Reporting of health insurance coverage

OMB 1545-2252

This document contains regulations relating to an information reporting requirement enacted by the Patient Protection and Affordable Care Act, Public Law 111-148, and Health Care and Education Reconciliation Act, Public Law 111-152. These regulations are necessary to impose the reporting requirement under section 1502 of the Affordable Care Act (section 6055 of the Internal Revenue Code) on health insurance issuers, employer-sponsored self-insured plans and government-sponsored programs that provide minimum essential coverage.

The latest form for Reporting of health insurance coverage expires 2022-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1094-B Form 1094-B, Transmittal of Health Coverage Information Returns Form
Supporting Statement_1545-2252_MS.docx Supporting Statement A
Form 1095-B, Health Coverage Instruction
Form 1094-B, Transmittal of Health Coverage Information Returns Form

All Historical Document Collections

202203-1545-011 Approved without change	Extension without change of a currently approved collection	2022-06-29
201710-1545-006 Approved without change	Revision of a currently approved collection	2018-01-31
201403-1545-015 Approved without change	New collection (Request for a new OMB Control Number)	2014-11-28
201302-1545-022 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2014-02-27

OMB Details

Form 1094-B, Transmittal of Health Coverage Information Returns

Federal Enterprise Architecture: General Government - Taxation Management

Form 1094-B

Transmittal of Health Coverage Information Returns

Fillable Fileable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.