Employers subject to Affordable Care Act (ACA) reporting under Internal Revenue Code Sections 6055 or 6056 should prepare to comply with reporting deadlines in early 2026. For the 2025 calendar year, covered employers must:
- File returns with the IRS electronically by March 31, 2026. Employers that file at least 10 returns during the calendar year must file electronically.
- Post a clear, conspicuous, and easily accessible notice on their websites by March 2, 2026, informing individuals that they may request a copy of Forms 1095-B or 1095-C. The notice must be retained until Oct. 15, 2026, and statements must be furnished to any requesting individual by the later of Jan. 31, 2026, or 30 days after the date of the request. Alternatively, if a reporting entity chooses not to post the notice online, it may instead provide Forms 1095-B or 1095-C directly to individuals by March 2, 2026.
Covered Employers
The following employers are subject to ACA reporting:
- Employers with self-insured health plans (Section 6055 reporting)
- Applicable large employers (ALEs) with either fully insured or self-insured health plans (Section 6056 reporting)
ALEs are employers with 50 or more full-time employees (including full time equivalent employees) during the preceding calendar year. Note that ALEs with self-funded plans are required to comply with both reporting obligations. However, to simplify the reporting process, the IRS allows ALEs with self-insured plans to use a single combined form to report the information required under both Sections 6055 and 6056.
Individual Statements
Alternative Furnishing Method
Reporting entities are no longer required to automatically furnish Forms 1095-B and 1095-C to covered individuals. Instead, reporting entities may post a notice on their websites informing individuals that they can request a copy of the statement.
Reporting entities that do not wish to take advantage of this alternative furnishing method can provide Forms 1095-B or 1095-C directly to individuals by March 2, 2026.
Reporting entities should continue to comply with applicable state reporting requirements, which may differ from federal obligations.
Important Dates
March 2, 2026
- Reporting entities must post a notice on their websites by this date. Alternatively, if a reporting entity chooses not to post the notice online, it may instead provide Forms 1095-B or 1095-C directly to individuals by this date.
March 31, 2026
- Electronic IRS returns for 2025 must be filed by this date.
Section 6055 and 6056 Reporting
- Section 6055 applies to providers of minimum essential coverage (MEC), such as health insurance issuers and employers with self-insured health plans. These entities generally use Forms 1094-B and 1095-B to report information about the coverage they provided during the previous year.
- Section 6056 applies to ALEs—generally, those employers with 50 or more full-time employees, including full-time equivalents, in the previous year. ALEs use Forms 1094-C and 1095-C to report information relating to the health coverage that they offer (or do not offer) to their full-time employees.
Employers reporting under both Sections 6055 and 6056—specifically, ALEs with self-insured plans—use a combined reporting method by filing Forms 1094-C and 1095-C.
Annual Filing Deadline
Generally, forms must be electronically filed with the IRS annually, no later than March 31 of the year following the calendar year to which the return relates. Employers may receive an automatic 30-day extension to file with the IRS by completing and filing Form 8809 by the due date of the return. Additional extensions of time to file may also be available under certain hardship conditions.
Alternative Furnishing Method for Individual Statements
Under the original reporting rules, reporting entities had to furnish statements annually to each individual who was provided with MEC (under Section 6055) and each of the ALE’s full-time employees (under Section 6056). These statements were provided using Forms 1095-B and 1095-C. However, reporting entities are no longer required to automatically furnish Forms 1095-B and 1095-C to individuals. Instead, reporting entities may post a notice on their websites informing individuals that they can request a copy of the statement.
- For 2025 statements required to be furnished in 2026, the requirement to provide the statement is met if the notice is:
- Clear, conspicuous and easily accessible to all covered individuals (the notice must include an email address, a physical address to which a request may be sent, and a telephone number to contact the reporting entity);
- Posted by March 2, 2026; and
- Retained in the same website location through Oct. 15, 2026.
Requests must be fulfilled by Jan. 31 of the year following the calendar year to which the return relates or 30 days after the date of the request, whichever is later. Instead of posting the notice and providing Forms 1095-B or 1095-C upon request, reporting entities may automatically furnish statements to covered individuals by March 2, 2026. Reporting entities must also continue to comply with applicable state reporting requirements. In addition, statements may be furnished electronically to individuals if they have affirmatively consented “at any prior time” (unless they have revoked such consent in writing).
Electronic Filing
The electronic filing threshold for returns required to be filed on or after Jan. 1, 2024, is 10 or more returns (originally, the threshold was 250 or more returns). The instructions for 2025 returns (filed in 2026) provide the following clarifications and reminders:
- The 10-or-more requirement applies in the aggregate to certain information returns. Accordingly, a reporting entity may be required to file fewer than 10 of the applicable Form 1094 and 1095, but still have an electronic filing obligation based on other kinds of information returns filed (e.g., Forms W-2 and 1099).
- The electronic filing requirement does not apply to those reporting entities that request and receive a hardship waiver; however, the IRS encourages electronic filing even if a reporting entity is filing fewer than 10 returns.
- The formatting directions in the instructions are for the preparation of paper returns. When filing forms electronically, the formatting set forth in the “XML Schemas” and “Business Rules” published on IRS.gov must be followed rather than the formatting directions in the instructions. For more information regarding electronic filing, see IRS Publications 5164 and 5165.
Electronic filing is done using the ACA Information Returns (AIR) Program. The IRS has provided guidance on electronic reporting through its AIR Program main page, but this guidance is generally very technical and intended for software developers and other entities that plan on providing electronic reporting services. Nonetheless, it can provide useful information on standards and procedures for returns transmitted through the AIR Program.
If you have any questions, please feel free to contact us or your MJ Client Experience team.
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