IRS 1094-B 2017 free printable template

For Privacy Act and Paperwork Reduction Act Notice see separate instructions. Signature Title Cat. No. 61570P Date 1094-B 2017. 110116 Form 1094-B Department of the Treasury Internal Revenue Service Transmittal of Health Coverage Information Returns Go OMB No* 1545-2252 to www*irs*gov/Form1094B for instructions and the latest information* 1 Filer s name 2 Employer identification number EIN 3 Name of person to contact 4 Contact telephone number 5 Street address including room or suite no. 6...

• Who needs Form 1094-B?
• What is the purpose of Form 1094-B?
• What documents must accompany Form 1094-B?
• How long does it take to fill the form out?
• • What information should be provided in Form 1094-B?
  • What do I do with the form after its completion?

The taxpayer must be able to provide all requested information in order to complete the return.18 Note (2) Please note, not all customers will receive a complete return. The return will be returned only if there are not enough pages for each person to complete the return and pay all applicable taxes.19 Note (3) The tax filer (the person filing the return) and an authorized person (the person submitting the forms or completing forms) must enter the information electronically to avoid errors.20 Note (4) When filing a return electronically, the filer and the authorized person must also sign the return and keep the signature on a form for identification purposes only.21 (i) Employer Identification Number (EIN) (Form 1094-C or 1095-C) (IMPORTANT) Form 1096-B (Employer Identification Number (EIN) Report) The employer identification number (EIN) is the last 4 digits of the taxpayer's social security number.22 Note (1) For any Form 1095-B (Form 1095-B) filed for income tax due on January 1, 2017, the filer must enter the last 4 digits of the number of hours worked on each day of the year for which you are filing the return for income tax. The filer must also complete Form 2440 for any Form 1096-B (Form 1096-B) filed after January 1, 2017, and prior to the date your return is due.

Who needs Form 1094-B?

This form is used by all individuals who file Form 1095-B. Its main purpose is informative.

What is the purpose of Form 1094-B?

The Transmittal of Health Coverage Information Returns is sent to the IRS to inform the total amount of all submitted Forms 1095-B, Health Coverage. The Health Coverage Form serves as proof that a taxpayer was covered by the minimum essential coverage. According to US law every individual must have minimum essential coverage for each month.

What documents must accompany Form 1094-B?

This form should be sent together with Form 1095-B. A separate submission is not needed.

How long does it take to fill the form out?

This is a one-page form, and it takes up to five minutes to complete it.

What information should be provided in Form 1094-B?

The person who fills out the form has to provide the following details:

• First name
• Employer Identification Number
• Name and telephone number of the contact person
• Address (street, city, state, country and ZIP)
• Total number of submitted Forms 1095-B
• The preparer also has to sign the form, indicate their title and date it.
• The information provided in Form 1094-B must fully correspond to the data in Form 1095-B.

What do I do with the form after its completion?

The completed Form 1094-B is forwarded to the appropriate IRS office.

Instructions and Help about 2017 1094 b form

Hello this video is about filing forms 1095 be and 1094 be I will cover the following topics in this video key points of form 1095 be a walkthrough of each of the four parts of form 1095 B and a review of the fields on Form 1094 be one of the provisions of the Affordable Care Act is the individual mandate which serves as the basis for form 1095 be reporting the individual mandate states that each individual must have minimum essential coverage for each month or qualify for an exemption or pay a penalty this penalty is called the individuals shared responsibility payment form 1095 B is an information return filed by health care insurers and self-insuring employers with less than 50 full-time equivalent employees the purpose of this form is to allow taxpayers to establish an IRS to verify the taxpayers recovered by minimum essential coverage form 1094 B is the transmittal that is used to summarize the total number of 1095 BS sent to the IRS in one batch let's get started reviewing each part of form 1095 be part 1 reports information about the responsible individual the responsible individual is the taxpayer who would be liable for the individual shared responsibility payment for the covered individuals in line 1 you enter the name of this taxpayer line to should include the responsible individuals social security number or taxpayer identification number enter the responsible individuals date of birth in line 3 only in the case where line two is blank lines four through seven should include the responsible individuals address line 9 which is the small business health options program marketplace identifier should be left blank for 2015 let's go back to line 8 now enter the origin of policy in line 8 there are six possible codes that can be entered on this line code an is for the small business health options program better known as shop code B is for employer-sponsored coverage code C is a government-sponsored program code D is for individual market insurance code e is a multi-employer plan commonly used for reporting by unions and code f is any other designated minimum essential coverage part to a form 1095 be reports information about the employers sponsoring the coverage enter the name employer identification number and address for the employer sponsoring the coverage if line eight in part one is either code a or code be complete part two there is an exception to this rule however employers reporting self-insured group health plan coverage enter code be on line 8 but then should skip part 2 the reason for this is that a self-insured employer is considered the provider in this case and provider information is reported in part 3 a self-insured employer is an employer who has liability for all employee claims incurred and pays each claim if line 8 equals code c d e or f you can skip part 2 in part 3 you report the information about the coverage provider which is actually the filer of form 1095 be you list the name employer identification number and...

People Also Ask about

Do I need a 1094 to file my taxes?

Every person that provides minimum essential coverage to an individual during a calendar year must file an information return reporting the coverage. Filers will use Form 1094-B (transmittal) to submit Forms 1095-B (returns).

What is the difference between 1094 and 1095 forms?

The main difference between them is that the 1095-C provides information about health insurance and is sent to both employees and the IRS, while the 1094-C acts as a cover sheet about the 1095-C and is sent only to the IRS.

What happens if you don't file 1094 and 1095?

Penalties for Not Filing or Incorrectly Filing Forms 1094/1095-C. As of 2022, the penalty for failing to file an informational return is $280 per return, up to $3.426 million per business. Failure to provide a correct payee statement is also $280 per statement and can be up to $3.426 million per employer.

Who must file 1094?

Employers with 50 or more full-time employees (including full-time equivalent employees) in the previous year use Forms 1094-C and 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees.

What is a 1094 form?

More In Affordable Care Act See Reporting Offers of COBRA Continuation Coverage and Post-Employment Coverage.) Form 1094-C is used to report to the IRS summary information for each employer and to transmit Forms 1095-C to the IRS. Form 1095-C is used to report information about each employee.

Who is required to file a 1094 and 1095 forms?

Employers with 50 or more full-time employees (including full-time equivalent employees) in the previous year use Forms 1094-C and 1095-C to report the information required under sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees.

For pdfFiller’s FAQs

What is 1094 b form?

The 1094-B form is used to report information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage and therefore are not liable for the individual shared responsibility payment.

Who is required to file 1094 b form?

Health insurance issuers and carriers are required to file Form 1094-B to report coverage information.

How to fill out 1094 b form?

To fill out Form 1094-B, you will need to provide information about the individual(s) covered by the plan, the type of coverage provided, and other required details. The form can be filed electronically or by mail.

What is the purpose of 1094 b form?

The purpose of Form 1094-B is to fulfill reporting requirements under the Affordable Care Act and to provide individuals with information about their health coverage.

What information must be reported on 1094 b form?

The 1094-B form requires information such as the name, address, and taxpayer identification number of the responsible individual, as well as information about the individuals covered under the plan.

When is the deadline to file 1094 b form in 2024?

The deadline to file Form 1094-B for the year 2024 is February 28, 2025, if filing by mail, or March 31, 2025, if filing electronically.

What is the penalty for the late filing of 1094 b form?

The penalty for the late filing of Form 1094-B is $50 per return if filed within 30 days of the due date, and $100 per return if filed after 30 days but before August 1. The penalty increases to $270 per return if filed after August 1 or if there was intentional disregard of the filing requirement.

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