The Affordable Care Act (ACA) established that Applicable Large Employers (ALEs) must offer certain affordable health coverage to their full-time employees.
Along with this responsibility, employers must also report this information to the IRS by submitting Form 1095-C.
Commonly Asked Questions
What is Form 1095-C?
Form 1095-C
is an information return filed by employers with at least 50 full-time + full-time equivalent employees.
These employers are known as 'Applicable Large Employers' or ALEs by the IRS.
This form tells the IRS if the employer met ACA guidelines for the healthcare coverage they offer, and it requires that employees receive a recipient copy.
Applicable Large Employers
at least 50 full-time + full-time equivalent employees for all EINs added together that share a common owner
For more info on Tax Year 2024 Form 1095-C, click here
We also recommend checking out the IRS.gov ACA FAQ,
which contains many common 1095-C questions in an easy-to-understand format.
What is Required to E-File ACA Form 1095-C?
At a minimum, you need the following information to complete a 1095-C:
Part I - Employee: Basic census data, including the employee's name, SSN, and address
Employer or Applicable Large Employer (ALE): Company name, EIN, and address
Part II - Employee Offer of Coverage:ACA Codes
Box 14 - 17, premium amounts, and optional data for ICHRA plans.
Employee Age on January 1st
This should only be completed if certain ICHRA codes (1L, 1M, 1N, 1O, 1P, 1Q, 1T, or 1U) are entered on Line 14.
Plan Start Month
This should be completed with the month the employer's plan year begins.
This must be completed with the two-digit number corresponding to the month (00-12).
If there is no plan in which the employee was offered coverage, 00 should be entered.
Employee Required Contribution
This should be completed with the employee's share of the lowest-cost self-only plan offered to the employee.
This line should only be completed when specific codes (1B, 1C, 1D, 1E, 1J, 1K, 1L, 1M, 1N, 1O, 1P, 1Q, 1T, or 1U) are entered in Line 14.
ZIP Code
This should only be completed if certain ICHRA codes (1L, 1M, 1N, 1O, 1P, 1Q, 1T, or 1U) are entered on Line 14.
Part III - Covered Individuals: Name, TIN, Date of Birth (optional if TIN entered), and checks for the covered months
This section should only be completed if you offered employer-sponsored, self-insured health coverage, including an individual coverage HRA.
ALL individuals covered under the offered plan should be listed here, including the employee.
Please note: each line should list a different covered individual. Either (d) or (e) should be completed for each covered individual.
Besides e-filing with the IRS, certain states require employers to report health coverage information to their respective state departments.
Below are the states that require Individual Mandates and their respective deadlines:
State
Deadline
California
Furnish Forms January 31st File With State March 31st
District of Columbia
30 days after the federal ACA e-file deadline
Massachusetts
December 15th of the reporting year
New Jersey
Furnish Forms March 2nd File With State March 31st
Rhode Island
File With State March 31st
Vermont
No additional requirements for employers
With BoomTax, you also have the option to e-file your ACA Form 1095 with the IRS and the
applicable states ahead of the deadline.
How can I Request an Extension for Filing ACA Form 1095-B or 1095-C?
If you can't file ACA Form 1095-B or 1095-C on time, you can request an automatic, 30-day extension by filing Form 8809OR by requesting a time extension directly from BoomTax.
Learn to request an ACA Form extension or check out our extensive deadlines.
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
ACA penalties are typically split into two categories:
Employer Shared Responsibility Payment (ESRP):
This penalty applies to large employers who do not offer minimum essential coverage to at least 95% of their full-time employees (and their dependents),
and at least one of their full-time employees receives a premium tax credit for purchasing individual coverage on one of the health insurance marketplaces.
The ESRP is also known as the "employer mandate" or "play or pay" penalty.
Reporting and Disclosure Penalties:
These penalties are assessed for failing to file required information returns with the IRS or to provide required statements to individuals.
These information returns include Form 1094-C and Form 1095-C, which large employers must file under the ACA's reporting requirements.
Please click here to learn more about the various types of IRS ACA penalties
and their corresponding fines.
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 2025
$310per form
up to
$1,261,000per year (smaller businesses)
$3,783,000per year
Failure to furnish ACA 1095 Forms 2025
$310per form
up to
$1,261,000per year (smaller businesses)
$3,783,000per year
Intentionally not filing for 2025
$630per form
no maximum penalty
Can I submit ACA 1095 Forms with BoomTax?
BoomTax will streamline your ACA filing process in 3 simple steps!
Import Your Data
You can import your data as Excel, XML, or use files from popular payroll providers like QuickBooks, UKG, ADP, and many more.
Step-By-Step Wizard
We walk you through the process with no complicated jargon. You can also live chat with a real person as you work on your filing for hands-on help.
E-File & Mail Employee Copies
Once your data is loaded, you can e-file and distribute employee copies in minutes.
Takes Only 30 Seconds
BoomTax and its affiliates do not provide tax, legal, or accounting advice. This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, tax, legal, or accounting advice. You should consult your own tax, legal, and accounting advisors prior to engaging in any transaction.