Tax Form 1095-C
The IRS Form 1095-C was created to fulfill a reporting requirement under the Affordable Care Act (ACA). By the end of January, some employees may receive this tax form that contains detailed information about health care coverage that they had or were offered in 2017. Below are frequently asked questions and answers about Form 1095-C. For more information, please 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, called 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 or are available at the My Tax Form web page.
- 1E- 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. What does the dollar amount reported in Line 15 (Part II) represent, and why doesn’t the amount match the insurance premium that I actually pay?
IRS regulations require USF to report the employee’s share of the lowest cost monthly premium for self-only coverage offered to full-time employees. This amount reflects the Kaiser premium for self-only coverage for your salary tier or classification.
5. 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.
6. When will I receive my Form 1095-C?
Form 1095-C for the 2017 tax year will be postmarked no later than January 25, 2018. If you believe you should have received a Form 1095-C but did not, please contact Diane Sweeney at email@example.com or (415) 422-2440.
7. 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.
8. 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.
9. 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 2017, 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 2017.
10. I did not receive a Form 1095-C. Who do I contact?
Diane Sweeney at firstname.lastname@example.org or (415) 422-2440.
11. 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.