Form 1094-C, Transmittal of Employer-Provided-2025

Get Form
form 1094 Preview on Page 1

Here's how it works

01. Edit your form 1094 online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send 1094 c via email, link, or fax. You can also download it, export it or print it out.

The best way to edit Form 1094-C, Transmittal of Employer-Provided in PDF format online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  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. Indicate if this is the authoritative transmittal for your ALE Member by checking 'Yes' or 'No'.
  5. In Part II, report the total number of Forms 1095-C submitted with this transmittal and whether the ALE Member is part of an Aggregated ALE Group.
  6. Complete Part III by providing monthly counts for full-time employees and coverage offers.
  7. If applicable, list other ALE Members in Part IV along with their EINs.
  8. Once completed, you can print, download, or share your form directly from our platform.

Start using our platform today to fill out Form 1094-C effortlessly and for free!

See more Form 1094-C, Transmittal of Employer-Provided versions

We've got more versions of the Form 1094-C, Transmittal of Employer-Provided form. Select the right Form 1094-C, Transmittal of Employer-Provided version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2023 4.7 Satisfied (22 Votes)
2022 4.9 Satisfied (42 Votes)
2021 4.8 Satisfied (172 Votes)
2020 4.3 Satisfied (288 Votes)
2019 4.4 Satisfied (782 Votes)
2018 4.1 Satisfied (57 Votes)
2017 4.2 Satisfied (45 Votes)
2016 4.2 Satisfied (68 Votes)
2015 4 Satisfied (25 Votes)
2014 4 Satisfied (35 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Employers subject to section 4980H of the Internal Revenue Code (Code), generally meaning employers with 50 or more full-time employees (including full-time equivalent employees) in the preceding calendar year, use Form 1094-C, Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns,
Form 1094-C serves is the Transmittal of Employer-Sponsored Health Insurance Offer and Coverage Information Returns Form, accompanying Form 1095-C in annual IRS filings. Form 1094-C is essentially a summary of the 1095-C information returns. This form is only submitted to the IRS and not given to the employees.
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.
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.