Form 1094-B, Transmittal of Health Coverage Information Returns
Form 1094-B is the cover sheet that transmits Forms 1095-B, the health coverage information returns, to the IRS. Fill in the official IRS PDF below and download it.
This is the genuine IRS PDF, unmodified. Source: IRS official page.
What is 1094-B?
Form 1094-B, Transmittal of Health Coverage Information Returns, accompanies Forms 1095-B when a coverage provider files them with the IRS. Form 1095-B reports who had minimum essential health coverage during the year; the 1094-B identifies the filer and states how many 1095-B forms are being submitted.
The pair is part of the Affordable Care Act information reporting system. Health insurers, small self-insured employers, and government coverage programs use these forms, while applicable large employers generally use Forms 1094-C and 1095-C instead.
Who files 1094-B?
- Health insurance issuers and carriers reporting the coverage they provided
- Small self-insured employers that are not applicable large employers
- Government agencies administering coverage programs such as Medicaid or CHIP
- Other providers of minimum essential coverage listed in the current instructions
How to fill out 1094-B
- Enter the filer’s name, EIN, and address in the identification section.
- Add the name and phone number of a contact person the IRS can reach with questions.
- Enter the total number of Forms 1095-B submitted with this transmittal.
- Sign and date the form.
- Download the PDF and submit it with the Forms 1095-B by the filing deadline in the current instructions. Filers at or above the e-file threshold must file electronically instead of on paper.
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Frequently asked questions
What is the difference between Form 1094-B and Form 1094-C?
Form 1094-B transmits Forms 1095-B filed by insurers, small self-insured employers, and government programs. Form 1094-C transmits Forms 1095-C filed by applicable large employers, generally those with 50 or more full-time equivalent employees. The instructions explain which set applies to you.
Can Form 1094-B be filed on paper?
Only by filers below the electronic filing threshold in the current regulations, counted across most information return types combined. Filers at or above the threshold must e-file through the IRS AIR system. Check the current instructions for the threshold and deadlines.
Do individuals who had coverage file this form?
No. Coverage providers file the 1094-B and 1095-B. Individuals simply receive a copy of Form 1095-B for their records and generally do not attach it to their tax return.