Adding or Updating 1095-C Information
Access the Work with Form 1095-C Information form and click Add to view the Form 1095-C Part II and Part III form.
- AIR ID
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.
- 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.
- 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.
- Reporting Year
The calendar year for which the AIR is being produced.
- Address Number
A number that identifies an entry in the Address Book system, such as employee, applicant, participant, customer, supplier, tenant, or location.
- Corrected
A flag to indicate if Form 1095-C has been corrected.
Blank: The form has not been corrected.
X: The form has been corrected.
- Void
A flag to indicate if Form 1095-C has been voided.
Blank: The form has not been voided.
X: The form has been voided.
Note: This value is currently informational only and its use has not been defined by the IRS.- Control Number
This field is a unique number used to identify a record in a file.
- Record Type
Indicates whether the Affordable Care Act (ACA) work file record is a summary record used to report information to the IRS and other agencies or a detail record used to support the information reported. Record Type 1 indicates a Detail record and Record Type 2 indicates a Summary record.
- Protected
A flag to indicate that a record has been manually modified and the subsequent batch processes should not change the existing record.
Blank: The record has not been manually modified.
X: The record has been manually modified and subsequent batch processes should not update it.
- Record Origination
A code to indicate the source of a 1095-C Offer and Coverage record.
C: Indicates that the record was computer generated during the 1095-C Offer and Coverage Workfile Build Process.
M: Indicates that the record was manually entered into the Form 1095-C Information application(P08119). If records are imported, they should be imported with the value M.
- Self-Insured Coverage
A flag to indicate whether the employer offers employer-sponsored self-insured health coverage in which the employee or other individuals are enrolled.
Blank: The employer does not provide self-insured coverage.
X: The employer does provide self-insured coverage.
- Review Status
A user-defined code (08/RV) that allows the user to flag records that may or may not need further review.
- Last Date Started
The date on which the employee reported to work in the most recent period of hire.
The default original hire date is when an employee initially begins working. If no original hire date exists, the system uses the current date. This field can be updated multiple times if, for example, an employee is a seasonal worker.
For the calculation tables in the Payroll system and the eligibility tables and date codes in the Human Resources system, the system also uses this date as a start date when it calculates deductions, benefits, and accruals.
- Last Date Terminated
The date on which the employee was terminated, if applicable.
- Employee's Age on January 1
The age of the employee as on January 1 of the current year. The employee age is required only if the employee is offered an individual coverage HRA.
- Offer of Coverage (enter required code)
Enter the IRS-defined Code Series 1 indicator that specifies the type of coverage, if any, offered to an employee, the employee's spouse, and the employee's dependents. If the code applies for all 12 months of the reporting year, enter the code in the All 12 Months box: otherwise, enter the code in the respective month's box.
- Employee Share of Lowest Cost Monthly Premium, for Self-Only Minimum Value Coverage
The amount of the employee share of the lowest-cost monthly premium for self-only minimum essential coverage providing minimum value that is offered to the employee. If the value applies for all 12 months of the reporting year, enter the value in the All 12 Months box: otherwise, enter the code in the respective month's box.
- Applicable Section 4980H Safe Harbor (enter code, if applicable)
The IRS-defined Code Series 2 indicator to report that one of the following situations applied to the employee for all 12 months of the calendar year:
The employee was not employed.
The employee was not a full-time employee.
The employee enrolled for the minimum essential coverage offered.
The employee was in a Limited Non-Assessment Period.
Non-calendar year transition relief applied to the employee.
The employee met one of the 4980H affordability safe harbors.
The employer was eligible for multiemployer interim rule relief.
If the safe harbor code applies for all 12 months of the reporting year, enter the value in the All 12 Months box; otherwise, enter the code in the respective month's box.
- ZIP Code
The applicable ZIP code your employer uses for determining the availability for an individual coverage HRA. If code 1L, 1M, or 1N is used in Line 14, the ZIP code will be the employee's primary residence location. If code 1O, 1P, or 1Q is used in Line 14, the ZIP Code will be the employee's primary work location. Line 17 will be blank for any other code that is entered in Line 14.
We can override the values provided in the build report and manually update the 1095C form.