2017 1094c-2025

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  1. Click 'Get Form' to open it in the editor.
  2. Begin with Part I by entering the name of the Applicable Large Employer (ALE) Member and their Employer Identification Number (EIN). Fill in the street address, city, state, and ZIP code.
  3. Provide contact information including the name and telephone number of a person to reach regarding this form.
  4. In Part II, indicate the total number of Forms 1095-C submitted and whether this is the authoritative transmittal for your ALE Member.
  5. Complete Part III by filling out monthly employee counts and coverage offer indicators for each month of the year.
  6. If applicable, list other ALE Members in Part IV along with their EINs.
  7. Once completed, you can print, download, or share your filled form directly from our platform.

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Employers must report employee insurance information with the California Franchise Tax Board (FTB) once per year. Information should be submitted to the state using federal Forms 1094-C, 1095-C, and 1095-B. Organizations must also distribute copies to employees.
Form 1095-C is filed and furnished to any employee of an Applicable Large Employers (ALE) member who is a full-time employee for one or more months of the calendar. ALE members must report that information for all twelve months of the calendar year for each employee.
Penalties for Not Filing Forms 1094/1095-C As of 2022, the fee is $280 for each unfiled or incorrect form. These penalties can be applied twice to the same return. For example, if you dont provide your employee with a 1095-C and you fail to provide the IRS with a copy, you will incur a total penalty of $560.
Form 1094-C is used to report to the IRS summary information for each employer and to transmit Forms 1095-C to the IRS. Form 1095-C is used to report information about each employee.
Form 1095 Distribution Effective for the 2024 reporting year, employers are no longer required to distribute Form 1095-C to all full-time employees (and plan sponsors of self-insured plans do not have to distribute Form 1095-B to individuals[2]). Instead, these forms only need to be provided upon request.

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Employers with 50 or more full-time employees (including full-time equivalent employees) in the previous year use federal Forms 1094-C and 1095-C to report the information required under Internal Revenue Code Sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees.
Form 1095-C provides information about the health coverage offered by your employer and, in some cases, about whether you enrolled in this coverage. Use Form 1095-C to help determine your eligibility for the premium tax credit.
See Reporting offers of COBRA continuation coverage and post-employment coverage.) Form 1094-C is used to report to the IRS summary information for each employer and to transmit Forms 1095-C to the IRS. Form 1095-C is used to report information about each employee.

1094 c 2018