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...

How to fill out IRS 1094-B

How to fill out IRS 1094-B

1. Obtain the IRS Form 1094-B from the IRS website.
2. Provide your name, address, and TIN (Taxpayer Identification Number) in the appropriate fields.
3. List the information for each covered individual, including their name, address, and TIN.
4. Indicate the number of covered individuals in the designated box.
5. Complete any additional required information based on your reporting situation.
6. Review the completed form for accuracy and sign it if necessary.
7. Submit the form to the IRS by the required deadline.

Who needs IRS 1094-B?

1. Health insurance issuers.
2. Sponsors of self-insured health plans.
3. Employers who provide minimum essential coverage.

• 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?

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.

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.

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What is IRS 1094-B?

IRS 1094-B is a transmittal form that is used by health coverage providers to report information about types of health coverage offered to individuals under the Affordable Care Act (ACA).

Who is required to file IRS 1094-B?

Entities that provide minimum essential coverage to individuals, such as health insurers, employers offering self-insured plans, and government programs providing coverage, are required to file IRS 1094-B.

How to fill out IRS 1094-B?

To fill out IRS 1094-B, you need to provide information such as the name of the organization, Employer Identification Number (EIN), and details about the coverage provided, including the number of covered individuals and the months during which coverage was offered.

What is the purpose of IRS 1094-B?

The purpose of IRS 1094-B is to report annual information about health coverage to the IRS and to inform the IRS about the types of minimum essential coverage provided to individuals.

What information must be reported on IRS 1094-B?

The information that must be reported on IRS 1094-B includes the name and EIN of the reporting entity, the number of covered individuals, months of coverage, and details of the coverage provided.