1095C ACA Information Reported to IRS for Calendar Year XXXX AU447157

Purpose:  List Affordable Care Act data that will be sent to the IRS and will be listed on Employee 1095-C form.

The following data will be listed on the report:

  • 'Offer of Coverage' codes listed by month
  • Employee Share of Lowest Cost Monthly Premium
  • 'Safe Harbor' code listed by month

 

SYSIDNumber of versionsArchive Y or NLength of Archive
AUIS44C2Y5 Years

 

Example: 

 

Dataset: AUI.S44.AU447157.ACA1095C.IRSINFO

Created In: AU447157

Created For: All Agencies