Health Insurance Form Form 1095 C

This form is for your information only and is not included in your tax return.

Health insurance form form 1095 c. Form 1095 c merely describes what coverage was made available to an employee. Form 1095 c provides information about the health coverage offered by your employer and in some cases about whether you enrolled in this coverage. If you purchased health insurance coverage through the health insurance marketplace and wish to claim the premium tax credit this information will assist you in determining whether you are eligible. Your plan included benefits in addition to the essential health benefits required by the health care law like adult dental or vision benefits.

Form 1095 c is a tax form reporting information about an employee s health coverage offered by an applicable large employer. This form is sent out by the insurance provider rather than the employer. Form 1095 c is required by the federal affordable care act aca. Information about form 1095 a health insurance marketplace statement including recent updates related forms and instructions on how to file.

The taxpayer does not fill out the form and does not file it with a tax. Applicable large employers generally those with 50 or more full time employees including full time equivalent employees. Form 1095 c form 1095 c employer provided health insurance offer and coverage reports whether your employer offered you health insurance coverge and information about what coverage was offered to you. You can use form 1095 c to help determine your eligibility for the premium tax credit.

This doesn t always mean there are errors because. Form 1095 c is used by applicable large employers as defined in section 4980h c 2 to verify employer sponsored health coverage and to administer the shared employer responsibility provisions of section 4980h. Form 1095 c part ii includes information about the coverage if any your employer offered to you and your spouse and dependent s. In addition you can use form 1095 c for information on whether you or any family members enrolled in certain kinds of coverage offered by your employer sometimes referred to as self insured coverage.

A separate form the 1095 b provides details about an employee s actual insurance coverage including who in the worker s family was covered. Form 1095 c is filed and furnished to any employee of an applicable large employers ale member who is a full time employee for one or more months of the calendar. The monthly enrollment premium on form 1095 a part iii column a may be different from the monthly premium you paid. Form 1095 c provides both you and the irs with information about the health insurance coverage offered to you and if applicable your family.