State-Level Healthcare Reporting Guide

State Healthcare Reporting

The UKG Pro ACA Manager generates state and federal healthcare reporting files (Form 1094-C and Form 1095-C) to file forms to state agencies and the IRS. State files are generated only for those 1095-C recipients who reside in a state where state-level reporting is required.

Employers with employees who reside in a state listed in the following table must report healthcare information by the filing deadline to comply with state-level reporting requirements. Note that deadlines are subject to change. Refer to the state agency reporting requirements to determine the latest filing deadlines, file format and size limits, filing requirements for self-insured versus fully insured, and required forms to file.

Note Employers that are required to report to state agencies must manually submit files to the states’ reporting system, as these files are not automatically submitted. Self-Filers and E-Filers can follow the download and submission instructions outlined in this guide. To access additional learning resources, refer to the ACA Reporting Learning Resources page.

Table 1. State Details
State	File Format	File Size Limit	Self vs Fully Insured	Required Forms
New Jersey	XML	Less than 12 MB (~2,500 1095-C forms)	Self Insured	Form 1095-C
District of Columbia (DC)	Delimited TXT	Less than 250 MB (~17,000 1095-C forms)	Self Insured, Fully Insured	Form 1095-C, Form 1094-C
Rhode Island	XML	Less than 100 MB	Self Insured	Form 1095-C, Form 1094-C
California	XML	Less than 100 MB	Self Insured	Form 1095-C, Form 1094-C

Note If the number of forms exceeds the file size limit, forms will be divided into two or more separate files.

Residency Requirements

Residency requirements for healthcare reporting vary from state to state.

The ACA Manager uses one of three methods to determine residency:

State override option selected by employer
Pay history of employee shows accrued earnings for one or more days while the employee was a resident of the state
State listed on Form 1095-C (employees without pay history or non-employee form)

Table 2. State Residency Details
State	Minimum Number of Days as State Resident	References	Contact
New Jersey	15 (non-consecutive)	https://nj.gov/treasury/njhealthinsurancemandate/employers.shtml	https://nj.gov/treasury/assets/contact/contact-njinsurancemandate.shtml
District of Columbia (DC)	1	https://otr.cfo.dc.gov/sites/default/files/dc/sites/otr/publication/attachments/FAQ%20reporting%20SRP%20Update.3.31.20.pdf	e-services.otr@dc.gov
California	1	https://www.ftb.ca.gov/file/business/report-mec-info/publications.html	FTBHealthcare@ftb.ca.gov; FTBFXPortal@ftb.ca.gov
Rhode Island	1	https://tax.ri.gov/guidance/health-insurance-mandate	Tax.IndMandate@tax.ri.gov

When the residency requirement is met for a state, the required state-level healthcare reporting forms are generated for employees in the applicable file format.

The Resident State field on the Income Tax page identifies the resident state for individual employees with pay history in the given ACA reporting year. Employers can change the resident state for employees by using the Change Resident Taxes link in the Things I Can Do section.

Note The Change Resident Taxes business process (Menu > System Configuration > Workflow Administration > Business Processes) must be enabled by system administrators to activate the link in the section.

Employee Record Income Tax page with Resident State field highlighted

State Healthcare Residency Override

If an employee’s state residency calculation based on the employee's pay history does not meet the desired reporting for the applicable state file, an employee level State Healthcare Residency Override option is available on the employee’s offer of coverage page.

By editing this field, the State Healthcare Residency Override option will automatically include the employee's 1095-C within the selected state(s) State Healthcare File when 'Download State Forms' is selected from the Distribute and Download Forms' page.

Offer of Coverage page showing State Healthcare Residency Override option

The State Healthcare Residency Override option will also default the employee’s residency days to 365 within the State Healthcare Reporting ‘Employee List’ CSV download option from the Distribute and Download Forms page.

Example 1:

Janice Acorn’s pay history has her being reported as a Nevada resident that has enrolled in Self Insured coverage on her 1095-C form. In the example, when we use the State Healthcare Residency Override and select ‘California’, her 1095-C will now be included in the California state file that is downloaded from the Distribute and Download forms page. Additionally, the ‘Employee List’ download will report her as a resident of ‘CA’ for 365 days.

Example 2:

Jacob Smith’s pay history is being reported as a New York resident and he has decided to decline coverage for a Self-Insured plan. Therefore Jacob’s 1095-C form does not have any coverage reported within Part III of the 1095-C form. If the PPACA admin modifies Jacob’s State Healthcare Residency Override option on his offer of coverage page to the State of New Jersey, Jacob’s 1095-C form will NOT be included in the New Jersey state file that is downloaded from the Distribute and Download Forms page, as New Jersey requires 1095-Cs reporting Self Insured coverage only. Additionally, the ‘Employee List’ download will NOT report Jacob as a resident of NJ for 365 days.

Download State Files for Original Applicable Large Employers

PPACA Administrators for applicable large employers (or ALEs) can download state form data files to self-file from the Distribute and Download Forms page in the ACA Manager beginning with the 2019 reporting year.

Each downloaded ACA Form Data file is encrypted, and password protected for security purposes. A completed status displays when the download is complete and an email that includes a password is sent to users who have been assigned the PPACA Administrator role.

Note System administrators must ensure the PPACA Administrator role type has been assigned to user(s) in your organization prior to downloading the state form data files.

Note Only users assigned to the PPACA Administrator role type receive the email that contains the password to open and view the federal and state files.

Navigation:Menu > Administration > Reporting > ACA Manager > Generate and Finalize

From the Generate and Finalize page, in the Distribute and Download Forms section, select Continue to proceed to the Distribute and Download Forms page.
From the Distribute and Download Forms page, check the desired Original ALE Name box(es), and then select Download State Files.
From the Download State File(s) window, select the All States or individual state names to download.
1. The Download State File(s) option will display only the supported state(s) for that applicable reporting year. The admin is unable to download multiple reporting year(s) at the same time from the Distribute and Download forms page.
2. If the selected Applicable Large Employer(s) do not have any 1095-C files within the available supported state(s), the individual state will be disabled.
From File Type(s), select eFile only.
Select OK to create the Export (Zip) file that contains the Form Data file.
Select Refresh to refresh the download file status under the State Healthcare Reporting > State File’s column, as needed.
When the file is ready, a Completed link appears in the XML column.
Select the Completed link.
The File Transfers page appears (Menu > Administration > Reporting > File Transfers).
Select the Description link to open the compressed Zip file to download and extract the files.

Compressed Zip file contains the requested state files: Authoritative Transmittal Form 1094-C; Form 1095-C(s) for the requested states during the download in their required format and file size.
The Enter Password window appears.
From the email, copy the password.
In the Enter Password window, at the Enter Password field, paste the password to open the file and complete the download process.
Download and review the data files from the export file to prepare for State submission.
Note You must have an application on your computer that can extract the Form Data files from the Zip file. WinZip and WinRAR are two examples of free file extraction applications that can be downloaded from the Internet.

Download State Files for Corrected Applicable Large Employer(s)

PPACA Administrators can download state form data files to self-file or e-file for ALEs for the current correction cycle and all historical original and corrected Forms 1095-C for the Applicable Large Employer’s reporting year.

Navigation:Menu > Administration > Reporting > ACA Manager > Generate and Finalize

From the Generate and Finalize page, in the Distribute and Download Forms section, select Continue to proceed to the Distribute and Download Forms page.
From the Distribute and Download Forms page, check the desired Corrected ALE Name box(es), and then select Download State Files.
From the State(s) list, select one or more of the available states for download.
Select from the following options:
1. Current Correction Cycle to download only those file(s) related to the current correction cycle. This includes any corrected 1095-Cs, additional 1095-Cs, and corrected 1094-Cs.
2. All Original and Corrected 1095-Cs to download all historical correction file(s) and original file(s).
  Note If this is the first time you are reporting your Applicable Large Employer to the respective state agency and the ALE is a Corrected ALE, select the option to download all historical corrections and originals to correctly report all 1095-Cs.
Select OK to create the Export (Zip) file that contains the Form Data file.
Select Refresh to refresh the Download Status under the State Healthcare Reporting > State Files’ column, as needed.
When the file is ready, a Completed link appears in the XML column.
Select the Completed link.
The File Transfers page appears (Menu > Reporting > File Transfers).
Select the Description link to open the compressed Zip file to download and extract XML files.

The compressed Zip file contains the requested state file: Authoritative Transmittal Form 1094-C; Form 1095-C(s) for the requested states during the download in their required format and file size.
Note If the option to download All Original and Corrected 1095-Cs is selected, the Zip file will contain the complete set of 1094-C and 1095-C file(s) in the required sequence based on Version and Batch number.
Select the applicable files.
The Enter Password window appears.
From the e-mail, copy the password.
From the Enter Password window, at the Enter Password field, paste the password to open the file and complete the download process.
Download and review the data files from the export file to prepare for State submission.
Note You must have an application on your computer that can extract the Form Data files from the Zip file. WinZip and WinRAR are two examples of free file extraction applications that can be downloaded from the Internet.

Modifying State Files for Corrected Applicable Large Employer(s)

Corrected 1095-Cs and 1094-Cs for state healthcare reporting have the same requirements as federal reporting of 1095-C forms to the IRS. Any corrected 1095-C form must reference the original submission ID, and record ID of the 1095-C form being corrected within the state file.

Since only the record ID information is tracked within the ACA Manager and the actual submission of the files is done manually by the PPACA Admin, the PPACA Admin must manually add the submission IDs to the corrected state file(s) downloaded from the Distribute and Download Forms Page.

New Jersey and Rhode Island

For states that leverage the same format as the Federal IRS XML, for example New Jersey and Rhode Island, these state data files require the following attributes to be reviewed and added to the form data file(s):

Correction records will carry both a “Record ID” to uniquely identify the correcting 1095-C record, as well as the Submission ID, which is the unique ID of the 1094-C.

For Form 1094-Cs use “SubmissionId” and “CorrectedUniqueSubmissionId”
For Form 1095-C use “RecordID” and “CorrectedUniqueRecordId”

For states that have a different format as the Federal IRS XML, each state has different requirements for reporting the corrected 1095-C and 1094-C therefore placeholder value(s) are listed in the corrected data files.

California

For the State of California, correction records require the Receipt_ID, information provided by the MEC IR System when the original submission was uploaded into the system. Correction records will carry both a “Record ID” to uniquely identify the correcting 1095-C record, as well as the Submission ID, which is the unique ID of the 1094-C.

For Form 1094-Cs use “OriginalSubmittedTransmissionSubmission” and “ReceiptID”
For Form 1095-C use “OriginalSubmittedTransmissionSubmission” and “ReceiptID”

Download State Employee List

PPACA Administrators can download a CSV file that lists employee and non-employee 1095-C forms that will be included in each state healthcare reporting file based on residency data for the selected reporting year prior to downloading state files.

The Employee List that is provided considers any ‘State Residency Overrides’ that has been entered on the employee Offer of Coverage page.

Additionally, the state download ‘Employee List’ filters the 1095-C forms based on the requirements applicable to each state regarding Self vs Fully insured 1095-C forms.

Table 3. Self vs Fully Insured
State	Self vs Fully Insured
New Jersey	Self Insured
District of Columbia (DC)	Self Insured, Fully Insured
Rhode Island	Self Insured
California	Self Insured

Example: Alicia Dobbs is a California resident who declined her self-insured coverage provided by her employer. Her 1095-C form displays Part I, Part II and no information in Part III as she has declined coverage. When the employee list is downloaded for the state of California, her name will not be displayed in the CSV file as the state of California requires only 1095-C forms reporting self-insured coverage.

Distribute and Download Forms page with Download Data link highlighted

Navigation:Menu > Administration > Reporting > ACA Manager > Generate and Finalize

From the Generate and Finalize page, in the Distribute and Download Forms section, select Continue to proceed to the Distribute and Download Forms page.
PPACA Administrators can view a Download Data link under the State Healthcare Reporting > Employee list column.
Select the Download Data link.
The downloaded CSV file contains the following state healthcare employee and non-employee reporting information.
1. ALE Member ID
2. ALE Name
3. Reporting Year
4. Version (Original or Corrected)
5. EEID (or NonEEID)
6. Employee Number
7. Employee First Name
8. Employee Last Name
9. IsEmployee (Yes or No = Non-Employee 1095-C)
10. NJ Residency Days
11. DC Residency Days
12. CA Residency Days
13. RI Residency Days
  Note Any employee that has been provided a ‘State HealthCare Residency Override’ on the Offer of Coverage Page will display a residency day = 365 days.

Submit State Healthcare Files to New Jersey

ACA Manager creates the state-level reporting files. However, employers must manually submit the files to the state’s reporting system.

Registered filers can submit returns to the state of New Jersey using the Division of Revenue and Enterprise Services' (DORES) MFT Secure Transport service. Currently, a paper filing option is not available.

Note The MFT Secure Transport service is the same service used to electronically file Forms W-2. If you do not have a service account, or need technical specifications and guidance, contact DORES. To obtain federal proof for Forms 1094-C and 1095-C testing for the state of New Jersey, refer to the IRS Application for Transmitter Control Code document.

After the NJ XML files are downloaded, employers or insurers can file Forms 1095-C using the MFT Secure Transport service or the fillable form depending on the number of forms to file.

Registered filers can use the Division of Revenue and Enterprise Services' (DORES) MFT SecureTransport service (MFT). MFT is the required system for filers of 50 or more forms. Taxpayers who have MFT SecureTransport service user credentials use them to submit the required health insurance coverage returns. Once DORES receives your request and authorizes your account, you can expect to receive instructions on how to submit your health insurance coverage returns. If you already have an MFT SecureTransport service account, you can use the same account to transmit the 1095 files provided the filename starts with NJHIM. New Jersey will accept returns submitted in bulk filing by users of MFT SecureTransport.
As an alternative to MFT, coverage providers with under 50 forms must use the Fillable Form NJ-1095 to file one form at a time. The NJ-1095 form is valid for federal filers of either 1095-B or 1095-C forms. Employers can leverage the NJ XML that is downloaded from the ACA Toolkit to obtain the required information to complete the fillable form.
The Fillable Form NJ-1095C is available to download from the State of New Jersey website, along with additional instructions.

State Folder and New Jersey XML File

The ACA Manager creates the Form 1095-C files in XML format with a file extension of NJHIM for the state of New Jersey.

File Explorer window showing New Jersey State Files in XML Format

When the original file version is created, the file includes the 1095-C information for only the state of New Jersey residents who have earned income in New Jersey for a minimum of 15 days. Within the NJ XML, the 1094-C’s Form1095CAttachedCnt is updated to match the number of Forms 1095-C for New Jersey residents included in the file.

When a Form 1095-C correction or a Form 1095-C additional form is created within the ACA Manager during a correction cycle, for a resident of the state of New Jersey, a respective state file is created during the correction cycle and required to be filed for the state.

File Explorer window showing New Jersey Corrected State Files in XML Format

Convert the New Jersey XML to an Excel File

To obtain readable information, convert the XML data into a table using Microsoft Excel.

Note As an alternative, there is also a delivered report for “PPACA State Health Care Reporting Employees with Residency Information” available in UKG Pro People Analytics (formerly UltiPro Business Intelligence). You can access this report through Business Intelligence in UKG Pro by navigating to Team content > UltiPro BI Content > UltiPro BI for Core HR and Payroll > _UltiPro Delivered Reports > PPACA Reports.

Navigation:Microsoft Excel

Complete the steps to download the New Jersey XML file generated from the ACA Manager.
Open Microsoft Excel.
From the File Menu, select File and then Open.
Select the NJ XML file that you downloaded to your computer.
Select the option to open the XML as an XML table, and then select OK.
Select the OK button to allow Excel to create a schema based on the XML source data.
Review the Excel file created from the NJ XML document. Use the information in the resulting columns to complete Part I and Part III of the Fillable NJ- 1095.
1. Columns A – BT within the converted Excel file contain the 1094-C information. Use the information in these columns to complete Part II of the Fillable NJ-1095.
2. Columns BU – EK within the converted Excel file contain the 1095-C information for the employee.

Complete the Fillable NJ-1095 Form

Refer to cells in the applicable columns of your company’s Excel file to obtain the information to complete the Fillable NJ-1095 form.

Important Column letters in this document, such as Columns BU – CU, are for demonstration purposes only. Your data may appear in different columns, depending on your organization’s ALE. For example, if none of your employees have a middle name, the ns2:PersonMiddleNm data element is not in the file; therefore, columns move to the left and use different column letters.

Navigation:https://nj.gov/treasury/njhealthinsurancemandate/NJ1095instructions.shtml

Complete Part 1, Responsible Individual, as follows:
1. Columns BU – CE contain Part 1 of the 1095-C. Use the information in these columns to complete Part 1 of the Fillable NJ-1095.
  - Date of Birth is not required if SSN/TIN is provided.
2. Origin of the Health Coverage is defined by: https://www.irs.gov/pub/irs-pdf/i109495b.pdf
  - Small Business Health Options Program (SHOP)
  - Employer-sponsored coverage
  - Government-sponsored program
  - Individual market insurance
  - Multiemployer plan
  - Other designated minimum essential coverage
Complete Part II, Information About Certain Employer-Sponsored Coverage, as follows:
1. Employers reporting self-insured group health plan coverage should enter code B on line 8, but don’t complete Part II, lines 10-15.
2. If you entered code B for self-insured coverage, skip lines 10-15.
3. Columns F – P contain Part II of the 1095-C. Use the information in these columns to complete Part II of the Fillable NJ-1095.
  - Lines 10 – 15, enter the name, EIN, and complete mailing address for the employer sponsoring the coverage. (If you entered code B for self-insured coverage, skip lines 10-15).
  - Lines 16 – 22 enter your name, EIN, and complete mailing address. The provider of the coverage is the issuer or carrier of insured coverage, sponsor of a self-insured employer plan, government agency providing government-sponsored coverage, or other coverage sponsor. Enter on line 18 the telephone number that an individual seeking additional information may call to speak to a person.
Complete Part III, Covered Individuals, as follows:
1. Columns DR – EK contains Part III of the 1095- C. Use the information in these columns to complete Part III of the Fillable NJ-1095.
Refer to the following example mapping table to correctly enter the employee 1095-C forms onto the fillable 1095-C form:

Submit State Healthcare Files to District of Columbia (DC)

All filers are required to file the Healthcare Information Returns electronically via the OTR web portal, MyTax.DC.gov. You must have a MyTax.DC.gov web logon to access the electronic bulk filing of 1094/1095.

Submission Details

To submit files to the district:

If you have a MyTax.DC.gov account, no additional registration is required. Simply access the D.C. OTR portal with your existing login credentials to upload your files.
If you don’t have an account, you must create one before uploading your files. Review the user guide for details on how to register.
If you have an account but are having trouble accessing the portal, you may need to reset the password by clicking "Forgot Password?" on the login page. Once the password is reset, you should be able to access your account.
If you’re unable to recover your credentials due to restricted access or you’ve been locked out, you’ll need to close your My Tax Account profile (not your withholding EIN) and create a new one. To do this:
- Compose a letter on company letterhead requesting your account profile be closed and email it to e-services.otr@dc.gov. The letter must be signed by an authorized officer on file with the D.C. OTR. You’ll typically receive confirmation within 24 hours that your account profile has been closed.
- Once closed, go to the D.C. OTR portal and select “Sign up” to create your new login ID and password.

Important For Payment Services Tax Filing customers, if you have to close your account profile and create a new one, it is critical that you let us know by opening a Tax Filing case in the Customer Success Portal with “Reset my DC withholding credentials” in the subject line. We need access to your new account to continue filing taxes on your behalf.

For assistance on obtaining a logon ID or authorizing a third-party to submit the Healthcare Information Returns, review the tutorials and FAQs on the web portal. For additional information, refer to the OTR Notice 2019-04, dated September 12, 2019.

Note For the tax year ending December 31, 2019, the deadline is June 30, 2020. For tax years beginning after December 31, 2019, the deadline is 30 days after the IRS deadline for submitting 1095-B or 1095-C forms, including any extensions granted by the IRS.

State Folder and District of Columbia .TXT File

The ACA Manager creates the Form 1095-C files in a delimited text format with a .txt extension in the State folder with a file extension of DCHIM for the state of District of Columbia.

Washington DC State Files TXT file for 1095-Cs

When the original file version is created, the file includes the 1095-C information for only the state of DC residents who have earned income in DC for at least 1 day in the filing year. Within the DC txt file, 1094-C's Form1095CAttachedCnt is updated to match the number of Forms 1095-C for DC residents included in the file.

When a Form 1095-C correction or a Form 1095-C additional form is created within the ACA Manager during a correction cycle for a resident of the state of DC a respective state file is created during the correction cycle and required to be filed for the state. Corrections for DC should be filed as soon as possible. However, only one correction file can be filed per business day. No files will be accepted after December 31 of the filing year.

Note Submissions containing correction records must only contain corrections and should not include any ‘Original’ records. DC will follow the same IRS rules described in IRS Publication 5165 (rev. 10-2018), the Guide for Electronically Filing Affordable Care Act (ACA) Information Returns for Software Developers and Transmitters (Processing Year 2019). If a correction is in error and needs to be corrected, Correction to the most recently accepted Correction should be submitted. Only one Correction per unique submission should be submitted. DC will NOT accept original and corrected documents in the same file.

District of Columbia .TXT Sample File Layout for Forms 1094-C and 1095-C

To obtain sample layouts of the .TXT file that is submitted for state filing to the District of Columbia, visit the D.C. Office of Tax and Revenue.

Submit State Healthcare Files to Rhode Island

The State of Rhode Island accepts the same 1094-C and 1095-C XML(s) submitted to the IRS which is based off the IRS Reporting Requirements for AIRS.

The Division of Taxation’s website will provide a web page where you can upload your file(s).

Pre-registration is not required to access the web page. When you are ready to upload your file(s), navigate to the page to enter your company’s information, your contact and file details.

You can also specify if the file you upload is an original file, a replacement file (to replace a file that was previously loaded as an original), or if it contains corrected data.

You will receive a confirmation message in the web page if your file is successfully uploaded.

Submit State Healthcare Files to California

In order to upload 1095-C and 1094-C forms for the State of California, a MEC IR registration is required. Review the instructions on the State of California Francise Tax Board website.

Note Employers with 250 forms or fewer can print to PDF and submit that rather than efile. For instructions on printing to PDF, view the section Download and Print State Files.

Register for a MEC IR Account at the State of California Francise Tax Board Registration page.
Enroll in the MEC IR Program in order to submit data to the State of California.
Confirm enrollment.
1. Upon approval, you will receive a confirmation email, TCC keys you must use to transmit data and which are unique to your account are assigned, and a Secret Key (which is reissued annually) is assigned.
2. Once your registration is approved, you must pass the testing process through the MEC FX Portal.
Submit TEST CYCLE.
Complete the testing cycle to confirm you’re transmitting data properly.
1. Download State of California test scenario files from the ACA Manager Guide, Phase 3: Distribute, Print, and Report; Step 3: E-Filers and Self-Filers: Download and Submit State Reporting Data Files
2. Download Prepare State of California Form Data File and Manifest from the ACA Manager Guide.
3. Modify the test manifest file as explained in the Prepare State of California Form Data File and Manifest guide. Modify the form data file(s) as explained in the Prepare State of California Form Data File and Manifest guide.
4. Send test file using your test CA-TCC.
5. Receive confirmation that the file was received (Receipt ID).
6. Check transmission history after 10 minutes to get acknowledgement that we processed your data.
After receiving an Accepted status for both your Original and Corrected test filing submissions, use the Submit Test Scenarios for Evaluation page in the MEC FX Portal to enter your Receipt IDs for both submissions in order for California to review and approve these.
Receive email confirmation that you can transmit production data. Allow up to 5 business days to receive this email. Your production CA-TCC is available in MEC FX Portal.
Transmit production data.
1. Send production files using your production CA-TCC.
2. Receipt ID confirms that the files were received.
3. Check transmission history after 10 minutes to get acknowledgement that we processed your data.

Download and Print State Files

The ACA Manager provides a method for downloading and printing files for states that allow paper files to be submitted in place of efile. Check with your state’s reporting authority to determine if your state allows paper filing.

Currently, California allows paper filing for employers with fewer than 250 forms. A waiver to file by paper may also be requested by employers with 250 or more forms; refer to California’s filing instructions for Forms 1094-C and 1095-C for further details (https://www.ftb.ca.gov/file/business/report-mec-info/publications.html).

Note Before downloading PDFs for the purposes of filing to any state(s) by mail, review your 1095-C Social Security Number (SSN) Masking setting (Menu > System Configuration > System Settings > PPACA Reporting Settings). SSNs must be unmasked on printed 1095-Cs when filing to any state(s) by mail.

Navigation:Menu > Administration > Reporting > ACA Manager > Generate and Finalize

From the Generate and Finalize page, in the Distribute and Download Forms section, select Continue to proceed to the Distribute and Download Forms page.
From the Distribute and Download Forms page, check the box next to the ALE for which you would like to download state files.
Select Download State Files in the Actions bar.
From the State(s) menu, select the desired state(s) for which to print the state files.
From File Type(s), select either the PDFs for printing option or the eFile and PDFs for printing option, as needed.
If in a corrections cycle, two additional Form Data options appear. Select either the Current correction cycle option or the All original and corrected 1095-Cs option, as needed.
Select OK.
When complete, a link to the PDFs appears in the State PDFs column on the Distribute and Download Forms page. The link to the PDFs can also be accessed on the File Transfers page (Menu > Administration > Reporting > File Transfers). The PDFs print in the IRS standard 1095-C format on 8.5-inch by 11-inch paper. All 1095-C forms are included when printing state-level PDFs, including employees who have opted to receive their forms electronically.
Note For years prior to 2019, the Download State Files option is disabled.

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