ACA Health Coverage (Form 1095-C)

Use this report to create and print Form 1095-C, which reports employee health coverage information as required by the Affordable Care Act (ACA). RFMS prints directly onto the government form — there’s no need to download it from the IRS website.

Create and Print 1095-C Forms

Step	Action Items
1. Open the Report	☐ Go to Accounting > File > Human Resources > Reports > End of Year > ACA Health Coverage (Form 1095-C).  ☐ When first opened, complete all required fields in the Employer Information section.
2. Select the Tax Year	☐ From the Tax Year field, choose the correct year.  ☐ Confirm that employees with W-2 earnings for that year appear automatically.  ☐ If needed, update your Tax Tables to the correct year.
3. Verify Employer Information	☐ Under Applicable Large Employer Member (Employer), fill in all identifying information for your business. ☐ This section must be completed before printing is allowed.
4. Locate an Employee	☐ Use Search by Last Name to find a specific employee record.
5. Enter Offers & Coverage Details	☐ Highlight the employee and click Edit.  ☐ Confirm EDITING appears at the top right of the screen.  ☐ Click Insert or Change to open the Offers & Coverage section.  ☐ Enter Start Month, End Month, Share Cost, Zip Code, Offer Code, and 4980H Code.  Tip: Refer to IRS 1095-C Instructions for help selecting codes.
6. Add Covered Individuals (if applicable)	☐ Check Covered Individuals if your business offers self-insured health coverage.  ☐ The employee is added automatically; click Insert to list dependents or others covered under the plan.
7. Save Changes	☐ Click Save after adding or editing any information before switching records.
8. Print the Forms	☐ Click Print, then choose Preview or Print Only.  ☐ Confirm your printer is set to front and back printing (Form 1095-C includes instructions on the reverse).  ☐ Verify all employer information is entered—the form will not print otherwise.
9. Review and Distribute	☐ Review the printed forms for accuracy.  ☐ Provide copies to employees as required by the IRS.