full-time employee.
2C Employee enrolled in coverage offered.
2D Employee is in a limited non-assessment period.
2E Multiemployer interim rule relief.
2F Section 4980H affordability Form W-2 safe harbor.
2G Section 4980H affordability federal poverty line safe harbor.
2H Section 4980H affordability rate of pay safe harbor.
2I Non-calendar year transition relief.

If more than one code applies to Line 16, use the following guidelines:

  • If 2E and any other Code series 2 applies, enter 2E
  • If 2C and any other Code series 2 applies other than Code 2E, enter 2C
  • If 2B and 2D apply, enter 2D

Note: Greatland Corporation does not provide tax, legal or accounting advice. This document has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal or accounting advice. You should consult your own tax, legal and accounting advisors before engaging in any transaction.

Use Greatland's Part II Filing Guide or watch a short video to help you better understand what to enter in Lines 14-16 of Form 1095-C.

Covered Individuals

Lines 17-22 on Form 1095-C

Yearli conveniently organizes covered individuals, closely linking them to the employee information. Through Yearli, you can quickly import, add, edit or remove covered individuals for each employee. Select each month individually or choose "All 12 Months."

  • Data Validation: The fields in the Covered Individuals section contain validation to ensure you are compliant with IRS regulations, requiring you to enter SSN or Date of Birth, for example.
  • Quick List: The Covered Individuals section provides a list of all covered individuals listed under the employee, providing easy reference with the ability to add, edit or delete covered individuals.
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