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Employer Update | January 2016
Employer Update | January 2016

Update: Minimum Essential Coverage Reporting Forms 1095-B & 1094-B

The IRS has extended the due date for furnishing the 2015 Form 1095-B from February 1, 2016, to March 31, 2016.

The notice also extends the due date for filing with the IRS the 2015 Form 1094-B:

  • From February 29, 2016, to May 31, 2016, if not filing electronically
  • From March 31, 2016, to June 30, 2016, if filing electronically

FORM 1095-B:  Univera Healthcare is required to mail Form 1095-B statements to individuals for tax filing purposes by no later than March 31, 2016. To more fully assist our members, we will begin mailing the forms in February 2016.  Information in the reporting will be used to manage tax credits and penalties associated with the Affordable Care Act coverage requirements.  Subscribers must have minimal essential coverage or pay the individual shared responsibility payment (penalty) on their tax return.  Some exceptions apply. The form 1095-B mailing will be in an envelope indicating important tax information enclosed.

To view IRS Form 1095-B and the cover sheet that will be mailed to Subscribers, please see links below.

Download IRS Form 1095-B     Download sample cover sheet

FORM 1094-B:  Univera Healthcare is also required to report to the IRS the same health coverage information that is being sent to individuals for the prior coverage year (2015) by no later than June 30, 2016 but will submit the filings to the IRS by April 30, 2016.

For more information on minimum essential coverage and the individual shared responsibility provision, please go to the IRS.gov website at:   https://www.irs.gov/Affordable-Care-Act

Who will receive a Form 1095-B?

Univera Healthcare is responsible for reporting to the IRS (Form 1094-B) and mailing statements to individuals (Form 1095-B) for the following: 

  • Individual Off-Exchange
  • Small Groups Off-Exchange
  • SHOP (Small Groups On Exchange)
  • Large Groups-Insured (includes Mid-Segment Employer Groups)

Must I wait to file until I receive these forms?

If you are expecting to receive a Form 1095-A, you should wait to file your 2015 income tax return until you receive that form.  However, it is not necessary to wait for Forms 1095-B or 1095-C in order to file.

Some taxpayers may not receive a Form 1095-B or Form 1095-C by the time they are ready to file their 2015 tax return. While the information on these forms may assist in preparing a return, they are not required. Individual taxpayers will generally not be affected by this extension and should file their returns as they normally would.

Like last year, taxpayers can prepare and file their returns using other information about their health insurance. You should not attach any of these forms to your tax return.

What information will Form 1095-B include?

In general, Form 1095-B will include:

  • The name of the covered individual(s)
  • The individual’s Social Security number, if available
  • Date of birth if Social Security number is not available
  • An indicator for each month of minimum essential health coverage maintained in 2015

Retroactive membership changes for the prior coverage year or changes to fields such as First/Last Name, Social Security number or date of birth will result in the need to mail a ‘corrected’ form 1095-B statement.  

Will a member receive multiple Form 1095-B’s?

A member may receive multiple form 1095-B’s in any of the following instances: 

  • There was a change in the subscriber for the health insurance policy
  • Different members of a household were on different plans
  • A member was enrolled in one plan, canceled, and then re-enrolled under a new subscriber identification number.
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