ACA 1095 Filing for Employers

BenefitGuru
Jan 7
2 min read

Updated: Jan 7

Employers with More than 50 Full Time Equivalent Employees (including commonly owned companies) or who offer a Self-Funded Medical Plan (of any size) Must Report Health Coverage Offered to the IRS for 2024.

Employers and Carriers will be required to provide reporting on the health coverage they offer so the IRS can verify that employers are meeting their responsibility; and ensure that individuals who request premium tax credits are entitled to them. Employers who offer medical coverage and have more than 50 Full-Time Equivalent Employees are required to file 1094C & 1095C. Employers on a self-funded medical plan (of any size) must file 1094B & 1095B to those enrolling.

2024 Forms 1094 and 1095 are due to the IRS by February 28, 2025 (or March 31, 2025, if filing electronically) Paper Copies to Employees are Due February 28, 2024.

Calculate your Full Time Equivalent Employee Count (Large Group Applicable Large Employer - ALE):

Here are two online calculators to help you determine your Full Time Equivalent count and qualify as an Applicable Large Employer. If you are classified as an ALE for 2023 you need to prepare and file a 1095 this year. Click the links below

Small Group Self-Funded Medical Plan

If you offer a Self-Funded medical plan to your employees, no matter your size, you will need to file a 1094B & 1095B.

Is My Plan Affordable?

ALE Employers are required to offer coverage that provides minimum value to 95% of their full-time employees. Also, the coverage must be affordable. There are three Safe Harbors to calculate affordability. You should use the same method from year to year. Federal Poverty (FPL) Safe Harbor, W2 Safe Harbor, and Rate of Pay Safe Harbor.

Need to find out if your plan is affordable?

CLICK HERE for HR Service Affordability Calculator

CLICK HERE for more instructions on Affordability

How Can I Get More Details About 1095 Reporting?

CLICK HERE to see deadlines and additional information about 2024 Filing from AleraHR

CLICK HERE for complete instructions on 1095 Reporting and the Pay Or Plan Requirement from AleraHR

I need help! What Resources are available to help me produce my 1095’s and file them with the IRS this year?

We have compiled the following list of resources to help you complete and file your 1095:

Employee Navigator: If you use employee navigator for enrollment, you can complete your 1095 under the ACA tab, through a 3rd party Nelco. You will need t import some additional information.
- Nelco Pricing.pdf
HR Service Inc.
- Email: solutions@hrserviceinc.com Phone: (833)685-8400x1
- Learn More: https://www.hrserviceinc.com/aca-reporting/
Ez1095 (downloadable software so you can do it yourself and mail if you are familiar with 1095 and codes)
- https://www.halfpricesoft.com/aca-1095/aca-1095-software.asp
ACA Compliance Services (online, full service)
- https://www.acacss.com/
- Phone: 877-959-3953
CXC 1095Xpress (online service at a low fee if you don’t have variable hour employees or need to calculate measuring period)
- https://www.cxcsolutions.com/compliance/aca-reporting/