1. US Affordable Care Act Year-End Processing Guide
  2. Understanding Form 1095-C Information

Understanding Form 1095-C Information

You use the Work with Form 1095-C Information program (P08119) to inquire on data in the 1095-C Offer and Coverage Workfile and 1095-C Covered Individuals File or to add, modify, and delete records in the workfiles. You can also import records to the workfiles and modify as required before printing Form 1095-C.

Note:

The Form 1095-C batch processes create records for employees and does not create records for individuals who have not been employees. If you need to produce a Form 1095-C for a recipient who is not an employee, you can add or import records to the reporting workfiles. Before you add or import a record for a recipient who is not an employee, you must create an Address Book record to identify the recipient.

When creating a record using the Work with Form 1095-C Information program, the following information is mandatory:

  • AIR ID

  • Employee Number

  • Tax ID

  • Year

When you run the Work with Form 1095-C Information program (P08119), the system retrieves AIR year-end workfiles information from the F08119 and F08120 tables. If you make any changes to the information, the system updates these two tables.

The Work with Form 1095-C Information program (P08119) initially displays only the summary records, which can be edited either through the Form 1095-C Part II and Part III form, the Offer and Coverage Detail Form, or the Covered Individuals Detail form. The header and Part II information in the form are retrieved from the F08119 table and Part III information is retrieved from the F08120 table.

When you add a record to a workfile table, the system assigns a control number (a unique identifier) for the record. If you are adding Form 1095-C data that includes F08120 Part III data, you should add the F08119 Part I and II data first. When the system creates a control number for a record, it checks for the instance in the F08119 table and if available, uses the same control number for the record in the F08120 table. Therefore, to import a record into the workfile, ensure that you first import the data for the 1095C Offer and Coverage table (F08119) followed by the data for the 1095C Covered Individuals table (F08120).