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IRS Form 1095-C

About IRS FORM 1095-C

As part of the Affordable Care Act (ACA), employers are required to provide the IRS Form 1095-C* to employees who were offered and/or enrolled in employer health insurance. This form identifies the employee/employer relationship, what months the employee was eligible for coverage and the lowest monthly premium offered to the employee. For the purpose of the “Health Care: Individual Responsibility” section on the 2019 tax forms, all UNI employee health insurance plans offered meet the “minimum essential coverage requirement” under the ACA.

The University will mail the 1095-C to the employee’s home address on file prior to the March 2, 2020 deadline. Only one form will be provided to each benefits eligible employee; therefore, you may need to provide copies to your spouse or dependents, as necessary. While you DO NOT need the IRS Form 1095-C to file your 2019 tax return, you do need to keep it with your important tax documents. To show proof of health insurance coverage, UNI sends this information to the IRS on your behalf.

For more information on the Affordable Care Act (ACA) Tax Provisions, please visit the IRS supporting web site.

To view your health insurance enrollment history at UNI, access e-Business Suite (For instructions, read the Viewing Your Benefits Enrollments handout).

*Retirees and COBRA participants enrolled in a University of Northern Iowa health insurance plan will receive the IRS Form 1095-B, which has the same requirements as the 1095-C.

 

Frequently Asked Questions

What is a Form 1095-C?

The 1095-C contains detailed information about the health care coverage provided by your employer(s). This form identifies the employee/employer relationship, what months the employee was eligible for coverage and the lowest monthly premium offered to the employee. If you were a benefit-eligible employee at any point in 2019 then you will receive a 1095-C. While you DO NOT need the IRS FORM 1095-C to file your 2019 tax return, you do need to keep it with your important tax documents. To show proof of health insurance coverage, UNI sends this information to the IRS on your behalf.

Who receives a Form 1095-C?

Employers with 100 or more full-time equivalent employees are required to send a 1095-C to any employee who was offered and/or enrolled in their health insurance plan in 2019.

Why did I get a Form 1095-C?

If you were a benefit-eligible employee at any point in 2019 then you should receive a 1095-C.

Why did I get more than one Form 1095-C?

If you worked at more than one company or franchise, you may receive a 1095-C from each company/employer.

Why didn’t I get a Form 1095-C?

If you were not a benefit-eligible employee at any point in 2019 then you should not receive a 1095-C. You also may not receive a 1095-C if you were not the primary insured.

When will I get my Form 1095-C?

You should receive your 1095-C for the 2019 tax year before March 2, 2020. If you believe you should have received a 1095-C but did not, please Contact the Benefits Team.

What should I do with my Form 1095-C?

When you receive your 1095-C, keep it for your records.

What information is on the Form 1095-C?

There are three parts to the form:

  • Part 1 reports information about you and your employer.
  • Part 2 reports information about the coverage offered to you by your employer, the affordability of the coverage offered, and the reason why you were or were not offered coverage.
  • Part 3 reports information about the individuals covered under your plan, including dependents.

How will the Form 1095-C impact my taxes?

If you do not have health care coverage and do not qualify for an exemption, you may be subject to a penalty when you file for your 2019 tax return. Or, if there’s a discrepancy in the information that you and your employer report to the IRS about the health care coverage offered to you, your tax return may be delayed. Note: The Tax Cuts and Jobs Act of 2017 eliminates the penalty in 2019.

Do I need my Form 1095-C and my W-2 to file my taxes?

You will need your W-2 to complete your 2019 tax return. The IRS Q&A clarifies that taxpayers do not need to wait until they receive a IRS Form 1095-C before they file their 2019 taxes. Taxpayers do not need to send a copy of their 1095-C to the IRS when filing their 2019 taxes.

What is the difference between a 1095-A, 1095-B, and 1095-C?

The forms are very similar. The main difference is who sends the form to you. The entity that provides you with health insurance will be responsible for sending a Form 1095.

  • You will receive a 1095-A if you were covered by a federal or state marketplace (also called an exchange).
  • You will receive a 1095-B if you were covered by other insurers such as small self-funded groups or employers who use the Small Business Health Options Program (SHOP).
  • You will receive a 1095-C if you received health care coverage through your employer.

What if I have questions?

If you have additional questions about your 1095-C, please Contact the Benefits Team. You may also visit www.irs.gov or www.healthcare.gov to learn more.