ACA Forms › What is Form 1095-B 2024?

Image of Form 1095-B Header Section

The Affordable Care Act (ACA) was implemented to make healthcare access more attainable for all U.S. citizens. Tax Forms, such as Form 1095-B, were also introduced to ensure that ACA requirements were being upheld. Coverage providers, such as insurers and small employers, must submit Form 1095-B for any enrolled individuals.

This article is an exhaustive guide to understanding Form 1095-B for the 2023 tax year.

Commonly Asked Questions

How are the B and C Series Forms Different?

B Series

Filed by:

  • Insurance companies
  • Employers that offer coverage on a self-funded plan with less than 50 full-time + full-time equivalent employees

Consists of:

Form 1094-B
1 per Issuer

Issuer's information includes address, city, state, zip, and FEIN.

Form 1095-B
1 per Responsible Individual

Includes responsible individual and all covered individual information.

A 1094-B and its 1095-Bs MUST be filed together

C Series

Filed by:

  • Employers that offer coverage to at least 50 full-time + full-time equivalent employees
  • Includes employers with self-funded, fully-funded, ICHRA, and union-based plans

Consists of:

Form 1094-C
1 per Applicable Large Employer (ALE)

Includes ALE members' information, monthly head counts, and other EINs that share common ownership.

Form 1095-C
1 per Eligible Employee

Includes eligible employee information, coverage info, and other covered individuals (if applicable).

A 1094-C and its 1095-Cs MUST be filed together

What is Form 1095-B?

Form 1095-B is an information return filed by health insurance providers or employers offering self-funded coverage with fewer than 50 full-time + full-time equivalent employees.

Insurance Providers
OR
Self-Funded Small Employers

less than 50 full-time + full-time equivalent employees

For more info on Tax Year 2023 Form 1095-B, click here.

What Data is Necessary to File ACA Form 1095-B Electronically?

  1. Personal Details: Name, EIN, and Address

    Image of Form 1095-B Part I Employee Section

  2. Employer/Coverage Provider Information: Name, EIN, and Address

    Image of Form 1095-B Part II Employer Section

  3. Details of Issuer: Name, EIN, and Address

    Image of Form 1095-B Part III Employer Section

Consult our 1095-B guide to understand how to complete your Form 1095-B.

What are Form 1095-B Line 8 Codes?

Code Definition

A

 Small Business Health Options Program (SHOP)

B

 Employer-sponsored coverage, except for an ICHRA

C

 Government-sponsored program

D

 Individual market insurance

E

 Multiemployer plan

F

 Other designated minimum essential coverage

G

 Employer-sponsored ICHRA

For broken-down examples of ACA Codes Line 8 on Form 1095-B, download our PDF Line 8 Code Guidance.

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What Other Forms Must be Submitted Along with 1095-B?

Form 1094-B is a summary form and cover sheet for the 1095-B forms sent to the IRS. Filers should include the following information on Form 1094-B:

  • Filer's information (name, EIN, contact info, address)
  • Employer information (name, EIN, address) - This is only required for certain employer-sponsored coverage.
  • Total number of Forms 1095-B submitted with the Form 1094-B

Note: Generally, a 1094-B is only filled out when paper filing, as ACA software will automatically create this before submitting.

What is the deadline to submit ACA Form 1095-B?

Here are the critical dates for filing and distributing Form 1095-B deadlines.

February 28th, 2024

Paper File Deadline

March 1st, 2024

Employee Copy Deadline

April 1st, 2024

E-File Deadline

How Do You File ACA Forms Online?

Generally, ACA filing is handled by self-filing or by using an ACA Software provider:

small boomtax logo

  • Simple format for data import (like Excel)
  • Can often use your payroll files directly
  • No testing, TCC, or IRS account required
  • Can help with questions/coding

Self-Filing

  • Format requires custom software development
  • Filing system can be slow and unreliable
  • Requires testing, TCC, and personal info
  • Errors and issues reported can be cryptic

Learn more about filing ACA Forms online.

What are the penalties for not submitting ACA Forms 1095-B & 1095-C?

The IRS determines ACA penalties based on various factors, including missing the deadline, providing incorrect information, or using paper forms when electronic filing is required.

The IRS has increased the penalty amounts for the 2024 filing year.

Failure to file ACA 1095 Forms 2024

$310 per form

up to

$1,261,000 per year (smaller businesses)

$3,783,000 per year

Failure to furnish ACA 1095 Forms 2024

$310 per form

up to

$1,261,000 per year (smaller businesses)

$3,783,000 per year

Intentionally not filing for 2024

$630 per form

no maximum penalty

What is the ACA 1095 Form Mailing Address?

Send your ACA Forms to the IRS based on the business location:

Alabama Arizona Arkansas Connecticut Delaware
Florida Georgia Kentucky Louisiana Maine
Massachusetts Mississippi New Hampshire New Jersey New Mexico
New York North Carolina Ohio Pennsylvania Rhode Island
Texas Vermont Virginia West Virginia
Department of the Treasury
Internal Revenue Service Center
P.O. Box 149213
Austin, TX 73301
Alaska California Colorado District of Columbia Hawaii Idaho Illinois
Indiana Iowa Kansas Maryland Michigan Minnesota Missouri
Montana Nebraska Nevada North Dakota Oklahoma Oregon South Carolina
South Dakota Tennessee Utah Washington Wisconsin Wyoming
Department of the Treasury, Internal Revenue Service Center
P.O. Box 219256
Kansas City, MO 64121-9256

To learn more about ACA forms, visit our deadlines page.

Can I submit ACA 1095 Forms with BoomTax?

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