Company tax forms for health insurance

A Section 125 Premium-Only-Plan (POP) document is the agreement with the IRS that allows employers and their employees enrolled in a qualified group health insurance plan to pay for health insurance premiums with pre-tax dollars. 

If your benefits are managed by Gusto, we'll manage these documents at no additional charge. We'll send it to you to sign as part of the Health & Welfare Plan Document within 30 days of your plan becoming active.

To access this document, follow these steps:  

1. Sign into your Gusto account.
2. Click the Company section and select Documents.
3. Click Health & Welfare Plan Document.
   • This document is only available if your benefits are managed by Gusto.
4. If it hasn't been done already, please have your company signatory sign the document.

Important: For customers whose benefits are managed externally, we're unable to manage this document. Please reach out to your health insurance broker with any additional questions you may have. Once you have this in place, you can set up your benefits for payroll purposes so that deductions are taken from your employees' pay and left in your company account to pay your insurance carrier.

Form 1095-C proves an employee either received or was offered health insurance by their employer. The form is sometimes provided to both the employee and the IRS by the employer.

For tax filings, 1095-Cs are only required for employers that had an average of at least 50 full time equivalent employees in the previous year.

If you had Gusto-managed benefits during a tax filing year and averaged 50+ full-time equivalent employees in the previous year, Gusto prepares the form for you and send it at the end of the year by mail. It will not be available in your Gusto account. If another broker manages your benefits, contact them directly for assistance with Form 1095-C.

Two tax forms are provided for employees who have an HSA: 1099-SA and 5498-SA. 

• 1099-SA: Received by January 31 and shows your annual distributions. You'll only receive this form if you made distributions from your HSA in the prior calendar year, meaning you spent HSA funds on qualified expenses.
• 5498-SA: Received by May 31 and shows your annual contributions.

How to find them: Avidia Bank sends applicable forms directly to enrolled employees, unless you've changed your delivery preference to electronic delivery only. You can also find your forms in the Gusto Benefits Card Manager: 

1. Sign in to your Gusto Benefits Card Manager.
2. Under "Your Accounts," click Health Savings Account.
3. Next to "Account Resources," click Tax forms.