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


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    Highlights

  • Form 1095-C reports health coverage offered by Applicable Large Employers to their full-time employees
  • Employees do not file Form 1095-C with their tax returns but should keep it for records to determine eligibility for credits like the premium tax credit
  • The form includes details on the employer, coverage offered, employee contributions, and for self-insured plans, covered individuals' information
  • Related forms include 1095-B for proof of coverage from insurers and 1095-A for marketplace insurance details
Table of Contents

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

Let me explain Form 1095-C directly: it's an IRS tax form that reports details about the health coverage your employer offers if they're an Applicable Large Employer, or ALE, which means they have 50 or more full-time employees.

This form also plays a role in figuring out if you're eligible for tax credits, like the premium tax credit, which is a refundable credit from the IRS to help eligible people and families pay for health insurance bought through the Health Insurance Marketplace.

Key Takeaways

  • Form 1095-C reports health coverage from an Applicable Large Employer.
  • ALEs are employers with 50 or more full-time employees.
  • You don't fill out or file this form with your tax return; just keep it with your records.
  • It helps determine eligibility for the premium tax credit.

Who Can File Form 1095-C: Employer-Provided Health Insurance Offer and Coverage?

This form comes from Applicable Large Employers to their full-time employees who've worked at least one month in the calendar year. The employer has to report coverage info for all 12 months or the whole year for each employee.

Remember, the premium tax credit is there to help cover premiums for insurance from the Marketplace if you're eligible.

How To File Form 1095-C: Employer-Provided Health Insurance Offer and Coverage

You don't actually file Form 1095-C yourself; it's a reference document your employer provides, and you keep it with your tax records instead of sending it to the IRS.

Part I covers the ALE's details like name, address, and phone for any questions or error reports.

Part II details the health coverage offered, including plan info and what you as the employee have to contribute.

Part III is only for self-insured plans; it lists covered individuals with their Social Security numbers, birth dates, and any months without coverage.

You can find Form 1095-C on the IRS website.

Other Relevant Forms

If only Parts I and II are filled out, you might also get Form 1095-B, which proves coverage from the employer's chosen insurer. Form 1095-B reports to the IRS and you about minimum essential coverage, showing you're not liable for the shared responsibility payment.

If you got insurance through the Health Insurance Marketplace, you'll receive Form 1095-A instead. This form records your coverage details like start dates, monthly premiums, and any advance payments or subsidies for the premium tax credit. You don't send it back to the government.

What Is 1095-C Form Used For?

Form 1095-C gives you info on the health coverage your employer offered and if you enrolled. Use it to check your eligibility for the premium tax credit.

Is 1095-C Required for Filing Taxes?

No, you don't include Form 1095-C with your tax return or send it to the IRS, but the info on it can help you complete your return.

How Do I Get My 1095-C Tax Form?

Your employer provides it if they have 50 or more full-time employees. It's also on the IRS website.

How Do I Fill Out 1095-C?

You don't fill it out; your employer does. Check the IRS website for specific instructions on what's required.

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