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1094-c Form: What You Should Know

Taxpayers must provide certain information about any health plan (including employer-sponsored, self-insured, or other health insurance plan) that they may be  offering to their employees. The health plans that the IRS is required to see are offered through an employer and the report contains all  information on these plans, including plan-related information, such as the insurance plan's name, its insurer, the name of the  professional or provider or other person providing its treatment and any coverage related to the treatment, and any amount for  premiums, deductibles, co-payments, coinsurance, and other amounts or services. When reporting information about any health  plan (including employer-sponsored, self-insured, or other health insurance plan) that I may be offering to my employee, the following  information must be included: (1) the full name of the health plan; (2) the name of the person providing the treatment, including  the name, title, and identification number of the individual, for all health plans offered and whether the person  providing the treatment is a separate employee; (3) the amount and type of coverage provided, such as the form of  insurance, plan benefit, cost sharing, deductibles, co-payments, coinsurance, or other amount or services; (4) the amount of  premiums, deductibles, co-payments, coinsurance, or other amounts or services that are paid or billed; (5)  the number of individuals covered or covered by health insurance, including enrolled and dependents and, if such  information is available, the age, sex, and type or type of coverage for all individuals covered and covered by the  plan during the reported period; (6) any coverage required by law for any person; and (7) the name of the professional or  provider or other person providing the treatment, including any contact information for the professional or  provider, or their organization. The Form 1095-C covers health insurance offerings made by an employer to all of  its employee's covered individuals that were not provided under the Affordable Care Act but are offered on an  individual basis under the employer-sponsored plan. Form 1096 has a similar purpose to Form 1094-C, although the information required to be reported is more detailed.

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