1095-C 2020

IRS Release Status: FINAL

Sample Excel Import File: 1095-C 2020.xlsx

What's New for 2020

In Part 2, added field "Employee's Age on January 1" before the Plan Start Month field.
New codes for line 14: “Offer of Coverage”: 1L, 1M, 1N, 1O, 1P, 1Q, 1R, 1S.
New field, line 17: "Zip code".

Import Form Fields:

Field Name	Size	Type	Description	Notes	Part
See Form Filer Common Fields			Filer fields common to all form types.
See Recipient Common Fields			Recipient fields common to all form types.
Record Type	1	Text	Record Type is a required field and it indicates if a record is the Responsible Individual/Employee.	Use E for Employee/Responsible Individual & C for Covered Individual
Box 1 - 6 Employee		Character	Employee	Recipient info	Part I
Rcp Account	25	Character	Recipient Account Number
Last Name/Company	40	Character	Employee last name/Company Name
First Name	40	Character	Employee First name
Rcp TIN	11	TIN	Recipient Tax ID Number
Address Deliv/Street	40	Character	Employee Delivery address
Address Apt/Suite	40	Character	Employee Apartment Suite
City	40	Character	Employee City
State	23	Character	Employee State
Zip	15	Character	Employee Zip
Box 14-17 Employer Offer and Coverage		Character	Employer Offer and Coverage	Filer Info	Part II
Box 14 Offer coverage	2	Code	Box 14: Offer of Coverage (enter required code)	1A / 1B / 1C / 1D / 1E / 1F / 1G / 1H / 1J / 1K (All12Months or Jan - Dec)	Part II
Box 15 Month Premium	12	Amount	Box 15: Employee Share of lowest cost monthly premium....	All12Months or Jan - Dec	Part II
Box 16 Safe harbor	2	Code	Box 16: Applicable Section 408H Safe Harbor....	2A / 2B / 2C / 2D / 2E / 2F / 2G / 2H / (All12Months or Jan - Dec)	Part II
Box 17 Zip Code	5	Code	Box 17: Zip Code	Used by employers to determine affordability	Part II
Emp Age Jan 1st	3	Numeric	If the employee was offered an individual coverage HRA, enter the employee’s age on January 1, 2020	Age range 1 to 120	Part II
Plan Start Month	2	Numeric	Enter the two-digit number (01 through 12) indicating the calendar month during which the plan year begins of the health plan in which the employee is offered coverage	(Required Field) If there is no health plan under which coverage is offered to the employee, enter “00.”	Part II
Box 17- 34 Covered Individuals		Character	Covered Individuals	Employee Dependents	Part III
Last Name/Company	40	Character	Covered Individual last name		Part III
Middle Initial	12	Character	Covered Individual Middle initial		Part III
First Name	40	Character	Covered Individual first name		Part III
Suffix	2	Character	Covered Individual suffix	Jr , Sr	Part III
Name Line 2	40	Character	Covered Individual name line 2	Additional name line	Part III
Social Security Number	11	TIN	Covered Individual SSN		Part III
Date of Birth	10	Date	Covered Individual DOB (if SSN is not available)	MM/DD/YYYY or M/D/YYYY	Part III
Covered All 12 Months	1	Checkbox	Covered Individual covered all 12 months	X / Y / T / 1 = Checked	Part III
January Coverage	1	Checkbox	January Coverage	X / Y / T / 1 = Checked	Part III
February Coverage	1	Checkbox	February Coverage	X / Y / T / 1 = Checked	Part III
March Coverage	1	Checkbox	March Coverage	X / Y / T / 1 = Checked	Part III
April Coverage	1	Checkbox	April Coverage	X / Y / T / 1 = Checked	Part III
May Coverage	1	Checkbox	May Coverage	X / Y / T / 1 = Checked	Part III
June Coverage	1	Checkbox	June Coverage	X / Y / T / 1 = Checked	Part III
July Coverage	1	Checkbox	July Coverage	X / Y / T / 1 = Checked	Part III
August Coverage	1	Checkbox	August Coverage	X / Y / T / 1 = Checked	Part III
September Coverage	1	Checkbox	September Coverage	X / Y / T / 1 = Checked	Part III
October Coverage	1	Checkbox	October Coverage	X / Y / T / 1 = Checked	Part III
November Coverage	1	Checkbox	November Coverage	X / Y / T / 1 = Checked	Part III
December Coverage	1	Checkbox	December Coverage	X / Y / T / 1 = Checked	Part III
See Form Common Fields			Form fields common to all form types.

IRS Release Status: FINAL

Sample Excel Import File: 1095-C 2020.xlsx

Import Form Fields:

1095-C Form:

IRS 1095-C Form: 1095-C Form

IRS 1095-C Instructions: 1095-C Instructions