Part I - Applicable Large Employer Member

AIR ID

Enter an alphanumeric value similar to a Payroll ID or a W2 ID, which identifies a customer-defined set of AIR records within one reporting year.

Reporting Company

The company under which this Form 1094-C/1095-C will be reported. The Reporting Company details are used to obtain the name and address information for the Federal Employer Identification Number (FEIN). The Reporting Company is the employer, which is equivalent to the ALE Member (Applicable Large Employers Member) for purposes of Affordable Care Act Health Coverage Information Returns (AIR) reporting.

The address of the employer must match the address on the corresponding Forms 1095-C.

Government Entity

Enter the Address Book number of the Designated Government Entity (DGE) that is part of or related to the Governmental Unit.

Government employers can designate a sister agency as the reporting entity for all returns related compliance requirements.

Note: You can skip Line 9 through 16, of Form 1094-C, if you are not a government employer or not using a DGE for reporting.

Reporting Year

The calendar year for which the AIR is being produced.

Rep. Company Contact

Enter the Address Book number of the contact for the Reporting Company.

Government Entity Contact

Enter the Address Book number of the contact for the Designated Government Entity (DGE).

Employer Tax ID

A number that identifies your company to the tax authority. This number can include the tax ID number for an individual, a federal or state corporate tax ID, a sales tax number, and so on.This number has specifically been established for the Payroll system to handle the requirements of taxing authorities that require more than 9 positions for the tax identification number.Do not enter hyphens (dashes), slashes, spaces, or other punctuation in the tax identification number.

1095-C Forms Count

Enter the total number of Forms 1095-C submitted with the associated Form 1094-C transmittal.

Corrected

When you correct a Form 1094-C, the system automatically checks the Corrected flag on the original Form 1094-C and creates a new record with the corrected values using the Correction AIR ID.

Valid values are:

Blank: The form has not been corrected.

X: The form has been corrected.

Authoritative Transmittal

Enter X to indicate whether this Form 1094-C is the authoritative transmittal for the ALE Member.

Valid values are:

Blank: The 1094-C Form is not the authoritative transmittal for the ALE Member.

X: The 1094-C Form is the authoritative transmittal for the ALE Member.

Note: There can be only one authoritative transmittal for an ALE Member.