Background of ACA Requirements
Employers with 50 or more full-time or equivalent employees have to file Form 1095-C with the IRS. By filing, and providing employees with copies, employers are showing they offered eligible employees with ACA-compliant health coverage. Employers with that number of employees are also known as applicable large employers (ALE). In addition:- If an ALE offers fully insured plans to employees, the insurance carrier provides Form 1095-B to covered individuals. This is in addition to the Form 1095-C provided by the ALE.
- If the plan is self-insured, Form 1095-C will include all of the ALE's ACA reporting information. Covered individuals will not receive a Form 1095-B.
- Smaller organizations (non-ALEs) sponsoring a self-insured plan must provide covered individuals with Form 1095-B but not Form 1095-C.