ACA News & Publications

ACA Pathways: ACA Forms 1095-B And 1095-C Disclosure Deadlines Extended

November 30, 2016

The Internal Revenue Service (IRS) has released Notice 2016-70 extending the due date for insurers, self-insured employers, other providers of minimum essential coverage and applicable large employers to provide Form 1095-B ("Health Coverage") and/or Form 1095-C ( "Employer Provided Health Insurance Offer and Coverage") to applicable individuals, from January 31, 2017 to March 2, 2017.

In addition, the IRS also extended good-faith transition relief from penalties under Internal Revenue Code (Code) Sections 6721 and 6722 to the 2016 information reporting requirements under Code Sections 6055 and 6056.

Reporting Requirements Under Code Sections 6055 and 6056

Under Code Section 6055, health insurance issuers, self-insuring employers, government agencies, and other providers of minimum essential coverage, are required to file an annual return with the IRS reporting information for each individual that is provided with this coverage to substantiate their compliance with the individual mandate provision under the Affordable Care Act (ACA). Related statements must also be provided to these individuals. The mechanism used for fulfilling the reporting and disclosure requirements under Code Section 6055 is Form 1095-B.

Under Code Section 6056, most employers with 50 or more full-time equivalent employees (Applicable Large Employer, or ALE) are required to report information to the IRS and provide statements to its full-time employees regarding the employer-sponsored health coverage they were offered. The IRS will use the information that ALEs report to verify employer-sponsored coverage and to administer the ACA's employer shared responsibility provisions. The mechanism used for fulfilling the reporting and disclosure requirements under Code Section 6056 is Form 1095-C.

To simplify the reporting process, the IRS permits ALEs with self-insured plans to use a single combined form for reporting the information required under both Code Sections 6055 and 6056.

Written statements must be provided to employees no later than January 31 of the year following the calendar year in which coverage was provided. Thus, Notice 2016-70 extends the deadline to furnish the 2016 statements from January 31, 2017 to March 2, 2017.

Returns must be filed with the IRS by February 28 (or March 31, if filed electronically) of the year after the calendar year to which the returns relate. This means that the returns for the 2016 information year are due to the IRS on or before February 28, 2017, or by March 31, 2017, if filed electronically. The IRS has not extended these deadlines.

Good Faith Transition Relief From Penalties Available For 2016

Employers and other coverage providers that do not comply with the March 2, 2017 extended due date for furnishing Forms 1095-B and 1095-C, or fail to comply with the related IRS reporting requirements are subject to penalties for either failing to file correct information returns (under Code Section 6721); and/or failing to furnish correct payee statements (under Code Section 6722).

Notice 2016-70 extends transition relief from these penalties to the 2016 reporting year as long as the reporting entity can show that they made a good faith effort to comply with Code Sections 6055 and 6056, both for furnishing statements to individuals and for filing with the IRS. The relief applies to missing and inaccurate taxpayer identification numbers and dates of birth, as well as other required information.

As indicated in the Notice, in determining good faith, the IRS will take into account whether the employer or other reporting entity made reasonable efforts to prepare for reporting and furnishing the required information. The IRS will also take into account the extent to which steps are being taken to ensure compliance for 2017.

Like last year, taxpayers will not need to receive a Form 1095-B and/or Form 1095-C in order to file their 2016 individual tax returns. Instead they may rely on other information received from their employer or other coverage provider to substantiate they were eligible for a premium tax credit in the marketplace or had minimum essential coverage.

Notice 2016-70 is available at http://benefitslink.com/src/irs/n-16-70.pdf.

For More Information
For more information about this ACA Pathways or about any other health care reform-related provisions, please contact your Burnham Benefits consultant or Burnham Benefits at:

Burnham Benefits
949.833.2983
inquiries@burnhambenefits.com


This ACA Pathways is not intended to be exhaustive nor should any discussion or opinions be construed as legal advice. Readers should contact legal counsel for legal advice. The information contained in this ACA Pathways includes emerging health care news from a limited perspective and does not encompass all views. The information was selected from a wide range of sources selected on the basis of their potential impact on employers and/or their employee benefit plans. For more information, please contact Burnham Benefits.

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