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In 2015, the Form 1095-C began to be required to eligible participants under the Health Care Reform and the Affordable Care Act (ACA). The ACA mandates that organizations that employ more than 50 people are required to report to the IRS on the health insurance, if any, offered to their full-time employees. The Form 1095-C includes information about the health insurance coverage offered to you and, if applicable, your family. If you worked for multiple applicable large employers in the previous calendar year you may receive multiple Form 1095-Cs.

The deadline to distribute your Form 1095-C has been extended from January 31, 2017 to March 2, 2017 for coverage information for the previous calendar year. Seattle Pacific University will be distributing your Form 1095-C with W-2 Forms by the end of January. Most full-time employees will receive a Form 1095-C for the 2016 calendar year. You may need to submit information from the form(s) as a part of your personal tax filing for 2016, so please keep your copy if it is requested.

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I understand that I may receive a new health care tax statement from my employer to help me prepare my individual income tax return. What is it?

If you worked for SPU 20 hours or more a week and were enrolled on SPU’s Cigna Medical Plan, you may receive:

  • Form 1095-C will be mailed with your W-2 Form to show your Employer-Provided Health Insurance Offer and Coverage.
  • Electronic Form 1095-C through Banner: Employees may choose to receive their 1095-C online at any time by going into your Banner account using the pathname below:

You may also receive:

  • IRS Form 1095-B from a health insurance company, or from a multiemployer plan, if you were enrolled in a multiemployer plan outside of SPU.
  • IRS Form 1095-A from a Marketplace/Exchange, if you enrolled in Marketplace/Exchange coverage.

These forms will provide details as to any health coverage you had in 2016.

If you don’t receive any of these forms, you should check your own records (for example, enrollment materials, confirmations from your employer, and explanation of benefits statements), or call Human Resources at extension 2809.

 

How are the forms different?

  • IRS Form 1095-A provides information as to any Marketplace coverage you had (if applicable), and any Premium Tax Credits you received.
  • IRS Form 1095-B details the months of coverage that you, your spouse and/or any eligible dependents had for each month. Form 1095-B is sent by your insurance carrier and provides details about the health insurance coverage you elected, including who in your family was covered.
  • IRS Form 1095-C provides information regarding any SPU’s employer-provided health insurance coverage – or offers of coverage. It may also detail the months of coverage you and any spouse and/or eligible dependents had during each month.

 

What do I do with the Form 1095-C?

Keep this form with the materials you give to your tax preparer. If you prepare your own taxes, you may need to refer to this information as you prepare your return.

 

Under what circumstances would I need the information on Form 1095-C to file my U.S. Individual Income Tax Return?

Only if:

  • You received an advance premium tax credit or wish to take the premium tax credit on your return; or
  • You had a gap in coverage of more than three consecutive months.

 

Do I need to attach Forms 1095-A, 1095-B, or 1095-C to my federal tax return?

 

No, do not submit these with your tax return. However, you may need to refer to them in order to complete your tax return. 

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