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IRS extends deadline for 2019 employer ACA disclosures

IRS extends deadline for 2019 employer ACA disclosures

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The IRS has extended the ACA deadline for furnishing Forms 1095-C and 1095-B to individuals — from January 31, 2020 to March 2, 2020. The deadline for filing the forms with the IRS electronically has not been extended and is March 31, 2020.

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The Affordable Care Act (ACA) contained two significant reporting requirements to the Internal Revenue Code (Code) that were effective for medical coverage provided on or after January 1, 2015.

  • Code Section 6055 reporting. Supports IRS enforcement of the individual mandate
  • Code Section 6056 reporting. Supports IRS enforcement of the employer shared responsibility provisions (“employer mandate”) and the premium tax credits for coverage purchased in the public marketplace

The IRS developed two sets of information returns that employers and coverage providers use to satisfy their ACA reporting obligations — Form 1095-B, which is used exclusively for Code Section 6055 reporting purposes, and Form1095-C, which employers subject to the employer mandate use to satisfy both their Code Section 6055 and Code Section 6056 obligations. Under regulations, employers and coverage providers must furnish Forms 1095-B or 1095-C to individuals for a calendar year by January 31 of the following calendar year. They must also submit these forms to the IRS (along with transmittal forms) by March 31 of the following calendar year, if filing electronically. The regulations permit the IRS to grant extensions of up to 30 days to furnish the statements to individuals and authorize an automatic 30-day extension for filing forms with the IRS.

Earlier this year, the IRS released draft forms and instructions for 2019 ACA reporting (see below). The 2019 draft forms and instructions are largely unchanged from 2018.

With the repeal of the individual mandate penalties, is ACA reporting still required?

Yes. The tax bill that nullified the individual mandate penalties did not repeal the ACA reporting requirements. ACA reporting is used by the IRS to enforce the employer mandate and to determine eligibility for premium subsidies to purchase ACA marketplace coverage, neither of which were changed by the tax bill.

Extension of deadline for furnishing forms

As in prior years, the IRS has recognized that many employers, insurers, and other health coverage providers may need additional time to comply with the ACA reporting requirements. On December 2, it issued Notice 2019-63, which extends the due date for furnishing Forms 1095-C and 1095-B to individuals to March 2, 2020. The IRS will not grant any requests for extensions beyond that date.

The IRS did not extend the deadline for filing the statements, along with the 1094-C and 1094-B transmittal forms, to the IRS. That deadline is March 31, 2020.

Buck comment. While the date for filing with the IRS was not extended, filers can obtain an automatic 30-day extension by submitting Form 8809 (Application for Extension of Time to File Information Returns) by the due date for the ACA information returns. Form 8809 may be submitted on paper or electronically, and no explanation for the extension is required.

Relief from penalties

Notice 2019-63 sets out new relief from the penalty imposed on entities that fail to timely furnish complete and correct information statements, such as Forms 1095-B and 1095-C, to individuals. Noting that individuals no longer need the information on the Form 1095-B to determine their individual mandate liability (since the penalty has been reduced to $0), the IRS states that it will not assess the Code Section 6722 penalty for failing to furnish a Form 1095-B for 2019 if the following two conditions are met:

  • The entity posts a notice prominently on its website advising responsible individuals that they may receive a copy of their 2019 Form 1095-B upon request and providing relevant contact information (email and physical addresses and telephone numbers) for requesting the form and obtaining answers to any questions.
  • The entity furnishes a 2019 Form 1095-B within 30 days of a request.

This relief does not extend to the furnishing of Forms 1095-C to full-time employees enrolled in self-insured employer health coverage. However, it does apply to the furnishing of Form 1095-C to any individual enrolled in self-insured coverage who is not a full-time employee. The relief also does not apply to the filing of either Form 1095-B or Form 1095-C with the IRS. Health coverage providers and employers continue to be subject to penalties consistent with current enforcement polices as discussed below if they fail to furnish correct and complete forms in a timely manner.

The notice also extends the relief from penalties provided for past years to 2019 reporting. Reporting entities that can show they made a good-faith effort to comply with the reporting requirements — both for furnishing Form 1095-C to full-time employees and for filing statements and returns with the IRS — will not be subject to penalties. The relief applies to missing and inaccurate taxpayer identification numbers, dates of birth and other required information. However, no relief is provided for reporting entities that do not make a good faith effort to comply or that fail to meet the furnishing and filing deadlines.

The notice states that in determining good faith, the IRS will consider whether the employer or coverage provider made reasonable efforts to prepare for reporting information to individuals and the IRS, such as gathering and transmitting necessary data to an agent to prepare for data submission or testing its ability to transmit information to the IRS.

State individual mandates

New Jersey and Washington D.C. have individual mandate requirements that became effective in 2019, (see our April 10, 2019 FYI). California, Rhode Island and Vermont have individual mandates that will be effective in 2020. Both New Jersey and Washington D.C. allow employers to use the IRS ACA forms for satisfying their state reporting requirements. But note that the IRS deadlines (and extensions) for filing and furnishing ACA forms may not apply to the state reporting requirements.

Draft 2019 forms and instructions

The IRS recently released draft 2019 forms and instructions. These forms are largely unchanged from last year.

Form 1095-C Employer-Provided Health Insurance Offer and Coverage
Form 1094-C Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns
1094-C and 1095-C instructions Instructions for Forms 1094-C and 1095-C
1095-B Health Coverage
1094-B Transmittal of Health Coverage Information Returns
1094-B and 1095-B instructions Instructions for Forms 1094-B and 1095-B

In closing

Despite the extension in the due date to March 2, 2020 for furnishing Form 1095-C, employers should continue efforts to comply with the ACA reporting requirements.

Volume 42 | Issue 103