Form 1094-C (2023)

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Get your Form 1094-C (2023) in 3 easy steps

  • 01 Fill and edit template Fill Form 1094-C (2023)
  • 02 Sign it online Sign Form 1094-C (2023)
  • 03 Export or print immediately Export Form 1094-C (2023)

What is Form 1094-C?

Not all taxpayers know what is a 1094 C form, since it is a specific document created by the Department of the Treasury Internal Revenue Service. However, you may need it once in a while. The 1094 C form is also known as the Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Return.

Sometimes it is mistaken for 1095-C which has a similar purpose. They were made for employers who want to cover insurance for employees under the Obamacare or Affordable Care Act. Unlike the 1095-C form, you don’t have to send form 1094-C to both the IRS and employees. This template is provided only to the IRS. No matter which forms you prefer, you still need to fill both for the employees to receive the insurance.

1094-C is a cover sheet you provide to the Department so they can keep records on the expenses that are paid for the health insurance. It contains information on the employer as well as employees, and the number of 1095-C forms you have already sent for each employee. This document is essential.

Form 1094-C on PDFLiner

What I need the Form 1094-C for?

  • The IRS form 1094 C is required by the IRS in the first place. The Department of Treasury keeps a record of each employee who receives health insurance. It also keeps track of the employers who use Obamacare for their employees. They gather information on the number of these employees and bring updates each year;
  • The IRS form 1094-C has to be used by every employer that uses Obamacare health insurance plan for employees to provide the accurate date on the number of workers who receive the treatment and the taxes that are paid connected with the program.

How to Fill Out Form 1094-C?

There is nothing complicated in IRS 1094 C form if you are using tips and step-by-step guidance. Unfortunately, the IRS does not provide you with detailed descriptions and instructions. If you want to learn more about how to fill out form 1094-C you need to use this guide. It is simple and understandable for anyone.

You can also enter the form after you read the instructions and use the tools that PDFLiner offers you to complete it. After you do it, send the form to the IRS. You can save the copy on your device just in case the original is lost. Print the document if you need it and send it via regular mail. If the IRS allows you to send the form online, you can simply pick this option on PDFLiner. Here is what you need to include in the form 1094 C PDF:

  1. Provide information about the employer, including the ALE number, EIN, address, contact person, designated government entity name, and the phone number the person can be reached;
  2. Calculate the number of 1095-C forms you have filled for the employees in general;
  3. Provide the information on the ALE membership, and pick the suitable certificate of eligibility type;
  4. Put the signature and the current date;
  5. Provide the extended information on ALE members by each month;
  6. Provide information on the ALE members of the aggregated group.

Form 1094-C on PDFLiner

Organizations that work with Form 1094-C

  • Department of the Treasury Internal Revenue Service.

Form Versions

2021 Fillable Form 1094-C for 2021 tax year Fill Out Form
2020 Fillable Form 1094-C for 2020 tax year Fill Out Form
2022 Fillable Form 1094-C (2023) for 2022 tax year Fill Out Form
Fillable online Form 1094-C (2023)
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