Tax Form 1095-C
The IRS Form 1095-C was created to fulfill a reporting requirement under the Affordable Care Act (ACA). Starting with the 2022 forms, the IRS has extended deadline to provide this document to participant to March 2nd of each year.
Below are frequently asked questions and answers about Form 1095-C. For more information, read the IRS Affordable Care Act FAQ.
1. What is a Form 1095-C?
IRS regulations require USF to provide this form to currently employed and separated employees, who met Affordable Care Act full-time eligibility requirements for at least one month during the tax year, as documentation that Minimum Essential Coverage was offered. You will receive Form 1095-C whether or not you enrolled or waived offered coverage. Please note: full-time employees are defined as those averaging at least 30 hours of service per week over the prescribed measurement period.
2. What information is contained in the Form 1095-C?
There are three parts to the form:
- Part I reports information about you and your employer.
- Part II reports information about the coverage offered, affordability, and the reason why you were or were not offered coverage for a particular month.
- Part III reports information about the individuals covered under your Anthem Blue Cross plan. If your coverage is through the University’s Kaiser plan, you will receive a separate form, 1095-B, from Kaiser that will list this information.
3. What do the codes on Line 14 (Part II) mean?
Below are two common codes. A complete list of codes and their definitions are included with your Form 1095-C.
- 1A- Offer of minimum essential coverage providing minimum value to you, and minimum essential coverage offered to your spouse and dependent(s)
- 1H- No offer of coverage
4. Why didn’t I get a Form 1095-C?
If you were not full-time (worked an average of 30 or more hours per week) or were not enrolled in Anthem Blue Cross you will not receive a Form 1095-C. Adjunct faculty enrolled in the Kaiser plan should receive Form 1095-B from Kaiser.
5. When will I receive my Form 1095-C?
Form 1095-C for the 2022 tax year will be sent by the University's third party vendor at the end of February 2023 for those who have not opted out of mailing and forms will also be available in Workday.
6. What should I do with my Form 1095-C?
When you receive Form 1095-C, you should keep this form along with your Form W-2 and other wage and tax information documents.
7. I’m a Local 39 member and have my health insurance coverage through my union. Will I receive a Form 1095-C from USF?
Yes, you will receive a form if you were a full-time employee (worked an average of 30 or more hours per week). The form will indicate that your coverage is through a union plan and you should receive a Form 1095-B from your union/insurance carrier.
8. Why did I receive a Form 1095-C form from USF as a terminated employee or as a non-full time employee?
- If you were determined to be full-time based on the look-back measurement method and were offered health care coverage for any month in 2022, you will receive a Form 1095-C and/or
- If you are enrolled in the Emeriti Health Reimbursement with Emeriti and were pre-65 and had funds available to you in any calendar month in 2022.
9. I did not receive a Form 1095-C. Who do I contact?
Diane Sweeney at firstname.lastname@example.org or (415) 422-2440.
10. What if I have additional questions?
For general questions, contact the benefits team at email@example.com or contact (415) 422-2442. For tax questions, contact your personal tax adviser.