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Employee - Form 1095-C

In accordance with a new requirement under the Affordable Care Act, (ACA) insurance eligible employees will receive a Form 1095-C for tax year 2016. Employees do not need to wait to receive these forms to file their tax return. This form includes the employee's name, employee's dependents' names, the months of the year the employee was eligible for health insurance coverage and the cost of the least expensive monthly premium the employee could have paid under the insurance plan.

The form will be received via USPS mail by March 1, 2017. It does NOT need to be filed with 2016 taxes (just retained with 2016 tax records). This form will not be available electronically this year.

If insured employees do not receive a 1095-C by March 1, 2017, online users may submit a request to the OHR Health Insurance Team by clicking on the "Create Service Request" button below. Please complete all of the fields in the Contact Information section and provide a brief description of the request in the Brief Description field.