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Form 1095‑C reports employer‑provided health insurance to the IRS and to employees. Employers use it to show whether they offered minimum essential coverage that met Affordable Care Act requirements.
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Form 1095‑C reports employer‑provided health insurance to the IRS and to employees. Employers use it to show whether they offered minimum essential coverage that met Affordable Care Act requirements.
Plain English
If you run a business with 50 or more full‑time employees, you must fill out this form each year to tell the government which workers got health coverage from you. The form also becomes a statement that employees receive so they can complete their own tax returns.
Submission Date
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Fewer than 50 full‑time equivalents
Small employers report self‑insured coverage
✓ Verify employee count first
Self‑insured plan with no ACA‑eligible coverage
Employer‑sponsored marketplace plans
✓ Confirm plan source
Employers must provide employee copies of Form 1095‑C by January 31 of the year after the coverage year. The electronic filing deadline with the IRS is also January 31, but the IRS may grant extensions if a valid request is submitted before the due date.
Checklist
Employee SSN
Social Security card or payroll record · Employee payroll file
Months of coverage
Payroll benefit enrollment logs · HR benefits system
Plan code
Summary plan description · Insurance carrier documents
Employer share of premium
Payroll deductions report · Accounting ledger
Field map
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.
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Fillable formOpen in Editor->The 2024 edition of Form 1095‑C is active. No new revisions have been released for the 2025 filing year as of the latest IRS guidance.
Quick Facts
Downloads
FTE count vs. employee count
Employers often mix part‑time hours with full‑time equivalents
→ Verify using the IRS 50‑hour rule
Self‑insured vs. fully insured plan codes
Codes differ by plan type and can be swapped
→ Cross‑check with carrier documentation
Electronic vs. paper filing requirement
Some small employers think paper is allowed
→ Confirm filing method in the 2024 instructions
Employee share of premium vs. employer share
Both appear on the form but only employer share is reported
→ Review payroll deduction reports
Month‑by‑month coverage indicator
Blank months are interpreted as no coverage
→ Ensure each month is marked Y/N
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