What is Form 1095-C: Employer-Provided Health Insurance Offer and Coverage?

By: Mary Allred, Director of Benefits

The Affordable Care Act states that employers with 50 or more full time employees must send an annual statement to all employees eligible for medical coverage, describing the coverage and when it was made available to them. The IRS created Form 1095-C to serve this purpose.

Every eligible employee, whether they have declined to participate in their employer’s health plan or not, will receive a 1095-C. This form will identify the individual employee, the employer, the months during the year that the employee was eligible for coverage, and the cost of the cheapest monthly premium the employee could have paid under the plan (not necessarily what that employee did pay). These forms will also provide information on the individuals that were enrolled in the medical plan and that the plan provides minimum essential coverage that is required under the affordable care act.

These statements are required effective for the 2015 tax year and are required to be sent out by January 31st following each tax year on the Form 1095-C. For the 2015 tax year, the deadline has been extended to March 31st 2016.

These forms are used to provide this information for individuals filing their tax returns. For tax year 2015, the information is not required to be sent in with your individual tax return, but you are required to keep this form for reference. In future tax years, this form will be required to be submitted with your individual tax returns.

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