Health Insurance Tax Statement (Form 1095-C)

IRS Form 1095-C issued:

The Affordable Care Act (ACA) mandates employers issue Health Care Information Forms regarding an employee's health care coverage. The university issues and mails form 1095-C to full-time employees at home mailing addresses in accordance with IRS deadlines (classified and unclassified positions at 0.75 FTE or more are considered full-time under ACA guidelines).  

IRS Form 1095-C FAQs:

  1. What is a 1095-C form?
    IRS form 1095-C is an annual employee health insurance tax statement, provided by employers to full-time employees who are eligible for health care benefits.
  2. Why did I receive this form?
    Under the Affordable Care Act, employers are required to provide form 1095-C to full-time employees.  It indicates which months an employee was eligible for health insurance, regardless of whether the employee enrolled in the plan.
  3. Is the form required for my tax filing?
    Is not required to file your tax return; this form is for informational purposes only.
  4. How can I get more information?
    To learn more, please visit the IRS website.  The IRS has also provided further explanation in a Q&A about Health Information Forms.

Review Your Form:

Please review your form upon receipt and verify the information provided is accurate.  If you have questions about your form, contact the Benefits Office at 541-346-3085 or