IRS Form 1094-C Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of IRS Form 1094-C for the current year.

IRS Form 1094-C Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns

What Is IRS Form 1094-C?

This is a tax form that was released by the Internal Revenue Service (IRS) - a subdivision of the U.S. Department of the Treasury. Check the official IRS-issued instructions before completing and submitting the form.

FAQ

Q: What is IRS Form 1094-C?
A: IRS Form 1094-C is a transmittal form used to report health insurance offer and coverage information to the IRS.

Q: Who needs to file Form 1094-C?
A: Employers who are subject to the Affordable Care Act (ACA) employer mandate are required to file Form 1094-C.

Q: What information is reported on Form 1094-C?
A: Form 1094-C is used to report information about the employer, offers of health coverage, and the number of employees.

Q: When is Form 1094-C due?
A: Form 1094-C is due to the IRS by February 28 (or March 31 if filed electronically) of the year following the calendar year being reported.

Q: Are there any penalties for not filing Form 1094-C?
A: Yes, there can be penalties for not filing or filing incomplete or incorrect forms. It is important to timely and accurately file Form 1094-C to avoid penalties.

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Form Details:

  • A 3-page form available for download in PDF;
  • This form cannot be used to file taxes for the current year. Choose a more recent version to file for the current tax year;
  • Editable, printable, and free;
  • Fill out the form in our online filing application.

Download a fillable version of IRS Form 1094-C through the link below or browse more documents in our library of IRS Forms.

Download IRS Form 1094-C Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns

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