1. United States Affordable Care Act Year-End Processing Guide
  2. Overview

Overview

This guide describes how to perform year-end tasks for producing Affordable Care Act (ACA) Health Coverage Information Returns, including data preparation and setup, generating and working with reporting information, printing forms and reports, and electronic filing.

Oracle JD Edwards enables users to refer to information in existing Payroll and Human Resources tables in order to create the data required for reporting.

The Affordable Care Act Health Coverage Information Returns (AIR) presents a unique set of reporting requirements to employers. All Applicable Large Employer (ALE) Members are required to file Forms 1094-C and1095-C for 2024.

Employers with 50 or more full-time employees (including full-time equivalent employees) in the previous year, should use Forms 1094-C and 1095-C to report the information required under sections 6055 and 6056 of the Internal Revenue Code about offers of health coverage and enrollment in health coverage for their employees.

Form 1095-C is used to:

  • Provide printed information for full-time employees to use when filing their tax returns.

  • Report information about health insurance coverage offered and any safe harbors or other relief available to the employer, or report that no offer of coverage was made.

  • Report enrollment information from employers who offer self-insured plans, and information about employees and individuals who enrolled in minimum essential coverage.

  • Help the Internal Revenue Service (IRS) determine if your organization potentially owes an employer shared responsibility payment to the IRS.

  • Help the IRS determine whether your full-time employees and their dependents are eligible for the premium tax credit.

Form 1094-C is used to:

  • File with the IRS as a transmittal document for Forms 1095-C, Employer Provided Health Insurance Offer and Coverage Information Returns.

  • Provide a summary to the IRS of aggregate employer-level data.

  • Help the IRS to determine whether an employer is subject to an employer shared responsibility payment and the proposed payment amount.