IRS Form 1094-B Transmittal of Health 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-B for the current year.

IRS Form 1094-B Transmittal of Health Coverage Information Returns

What Is IRS Form 1094-B?

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-B?
A: IRS Form 1094-B is a transmittal form used to send health coverage information returns to the IRS.

Q: Who needs to file IRS Form 1094-B?
A: Health insurance providers, such as insurers and certain employers, who are required to report information about the health coverage they offer.

Q: What information is reported on IRS Form 1094-B?
A: IRS Form 1094-B reports information about the individuals covered under a health insurance plan, including their names, Social Security Numbers, and the months they were covered.

Q: When is IRS Form 1094-B due?
A: IRS Form 1094-B is typically due to the IRS by the end of February following the calendar year being reported.

Q: What happens if you don't file IRS Form 1094-B?
A: Failure to timely file IRS Form 1094-B can result in penalties imposed by the IRS.

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Form Details:

  • A 1-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-B through the link below or browse more documents in our library of IRS Forms.

Download IRS Form 1094-B Transmittal of Health Coverage Information Returns

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  • IRS Form 1094-B Transmittal of Health Coverage Information Returns, Page 1
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