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Summary of benefits and coverage

Tax forms and the ACA
 

If you had health insurance at any time during a calendar year, you may get a version of form 1095 for tax purposes.

This form details your health coverage. The table below explains the types of forms, where they come from, and who receives them.


Do I need form 1095 to file my taxes?

If you had insurance through healthcare.gov or a state exchange, you may need this form to help you fill out your taxes. But you don't need to send the form to the IRS.

If you had another type of health insurance, you don't need the form to file your taxes. Just keep it for your records.

 

Form name and number

Purpose

Who prepares it

Who receives it

More information

Health insurance marketplace statement
1095-A

Provides information on each individual enrolled in a qualified health plan (QHP) in the individual market through the Health Insurance Marketplace each year

Federal Exchange/ Marketplace or state­-based Exchange

IRS Individual

Health coverage
1095-B

Reports information on health coverage, including period of coverage, and for whom coverage was provided- including each dependent

Health insurer for insured plans

IRS Individual

Transmittal of Health coverage information returns
1094-B

Transmittal form filed with form 1095-B from the insurer to the IRS

Health insurer for insured plans

IRS

Employer-provided health insurance offer and coverage
1095-C

Reports information on health coverage offered and information on employees and dependents enrollment in that coverage

Employer for self-funded plans

IRS Individual

Employer-provided health insurance offer and coverage
1094-C

Transmittal form filed with form 1095-C from the insurer to the IRS

Employer for self-funded plans

IRS

Form name and number

Health insurance marketplace statement
1095-A

Purpose

Provides information on each individual enrolled in a qualified health plan (QHP) in the individual market through the Health Insurance Marketplace each year

Who prepares it

Federal Exchange/ Marketplace or state­-based Exchange

Who receives it

IRS Individual

More information

Form name and number

Health coverage
1095-B

Purpose

Reports information on health coverage, including period of coverage, and for whom coverage was provided- including each dependent

Who prepares it

Health insurer for insured plans

Who receives it

IRS Individual

More information

Form name and number

Transmittal of Health coverage information returns
1094-B

Purpose

Transmittal form filed with form 1095-B from the insurer to the IRS

Who prepares it

Health insurer for insured plans

Who receives it

IRS

More information

Form name and number

Employer-provided health insurance offer and coverage
1095-C

Purpose

Reports information on health coverage offered and information on employees and dependents enrollment in that coverage

Who prepares it

Employer for self-funded plans

Who receives it

IRS Individual

More information

Form name and number

Employer-provided health insurance offer and coverage
1094-C

Purpose

Transmittal form filed with form 1095-C from the insurer to the IRS

Who prepares it

Employer for self-funded plans

Who receives it

IRS

More information

Legal notices

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

Health benefits and health insurance plans contain exclusions and limitations.

Also of interest: