End of Year Compliance Reporting
In the Southern Ohio Chamber Alliance Benefit Plan, every employer participating in the plan is responsible for filing the 1094 and 1095 forms with the IRS to satisfy their requirements as a plan sponsor of a self-funded health benefits plan. The employer is solely responsible for completing the 1094 and 1095 forms, providing documents to its employees, and submitting documents to the IRS. Please contact your tax, legal, or payroll representative for further assistance.
FormFire has provided an End of Year Report, available for download in the HR Manger's Document Center for 2017 End of Year Reporting. FormFire, LLC does not make any representations as to the completeness or accuracy of the information provided. This report reflects only the data entered into the FormFire application as reflected in our records.
Download Your 2017 End of Year Compliance Report
Find Documents on the HR Dashboard and select Manage Documents.
You will find the End of Year Compliance Report in your list of documents. Because the report contains sensitive information, it is password protected with the employer's 6-digit Anthem group number (e.g., 000001). Download the report and enter the password to access the information.
W: Employee is employed and in the waiting period prior to coverage
X: Employee is employed full-time and eligible for coverage
T: Employee is not employed and ineligible for coverage
Feel free to download this document and use this information as a tool to assist you with completing your 1094 and 1095 forms on behalf of your company. Any questions should be directed to the IRS, or to your tax, legal, or payroll representative for further assistance.