1095 ACA Software

1095-C Software

The Affordable Care Act requires an Applicable Large Employer (ALE) to either offer health insurance coverage to its employees or pay a penalty. As part of that requirement, the law added §6056 to the Internal Revenue Code (IRC). IRC §6056 outlines what an ALE must do in order to notify both their workers and the IRS about the coverage the employer offers.

ALEs must report to the IRS information about the health care coverage, if any, they offered to full-time employees. The IRS uses this information to administer the employer shared responsibility provisions and the premium tax credit. IRC §6056 requires employers to send Form 1095-C at year's end to each employee who is eligible for employer-sponsored insurance, regardless of whether they actually participate in the employer's health plan. Form 1095-C informs the employee of which months out of the year he/she was eligible for coverage and how much the cheapest premiums available to him/her would have cost. ALEs must give the IRS transmittal Form 1094-C with copies of all 1095-C forms.

An ALE can furnish the employee with a copy of the Form 1095-C filed with the IRS or with an approved substitute form, which Account Ability prints using Item # 1095BCBLK50, available at the Account Ability Forms Division. The ACA Add-on for Account Ability complies with IRC §6056 and includes complete support for ACA Forms 1095-C and 1094-C.

1095-B Software

The Affordable Care Act added §6055 to the Internal Revenue Code (IRC), which provides that every provider of minimum essential coverage (MEC) will report coverage information by filing an information return with the IRS and furnishing a statement to individuals. The information is used by the IRS to administer, and individuals to show compliance with, the individual shared responsibility provision in IRC section 5000A.

Providers of MEC to an individual during a calendar year (e.g. Health insurance issuers, government agencies, self-insured employers) must file an annual information return with the IRS. In general, providers of MEC report on Form 1095-B, which is accompanied by a single transmittal form, Form 1094-B, for all returns filed for a given calendar year. Providers file one Form 1095-B for all individuals covered together under a policy or program.

A provider of MEC can make the required statement to the responsible individual by furnishing a copy of the Form 1095-B filed with the IRS. Alternatively, these returns and statements to responsible individuals may be made by using an approved substitute form, which Account Ability prints using Item # 1095BCBLK50, available at the Account Ability Forms Division. The ACA Add-on for Account Ability complies with IRC §6055 and includes complete support for ACA Forms 1095-B and 1094-B.

Manifest Management

Account Ability creates ACA compliant XML transmittal files that you can efile via the UI-Channel of the IRS Affordable Care Act Information Returns (AIR) Program. Each transmittal you create is automatically moved to the Manifest Management and Testing module, where it is eventually manifested prior to submission to IRS AIR.

The Manifest Management and Testing module provides a complete audit of each transmittal from manifesting to submission to completion.