About Form 1094-B, Transmittal of Health Coverage Information Returns

Trang này chưa được phiên dịch sang tiếng Việt vì chúng tôi hiện không có bản phiên dịch bằng ngôn ngữ quý vị ưa chuộng. Nhận trợ giúp bằng ngôn ngữ của quý vị

Form 1094-B is the transmittal form that must be filed with the Form 1095-B.

Current revision

Form 1094-B PDF

Instructions for Forms 1094-B and 1095-B (Print version PDF)

Recent developments

None at this time.

Other items you may find useful

All Form 1094-B revisions

Affordable Care Act

Other current products

Related

About Form 8962, Premium Tax Credit

About Form 1095-A, Health Insurance Marketplace Statement

About Form 1095-C, Employer-Provided Health Insurance Offer and Coverage

About Form 1095-B, Health Coverage

Page Last Reviewed or Updated: 29-Apr-2025