Tax Form 1095-C
Consent to Receive Your 1095-C Electronically You will be able to save or print your pdf form Log in to CIS and click on the 1095-C link in the Employee Self Service Apps section.
Form 1095-C for 2019 health plan enrollment will be provided by March 2, 2020, as required by the IRS. This form is not necessary for your 2019 tax filing.
The Affordable Care Act ("ACA" also known as Health Care Reform), requires that all individuals be enrolled in health coverage.
Beginning in January, 2016, employers with self-funded health plans must provide Form 1095-C to certain employees, with information about the employee's health plan enrollment during the prior calendar year.
The following employees and retirees will receive Form 1095-C from the University for use in preparing tax returns:
- All full-time employees in benefit-eligible positions;
- Employees who are in part-time or non-benefitted positions who have worked more than 1,560 hours during a measurement period and received an offer of coverage from the University;
- Part-time employees in benefit-eligible positions who have been enrolled in the University's health plan at any time during the year (part-time employees who did not enroll in the health plan will not receive Form 1095-C);
- COBRA participants; and
- Retirees not yet eligible for Medicare, who were enrolled in health coverage through the University.
Individuals who have been enrolled in other health insurance coverage will receive forms from their insurance company.
In accordance with the individual mandate, individuals not enrolled in health coverage may be subject to IRS tax penalties when filing tax returns for the year.
In order for us to report that your dependents were enrolled in coverage through the University, we must have social security or tax identification numbers for each individual. Employees who have dependents with missing social security or tax identification numbers have been notified. You may provide the social security numbers to Human Resources by calling Human Resources at (801) 581-7447.
If you have questions, please contact the Human Resources at (801) 581-7447.
The IRS has issued some comprehensive FAQs about the different 1095 forms. Read these FAQs on the IRS website.