Aatrix :: Affordable Care Act (ACA) Forms 
Aatrix Software :: Home

Aatrix Complete ACA eFiling

Supported Forms

 

Is Aatrix supporting the ACA reporting? 


Yes, Aatrix will be supporting the 6055 & 6056 reporting requirements. The information will be reported on the 1095/94-B or the 1095/94-C form sets.




FORM 1095-C

Click on the individual boxes below for specific IRS Instructions

IRS.gov: Affordable Care Act 1095-C, Page 1 IRS.gov: Affordable Care Act 1095-C, Part I  Line 1, Employee's Name IRS.gov: Affordable Care Act 1095-C, Part I  Line 2, Employee's Social Security Number (including dashes) IRS.gov: Affordable Care Act 1095-C, Part I  Lines 3-6, Employee's Complete Address IRS.gov: Affordable Care Act 1095-C, Part I  Line 7, Employer's Name matching information on 1094-C IRS.gov: Affordable Care Act 1095-C, Part I  Line 8, Employer's EIN matching information on 1094-C IRS.gov: Affordable Care Act 1095-C, Part I  Lines 9 and 11-13, Employer's Complete Address matching the information on 1094-C IRS.gov: Affordable Care Act 1095-C, Part I  Line 10, Contact Person's Telephone Number IRS.gov: Affordable Care Act 1095-C, Part II, Employee Offer and Coverage - Plan Start Month IRS.gov: Affordable Care Act 1095-C, Part II  Line 14, Offer of Coverage (Code) IRS.gov: Affordable Care Act 1095-C, Part II  Line 15, Employee Share of Lowest Cost Monthly Premium, for Self-Only Minimum Value Coverage IRS.gov: Affordable Care Act 1095-C, Part II  Line 16, Applicable Section 4980H safe Harbor (Code, if applicable) IRS.gov: Affordable Care Act 1095-C, Part III  Lines 17-22, Covered Individuals

Part III: Covered Individuals
Part III Lines 17-22, Covered Individuals




IRS.gov: Affordable Care Act 1095-C, Page 2 IRS.gov: Affordable Care Act 1095-C, Part III  Column (a), Covered Individual's Name IRS.gov: Affordable Care Act 1095-C, Part III  Column (b), Covered Individual's Social Security Number (SSN) IRS.gov: Affordable Care Act 1095-C, Part III  Column (c), Covered Individual's Birthdate (MM/DD/YYY) if Social Security Number (SSN) is not available IRS.gov: Affordable Care Act 1095-C, Part III  Column (d), Covered all 12 months IRS.gov: Affordable Care Act 1095-C, Part III  Column (e), Months of Coverage



  Back To Top



FORM 1094-C

Click on the individual boxes below for specific IRS Instructions

IRS.gov: Affordable Care Act 1094-C, Page 1 IRS.gov: Affordable Care Act 1094-C, Part I  Line 1, Name of ALE Member (Employer) IRS.gov: Affordable Care Act 1094-C, Part I  Line 2, Employer Identification Number (EIN) IRS.gov: Affordable Care Act 1094-C, Part I  Lines 3-6, Employer's Complete Address IRS.gov: Affordable Care Act 1094-C, Part I  Lines 7 and 8, Contact Person's Name and Telephone Number IRS.gov: Affordable Care Act 1094-C, Part I  Line 9, Name of Designated Government Entity (DGE) IRS.gov: Affordable Care Act 1094-C, Part I  Line 10, Employer Identification Number (EIN) of Designated Government Entity (DGE) IRS.gov: Affordable Care Act 1094-C, Part I  Lines 11-14, Designated Government Entity's (DGE) Complete Address IRS.gov: Affordable Care Act 1094-C, Part I  Lines 15 and 16, Contact Person's Name and Telephone Number IRS.gov: Affordable Care Act 1094-C, Part I  Line 17, Line reserved for future use IRS.gov: Affordable Care Act 1094-C, Part I  Line 18, Total number of Forms 1094-C submitted with this transmittal IRS.gov: Affordable Care Act 1094-C, Part I  Line 19, Authoritative Transmittal IRS.gov: Affordable Care Act 1094-C, Part II  Line 20, Total Number of Forms filed by and/or on behalf of the employer. IRS.gov: Affordable Care Act 1094-C, Part II  Line 21, ALE Member is part of Aggregated ALE Group IRS.gov: Affordable Care Act 1094-C, Part II  Line 22, Certifications of Eligibility




IRS.gov: Affordable Care Act 1095-C, Part III Column (a), Minimum Essential Coverage IRS.gov: Affordable Care Act 1095-C, Part III Column (b), Full-Time Employee Count for ALE Member IRS.gov: Affordable Care Act 1095-C, Part III Column (c), Total Employee Count for ALE Member IRS.gov: Affordable Care Act 1095-C, Part III Column (d), Aggregated Group Indicator IRS.gov: Affordable Care Act 1095-C, Part III Column (e), Aggregated Group Indicator




IRS.gov: Affordable Care Act 1094-C, Part IV  Lines 36-65, Other ALE Members of Aggregated ALE Group

Part IV: Other ALE Members of Aggregated ALE Group
Lines 36-65, Other ALE Members of Aggregated ALE Group



  Back To Top



FORM 1095-B

Click on the individual boxes below for specific IRS Instructions

IRS.gov: Affordable Care Act 1095-B, cLine 1, Name of Responsible Individual IRS.gov: Affordable Care Act 1095-B, Part I  Line 2, Social Security Number of Responsible Individual IRS.gov: Affordable Care Act 1095-B, Part I  Line 3, Birthdate (MM/DD/YYYY) of Responsible Individual if SSN is blank. IRS.gov: Affordable Care Act 1095-B, Part I  Lines 4-7, Complete Mailing Address of the Responsible Individual IRS.gov: Affordable Care Act 1095-B, Part I  Line 8, Letter Code of Origin of Policy IRS.gov: Affordable Care Act 1095-B, Part I  Line 9, SHOP Identifier (Leave blank for 2015 filing) IRS.gov: Affordable Care Act 1095-B, Part II  Lines 10-15, Name, EIN, and Complete Mailing Address for the Employer Sponsoring the Coverage IRS.gov: Affordable Care Act 1095-B, Part III  Lines 16-22, Name, EIN, and Complete Mailing Address of Issuer/ Other Coverage IRS.gov: Affordable Care Act 1095-B, Part IV  Column (a), Name of each Covered Individual IRS.gov: Affordable Care Act 1095-B, Part IV  Column (b), Social Security Number (SSN) of each Covered Individual IRS.gov: Affordable Care Act 1095-B, Part IV  Column (c), Birthdate (MM/DD/YYY) of each Covered Individual if SSN is not available IRS.gov: Affordable Care Act 1095-B, Part IV  Column (d), Individual Covered for 12 months IRS.gov: Affordable Care Act 1095-B, Part IV  Column (e), Coverage each month if individual wasn't covered for all 12 months




IRS.gov: Affordable Care Act 1095-B, Part IV  Column (a), Name of each Covered Individual (Continuation) IRS.gov: Affordable Care Act 1095-B, Part IV  Column (b), Social Security Number (SSN) of each Covered Individual (Continuation) IRS.gov: Affordable Care Act 1095-B, Part IV  Column (c), Birthdate (MM/DD/YYY) of each Covered Individual if SSN is not available (Continuation) IRS.gov: Affordable Care Act 1095-B, Part IV  Column (d), Individual Covered for 12 months (Continuation) IRS.gov: Affordable Care Act 1095-B, Part IV  Column (e), Coverage each month if individual wasn't covered for all 12 months (Continuation)



  Back To Top

FORM 1094-B

Click on the individual boxes below for specific IRS Instructions

IRS.gov: Affordable Care Act 1094-B IRS.gov: Affordable Care Act 1094-B, Line 1, Filer's Complete Name IRS.gov: Affordable Care Act 1094-B, Line 2, Filer's EIN IRS.gov: Affordable Care Act 1094-B, Lines 3 and 4, Contact Person's Name and Telephone Number IRS.gov: Affordable Care Act 1094-B, Lines 5-8, Filer's Complete Address IRS.gov: Affordable Care Act 1094-B, Line 9, Total number of 1095-B forms transmitted with 1094-B



  Back To Top