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DRAFT AS OF October 15 2014 DO NOT FILE 1094-C Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns Form Department of the Treasury Internal Revenue Service Part I Information 120115 OMB No. 1545-2251 CORRECTED about Form 1094-C and its separate instructions is at www.irs.gov/f1094c. Applicable Large Employer Member ALE Member 2 Employer identification number EIN 1 Name of ALE Member Employer 3 Street address ...

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How to fill out 2014 form 1094-c transmittal

How to fill out 2014 form 1094-c transmittal:

01

Obtain the form: You can download the 2014 form 1094-c transmittal from the official website of the Internal Revenue Service (IRS).

02

Fill in the basic information: Start by entering your business name, employer identification number (EIN), address, and contact details in the relevant sections of the form.

03

Provide employee count: Report the total number of full-time employees, including both employees enrolled and not enrolled in your offered health insurance coverage, in Part III of the form.

04

Indicate applicable safe harbor: In Part II, you will need to indicate whether you qualify for any safe harbor provisions related to eligibility and affordability of the coverage provided.

05

Report section 4980H transition relief: If eligible, report any applicable transition relief provided under section 4980H of the Affordable Care Act.

06

Complete the certification section: Review the certification statements provided in Part IV and sign the form to certify its accuracy and compliance with the requirements.

07

Keep a copy for your records: Make sure to keep a copy of the filled-out form for your own records.

Who needs 2014 form 1094-c transmittal:

01

Applicable Large Employers (ALEs): ALEs with 50 or more full-time equivalent employees are required to file form 1094-c transmittal along with the 2014 form 1095-c for every employee enrolled in the employer's health insurance coverage.

02

Employers offering self-insured coverage: Employers providing self-insured health insurance coverage are also required to complete and file form 1094-c transmittal to report information about the coverage offered to their employees.

03

Employers subject to ACA reporting requirements: Any employer subject to the reporting requirements under the Affordable Care Act (ACA) must file form 1094-c transmittal to comply with the IRS regulations and reporting obligations.

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What is form 1094-c transmittal of?

Form 1094-C is the transmittal form that is used to report summary information regarding the employer-sponsored health coverage offered.

Who is required to file form 1094-c transmittal of?

Applicable large employers (ALEs) are required to file Form 1094-C to report information about the health coverage offered to their full-time employees.

How to fill out form 1094-c transmittal of?

Form 1094-C should be completed with the employer's name, EIN, contact information, and the total number of Forms 1095-C being filed.

What is the purpose of form 1094-c transmittal of?

The purpose of Form 1094-C is to provide the IRS with information about the health coverage offered by ALEs to their full-time employees.

What information must be reported on form 1094-c transmittal of?

Form 1094-C must include information about the ALE, the types of coverage offered, the number of full-time employees, and other relevant information.

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