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110116 Form1094BDepartment of the Treasury Internal Revenue Service OMB No. 15452252Transmittal of Health Coverage Information Returns Go2021to www.irs.gov/Form1094B for instructions and the latest.

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How to fill out the IRS 1094-B_DSA online

Filing the IRS 1094-B_DSA form correctly is essential for reporting health coverage information. This guide will lead you through each step in a clear and concise manner, ensuring a smooth process for online submission.

Follow the steps to complete the form accurately.

  1. Click ‘Get Form’ button to obtain the form and open it in your editing tool.
  2. Enter the filer’s name in the first field. This is the name of the entity or person reporting the health coverage information.
  3. In the second field, provide the employer identification number (EIN) associated with the filer.
  4. Fill in the name of the person to contact for further information regarding the report in the third field.
  5. Input the contact telephone number in the fourth field, ensuring it is a valid number for follow-up communications.
  6. Complete the fifth field by entering the street address, including any room or suite numbers, where the filer is located.
  7. Fill in the city or town of the filer in the sixth field.
  8. In the seventh field, select the appropriate state or province the filer operates in.
  9. Provide the country and ZIP or foreign postal code in the eighth field to ensure accurate geolocation.
  10. In the ninth field, enter the total number of Forms 1095-B that are being submitted along with this transmittal.
  11. Review the declarations regarding the accuracy of the return. Once you have confirmed that all provided information is true, sign the form in the designated area.
  12. Indicate your title, and enter the date of signing in the appropriate fields.
  13. Once completed, save your changes, download a copy for your records, and print it if necessary. You can also share the completed form if required.

Start completing your IRS 1094-B_DSA form online today to ensure timely and accurate submission.

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1094-B vs. 1094-C: If you provide fully-insured health coverage to your employees, no matter the size of your business, 1094-B will be completed for you by your carrier. Form 1094-C is a requirement for Applicable Large Employers (ALE), or those with 50 or more full-time equivalent employees.

Form 1095-B, Health Coverage, is provided by insurance companies and other coverage providers. However, if your coverage was insurance purchased through the Marketplace or was a type of coverage referred to as “self-insured coverage” that was provided by an applicable large employer, you will receive a different form.

Usually, insurance companies are responsible for filing forms 1095-B and 1094-B. In some cases, the form might be filed by an employer.

Purpose of Form. Form 1095-B is used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage. Eligibility for certain types of minimum essential coverage can affect a taxpayer's eligibility for the premium tax credit.

Filing the Report with the IRS Please note that employers with 50 or more employees may have obligations for filing 1094-C and 1095-C (see below). Self-insured small employers (with less than 50 employees) will furnish information to the IRS using Form 1095-B and the IRS transmittal Form 1094-B.

Call 1-800-MEDICARE (1-800-633-4227) to ask for a copy of your IRS Form 1095-B. TTY users can call 1-877-486-2048.

Every person that provides minimum essential coverage to an individual during a calendar year must file an information return reporting the coverage. Filers will use Form 1094-B (transmittal) to submit Forms 1095-B (returns).

1094-B vs. 1094-C: If you provide fully-insured health coverage to your employees, no matter the size of your business, 1094-B will be completed for you by your carrier. Form 1094-C is a requirement for Applicable Large Employers (ALE), or those with 50 or more full-time equivalent employees.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
IRS 1094-B_DSA
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