Form preview

IRS 1094-B 2023-2024 free printable template

Get Form
110116 Form1094BDepartment of the Treasury Internal Revenue ServiceOMB No. 15452252Transmittal of Health Coverage Information Returns2023Go to www.irs.gov/Form1094B for instructions and the latest
pdfFiller is not affiliated with IRS

Get, Create, Make and Sign

Edit
Edit your 1094 b download 2023-2024 form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your 1094 b download 2023-2024 form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing 1094 b download online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
In order to make advantage of the professional PDF editor, follow these steps below:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit form 1094 b. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.

IRS 1094-B Form Versions

Version
Form Popularity
Fillable & printabley
4.8 Satisfied (39 Votes)
4.8 Satisfied (77 Votes)
4.3 Satisfied (83 Votes)
4.2 Satisfied (104 Votes)
4.2 Satisfied (27 Votes)
4.3 Satisfied (152 Votes)
4.4 Satisfied (146 Votes)
4.4 Satisfied (317 Votes)
4.0 Satisfied (28 Votes)
4.0 Satisfied (24 Votes)

About 1094 b download

Form 1094-B is a transmittal form used by the Internal Revenue Service (IRS) to submit health coverage information returns. It includes the filer's name, employer identification number (EIN), contact information, address, and the total number of Forms 1095-B submitted. The form must be filled out accurately and truthfully to comply with perjury penalties. Additional instructions and information can be found on the IRS website at www.irs.gov/Form1094B.
Form summary

How to fill out 1094 b download 2023-2024

Illustration

How to fill out 1094 b download

01
To fill out the 2023 form 1094-B, follow these steps:
02
Start by entering your employer's name, address, and telephone number in Part I.
03
Provide the number of covered individuals by category in Part II. This includes the total number of employees, retirees, and other covered individuals.
04
Indicate the number of Form 1095-B you are submitting in Part III. Report the total number of recipients and any covered individuals not listed on Form 1095-B.
05
Sign and date the form in Part IV.
06
Finally, provide your contact information under the preparer's name and telephone number in Part V, if applicable.
07
Make sure to review the instructions and guidelines provided along with the form to ensure accuracy and completeness.

Who needs 1094 b download?

01
The 2023 form 1094-B is required by certain entities that provide minimum essential coverage to individuals. This includes insurers, self-insuring employers, and other providers of coverage as specified by the IRS. Generally, entities that are required to file Form 1095-B must also file Form 1094-B to transmit the returns to the IRS.

Who needs Form 1094-B?

This form is used by all individuals who file Form 1095-B. Its main purpose is informative.

What is the purpose of Form 1094-B?

The Transmittal of Health Coverage Information Returns is sent to the IRS to inform the total amount of all submitted Forms 1095-B, Health Coverage. The Health Coverage Form serves as proof that a taxpayer was covered by the minimum essential coverage. According to US law every individual must have minimum essential coverage for each month.

What documents must accompany Form 1094-B?

This form should be sent together with Form 1095-B. A separate submission is not needed.

How long does it take to fill the form out?

This is a one-page form, and it takes up to five minutes to complete it.

What information should be provided in Form 1094-B?

The person who fills out the form has to provide the following details:

  • First name
  • Employer Identification Number
  • Name and telephone number of the contact person
  • Address (street, city, state, country and ZIP)
  • Total number of submitted Forms 1095-B
  • The preparer also has to sign the form, indicate their title and date it.
  • The information provided in Form 1094-B must fully correspond to the data in Form 1095-B.

What do I do with the form after its completion?

The completed Form 1094-B is forwarded to the appropriate IRS office.

Video instructions and help with filling out and completing 1094 b download

Instructions and Help about 1094 b form

Hello this video is about filing forms 1095 be and 1094 be I will cover the following topics in this video key points of form 1095 be a walkthrough of each of the four parts of form 1095 B and a review of the fields on Form 1094 be one of the provisions of the Affordable Care Act is the individual mandate which serves as the basis for form 1095 be reporting the individual mandate states that each individual must have minimum essential coverage for each month or qualify for an exemption or pay a penalty this penalty is called the individuals shared responsibility payment form 1095 B is an information return filed by health care insurers and self-insuring employers with less than 50 full-time equivalent employees the purpose of this form is to allow taxpayers to establish an IRS to verify the taxpayers recovered by minimum essential coverage form 1094 B is the transmittal that is used to summarize the total number of 1095 BS sent to the IRS in one batch let's get started reviewing each part of form 1095 be part 1 reports information about the responsible individual the responsible individual is the taxpayer who would be liable for the individual shared responsibility payment for the covered individuals in line 1 you enter the name of this taxpayer line to should include the responsible individuals social security number or taxpayer identification number enter the responsible individuals date of birth in line 3 only in the case where line two is blank lines four through seven should include the responsible individuals address line 9 which is the small business health options program marketplace identifier should be left blank for 2015 let's go back to line 8 now enter the origin of policy in line 8 there are six possible codes that can be entered on this line code an is for the small business health options program better known as shop code B is for employer-sponsored coverage code C is a government-sponsored program code D is for individual market insurance code e is a multi-employer plan commonly used for reporting by unions and code f is any other designated minimum essential coverage part to a form 1095 be reports information about the employers sponsoring the coverage enter the name employer identification number and address for the employer sponsoring the coverage if line eight in part one is either code a or code be complete part two there is an exception to this rule however employers reporting self-insured group health plan coverage enter code be on line 8 but then should skip part 2 the reason for this is that a self-insured employer is considered the provider in this case and provider information is reported in part 3 a self-insured employer is an employer who has liability for all employee claims incurred and pays each claim if line 8 equals code c d e or f you can skip part 2 in part 3 you report the information about the coverage provider which is actually the filer of form 1095 be you list the name employer identification number and...

Fill 1094 b fillable form : Try Risk Free

Rate free form 1094 form

4.8
Satisfied
39 Votes

People Also Ask about 1094 b download

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

2023 form 1094-b is a tax form used to report information regarding the health coverage offered by certain employers.
Employers who provide minimum essential coverage (MEC) to individuals must file 2023 form 1094-b.
To fill out 2023 form 1094-b, you need to provide information about the employer, the covered individuals, and the coverage offered. This includes details such as names, Social Security numbers (or other identification numbers), and the months of coverage.
The purpose of 2023 form 1094-b is to report information to the Internal Revenue Service (IRS) about the health coverage provided by employers, as required by the Affordable Care Act (ACA).
On 2023 form 1094-b, you must report information about the employer, including their name, address, and employer identification number (EIN). You also need to report information about the covered individuals, such as their names, Social Security numbers (or other identification numbers), and the months in which they had coverage.
The deadline to file 2023 form 1094-b in 2023 is usually February 28 if filing by paper or March 31 if filing electronically. However, it's always recommended to check the IRS website or consult the instructions for the specific year for any updates or changes to the deadline.
The penalty for late filing of 2023 form 1094-b varies depending on the size of the employer. As of now, the penalty for late filing can range from $50 to $280 per form, depending on the length of the delay and whether the failure to file was intentional or not. It's important to file the form on time to avoid any potential penalties.
By integrating pdfFiller with Google Docs, you can streamline your document workflows and produce fillable forms that can be stored directly in Google Drive. Using the connection, you will be able to create, change, and eSign documents, including form 1094 b, all without having to leave Google Drive. Add pdfFiller's features to Google Drive and you'll be able to handle your documents more effectively from any device with an internet connection.
The best way to make changes to documents on a mobile device is to use pdfFiller's apps for iOS and Android. You may get them from the Apple Store and Google Play. Learn more about the apps here. To start editing form 1094 b, you need to install and log in to the app.
The pdfFiller mobile app makes it simple to design and fill out legal paperwork. Complete and sign form 1094 form and other papers using the app. Visit pdfFiller's website to learn more about the PDF editor's features.

Fill out your 1094 b download 2023-2024 online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview

Quick facts to know before filling out the form

Quick facts image
Form Number: 1094-B
Department: Department of the Treasury, Internal Revenue Service
OMB Number: 1545-2252
Transmittal of Health Coverage Information Returns
Year: 2023
Website for instructions: www.irs.gov/Form1094B
Total number of Forms 1095-B submitted with this transmittal: [Not mentioned]

Related to 1094 b instructions