North Las Vegas Nevada Form 1094-C 2024-2025

North Las Vegas Nevada Form 1094-C: What You Should Know

IRS Form 1095-B forms are used to determine whether the ALE's health plan should be considered a qualified health plan, so that individuals whose income exceeds 400 percent of the federal poverty line can be enrolled in the ALE Member's health plan. I. Information and Documentation Required for Form 1095-B. (a) The ALE Member must establish and maintain on file with the IRS in the Treasury Department's e-filed system, in accordance with the requirements of section 477.103-8--(f), the eligibility and claim information for all Members and their beneficiaries. (b) The ALE Member must maintain the forms in a manner that is easily accessible to all its members at all times. The ALE Member must be notified, under the circumstances as applicable to it, if a claim for exemption is made in a current return and all documents necessary to support that claim have been filed. The notification must contain sufficient details regarding the filing and supporting documentation to enable the Internal Revenue Service to respond quickly to the request. II. Information and Documentation Required for Form 1095-C. (a) Individual. The ALE Member must establish and maintain on file with the IRS in the Treasury Department's e-filed system, in accordance with the requirements of section 477.103-8--(f), all information and documentation needed to support eligibility determinations for the health care coverage provided under the ALE Member's health care plan. (b) Employer. The employer, also referred to as the ALE Member, must establish and maintain on file with the IRS all information needed to substantiate eligibility determinations that are based on the health care coverage provided to the ALE Members under the health care plan. If the employer is an ALE Member that provides health care coverage, and it becomes aware that an individual who is an ALE member is seeking or may later be eligible to claim an exemption for a health care coverage under section 4980H for an individual, the employer must provide that individual with a copy of Form 1095-C, as part of the ALE Member's annual Form 1095-C return. III. Payment The IRS will determine if the ALE Member must pay all or part the premiums for the health care coverage (including the amount required to make the tax penalty payment and the amount of the premium tax credit) (including amounts owed on the Health Care Act tax premium tax, if any) required to satisfy the requirements of section 4980H.

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