1094-c instructions PDF Form

1094-c instructions PDF Form: What You Should Know

Enter the employee's full employer identification number (EIN). Line 5. Enter the employee's date of birth. Line 6. Enter your name, the employee's name, and the employee's SSN. Forms 4647, 4657, 4964, 4965, 5987, 5987.3, and 990-EZ This is the form needed for 2018.  The forms are available now online for 2019. 2024 Form 4646 2018 Form 4654 2018 Form 990-EZ The 2024 form will be out later this month.  The form is available online for 2019 2017 Form 940 This form is for the 2024 tax year. Form 1094-C, Summary Report of Employer-Provided Marketplace and Large Employer Marketplace Health Coverage (PDF) Form 1094-C (PDF) contains: 1. Summary information about your health coverage under the Marketplace that is provided by your employer (or by an entity that contracts with your employer) or provided to your employer by an insurer for which your employer is an insurer. 2. Amounts that the Marketplace reported to your Employer for 2017, including amounts for health coverage for you, your spouse, and your dependent. 3. The information provided by your employer, under penalty of perjury, to the Secretary of the Treasury under section 6055(e) of the Affordable Care Act about the health coverage you obtained from the employer during the calendar year. This information also must include the following: 1. The name or names of your employer, your employee, and any dependent(s) being covered by the health coverage you obtained.  2. The name and address of any entity that is providing the health coverage to you under the coverage you obtained from the employer.  3. The amounts that the employer reports to the IRS.  The information for 2024 is based on the information provided to the Treasury.  If you need help identifying the information provided to the IRS, use the link to Form 3442. Form 1095-C (PDF) 2017 Form 5951 Form 5951 (PDF) is for 2018.  Form 5951 will not be issued for 2019.  All forms are available online for 2019. Form 8862 for Self-Employment Form 8862 (PDF) is for self-employment income.  This income is reported on the W-2 forms.  This form was not used in 2018.

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