Get the free 2017 Form 1094-B - Internal Revenue Service
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Internal Revenue ServiceDepartment of the TreasuryNumber: 201714012
Release Date: 4/7/2017Third Party Communication: None
Date of Communication: Not ApplicableIndex Number: 9100.3500, 2010.0400
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How to fill out 2017 form 1094-b
How to fill out 2017 form 1094-b
01
To fill out the 2017 Form 1094-B, follow these steps:
02
Start by entering your name and contact information in the designated fields.
03
Provide the Employer Identification Number (EIN) of the employer sponsoring the coverage.
04
Indicate whether you are submitting an original form or a corrected form.
05
Enter the total number of Forms 1095-B that you are submitting with this Form 1094-B.
06
Fill in the appropriate boxes to report the covered individuals' information, including their names, Social Security numbers, and dates of birth.
07
If there were any individuals who were not covered for the entire year, specify the months of coverage for each individual.
08
Report the filer's contact information in the designated fields, including their name, title, phone number, and email address.
09
Finally, sign and date the form to certify its accuracy and completeness.
Who needs 2017 form 1094-b?
01
The following entities need to file the 2017 Form 1094-B:
02
- Small self-insured employers who provided minimum essential coverage to individuals.
03
- Other entities that are not required to file the 1095-C form, such as government agencies.
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What is form 1094-b - internal?
Form 1094-B - Internal is a transmittal form used to submit multiple Forms 1095-B to the IRS.
Who is required to file form 1094-b - internal?
Health insurance issuers or carriers are required to file Form 1094-B - Internal.
How to fill out form 1094-b - internal?
Form 1094-B - Internal must be completed with information regarding the responsible individual and employer-provided health coverage.
What is the purpose of form 1094-b - internal?
The purpose of Form 1094-B - Internal is to report information about minimum essential coverage under employer-sponsored health plans.
What information must be reported on form 1094-b - internal?
Form 1094-B - Internal requires reporting on the number of individuals covered by the plan, employer identification information, and any applicable codes.
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