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Official form guide
Form 1094B: Transmittal of Health Coverage Information Returns
IRS Form 1094-B is the Transmittal of Health Coverage Information Returns and is filed by entities that submit accompanying Forms 1095-B. The form indicates the total number of Forms 1095-B submitted with this transmittal.
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IRS Form 1094B - Transmittal of Health Coverage Information Returns
IRS Form 1094-B is the Transmittal of Health Coverage Information Returns and is filed by entities that submit accompanying Forms 1095-B. The form indicates the total number of Forms 1095-B submitted with this transmittal.
Risk Radar
Scan points- 1Failing to declare under penalty of perjury that the return is true, correct, and complete.
- 2Filing without providing the Filer’s name (Line 1) and EIN (Line 2).
- 3Not listing the Total number of Forms 1095-B submitted with this transmittal (Line 9).
- 4Omitting the required signature or date on the declaration statement.
- 5Entering incorrect contact information in Lines 3, 4, or 5.
Plain English
This form serves as a cover sheet when you send in health coverage documents (Form 1095-B) to the IRS. It provides key contact and employer details so the IRS knows who is sending the information. The filer declares that all accompanying documents are true, correct, and complete.
Submission Date
- Filing date: 2025-10-09 22:10:19
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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What this form is for
- Use this form when submitting accompanying Forms 1095-B with a transmittal of health coverage information returns.
- Do not use it when you are only filing one Form 1095-B and do not need to indicate the total count on this transmittal.
- Check Form 1095-B instead when submitting the actual health coverage data.
Form selector
Use this form or another form?
Filing a single 1095-B
This form confirms the submission of one accompanying return.
✓ Check total number field.
Submitting multiple 1095-Bs that are not health coverage related (but still need transmittal)
The primary purpose is health coverage information, but this form handles the filing mechanism for all submitted returns.
✓ Verify context of submission.
Filing a 1094-B itself (if you were submitting it alone)
This specific transmittal confirms that Forms 1095-B are being sent along with the filing.
✓ Confirm if Form 1094-B is the primary document or part of a package.
Filing other unrelated IRS forms (e.g., W-2) in the same mailing
This form acts as the cover sheet for the health coverage data returns being sent to the IRS.
✓ Ensure all required 1095-B documents are included.
Deadline or filing window
The official source does not specify a trigger event for filing Form 1094-B. When filed, the declaration must be made by the filer, certifying accuracy. No specific deadline date or extension period is listed on this form's front page.
Checklist
What you need before filling it out
Filer's name
Filer's printed name · Field 1
Employer identification number (EIN)
Employer's EIN · Field 2
Total number of Forms 1095-B submitted
Numerical count of attached forms · Field 9
Signature
Authorized individual's signature · Bottom section
Date
Current date of filing · Next to Signature line
Form 1094-B number
1094-B · Top of form
Before you submit
- 1Complete Field 1 with the Filer's name.
- 2Enter the Employer identification number (EIN) in Field 2.
- 3Fill out Fields 3 through 8 completely with contact and address details.
- 4Accurately state the Total number of Forms 1095-B submitted in Field 9.
- 5Ensure all accompanying Forms 1095-B are included with this transmittal.
- 6Sign the return under the declaration statement.
- 7Enter the current Date next to your signature.
How to file this form
- 1Complete Fields 1 through 8 with the necessary filer and contact information.
- 2Count all accompanying Forms 1095-B and record that total in Field 9.
- 3Sign the return under the declaration, and enter the current Date.
- 4Mail or electronically submit the signed Form 1094-B along with the attached Forms 1095-B to the IRS.
Known limitations
- 1The form applies to entities that submit accompanying Forms 1095-B.
- 2It is used to transmit information regarding health coverage, as indicated by the official title.
Field map
Compact field-by-field guide
Payer Info
1 items
Identifying information of the business or person making the payment.
Recipient Info
1 items
Identifying information of the person or entity receiving the payment.
Amounts
1 items
The payment amount subject to reporting for the applicable box category.
Withholding
1 items
Backup withholding amount if applicable.
Signatures
1 items
Name and phone number of the person to contact about this return.
Almost done reviewing the fields?
Fillable formOpen in Editor->The current edition is 20/25, and the form was created on May 28, 2025. The instructions direct users to www.irs.gov/Form1094B for the latest information.
What changed or needs a fresh check
- Edition date — confirm the revision reads 20/25.
- Creation date — confirm the form was created on 5/28/25.
- Filer's name — ensure this field is completed.
- Total number of Forms 1095-B submitted — confirm this count is accurate.
- Signature — verify that a signature has been applied to the return.
Quick Facts
Downloads
After you file
- 1Retain a copy of IRS Form 1094-B after filing it.
- 2The form requires a signature and date to be applied to the return upon submission.
- 3A declaration under penalties of perjury must accompany the filing, stating the documents are true, correct, and complete.
- 4Consult separate instructions for details regarding the Privacy Act and Paperwork Reduction Act Notice.
Sources
- SRCForm 1094-B is titled Transmittal of Health Coverage Information Returns (page 1).
- SRCThe form revision date is 20/25 (page 1).
- SRCInstructions and latest information are available at www.irs.gov/Form1094B (page 1).
- SRCThe filer must provide their name on the return (line 1) (page 1).
- SRCThe filer must provide the Employer identification number (EIN) on the return (line 2) (page 1).
- SRCThe form requires a declaration under penalties of perjury, stating documents are true, correct, and complete (page 1).
Common confusion points
Who fills out IRS Form 1094-B?
The entity submitting accompanying Forms 1095-B files this transmittal.
→ Check the top of the form for Filer's name.
What must I include with this form?
This form transmits information from accompanying Forms 1095-B, and it requires a total count of those forms.
→ Verify the 'Total number of Forms 1095-B submitted' box is accurate.
Where do I find filing instructions?
Instructions are available at www.irs.gov/Form1094B.
→ Confirm you are using the current edition (20/25).
What must be signed on Form 1094-B?
The filer must sign and date the form to certify its accuracy.
→ Look for the 'Signature' and 'Date' fields at the bottom.
What is the purpose of this form?
It serves as a Transmittal of Health Coverage Information Returns, bundling multiple Forms 1095-B.
→ The official title states this clearly on page 1.
Does it require an EIN?
Yes, the filer must provide their Employer identification number (EIN).
→ Check line 2 for the required EIN field.
Workflow map
Related forms and next steps
Before
Current
After
Often used with
⚠ If something goes wrong
- Go to www.irs.gov/Form1094B for instructions (for guidance on correcting errors)
Questions about IRS Form 1094B
What is IRS Form 1094B used for?
This form serves as a cover sheet when you send in health coverage documents (Form 1095-B) to the IRS. It provides key contact and employer details so the IRS knows who is sending the information. The filer declares that all accompanying documents are true, correct, and complete.
Who must file IRS Form 1094B?
The form must be filed by the entity submitting the health coverage returns. This entity acts as the filer on Form 1094-B.
What information does IRS Form 1094B require?
The form collects specific details such as the Filer’s name (Line 1), the Employer identification number (EIN) (Line 2), and the Total number of Forms 1095-B submitted with this transmittal (Line 9).
Where do I file IRS Form 1094B?
The form does not specify a routing address or service center, but it must be sent to the Internal Revenue Service. Instructions are available at www.irs.gov/Form1094B for specific filing locations.
How do I complete IRS Form 1094B?
First, fill out all required lines, including the Filer’s name (Line 1) and EIN (Line 2). Next, provide contact information through Line 4 (Contact telephone number) and Line 8 (Country and ZIP or foreign postal code). Finally, the filer must sign and date the form.
What happens if IRS Form 1094B is filed incorrectly?
Under penalties of perjury, the filer declares that if the return and accompanying documents are found not to be true, correct, or complete, a penalty may apply.
Who fills out IRS Form 1094-B?
The entity submitting accompanying Forms 1095-B files this transmittal. Check the top of the form for Filer's name.
What must I include with this form?
This form transmits information from accompanying Forms 1095-B, and it requires a total count of those forms. Verify the 'Total number of Forms 1095-B submitted' box is accurate.
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