Affordable Care Act Tax Information (1095C Forms)

Form 1095-C: Employer Health Coverage Statement

What is Form 1095-C?
Form 1095-C is an annual tax document provided by your employer that reports information about the health insurance coverage that was offered to you during the calendar year. The form is required under the Affordable Care Act (ACA) for employers with 50 or more full-time employees.

You may receive a Form 1095-C if you were considered a benefits-eligible employee for one or more months during the year, regardless of whether you enrolled in the employer's health insurance plan.

The Benefits Department generates and mails Form 1095-C to employees in accordance with IRS requirements. The form is mailed to your home address on file and also available in your Employee Self Service (ESS) portal.

What does Form 1095-C include?
Form 1095- C generally includes:

• The months during which you were eligible for employer-sponsored health insurance
• Information about the employer and the employee

The form does not confirm enrollment; it confirms that coverage was offered.

Do I need Form 1095-C to file my taxes?
No. You do not need to submit Form 1095-C with your tax return and you should not delay filing your taxes while waiting to receive it. 

What am I supposed to do with this form?
Form 1095-C is provided for informational purposes only. You should retain it with your tax records in case you need to verify that health insurance coverage was offered to you.

What form do I need for my taxes?
If you were enrolled in health insurance coverage, your health insurance carrier will provide Form 1095-B, which confirms the months during which you and your covered dependents were enrolled in coverage during the tax year. 

This form is mailed out by the insurance company - not your employer. If you need a replacement of the Form 1095-B, contact your insurance carrier directly. Your employer does not have copies of this form.