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Availability of IRS Form 1095 for 2019

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In the coming weeks, UC employees and retirees will receive 1095-B and/or 1095-C forms verifying their health coverage for 2019. The IRS has extended their deadline for employers until March 2, 2020; see information below about the availability of online or mailed forms by location. 

Please note: The Affordable Care Act (ACA) requires employers and/or health plans to send you these forms, but you do not need to submit a copy of either form when you file your taxes. The form is for your information and records only.

What is IRS Form 1095?

IRS Form 1095 is intended to give you information about your medical coverage, who was covered, and when. You may receive more than one form, however, which can be confusing. Here’s an overview of the three versions of IRS Form 1095 so you’ll know what to look for, and why you may receive each form.

Form 1095-A

This version of Form 1095 is sent by the Health Insurance Marketplace (Covered California, for California residents) to individuals who enrolled in coverage there.

Form 1095-B

This version of Form 1095 is sent by health insurance providers to individuals they cover. Employees enrolled in UC’s Health Net, Kaiser and Western Health Advantage plans in 2019 receive this form from their plans.

Retirees enrolled in any of UC’s self-insured plans (UC Care, UC Health Savings Plan, CORE) receive this form from UC.

Retirees enrolled in Medicare plans receive this form by mail from CMS if they had Medicare Part A coverage for part (but not all) of 2019. Retirees in Medicare plans who had a Medicare plan all year will not receive a 1095-B form.

Form 1095-C

This version of Form 1095 is sent by employers. UC sends this form to UC employees if they:

  • Are considered full-time by ACA standards (those who work 75 percent time or more) or
  • Are enrolled in UC’s self-insured plans (CORE, UC Care and UC Health Savings Plan)

For example, if you are a full-time employee enrolled in a Health Net plan, you should receive Form 1095-B from Health Net, and Form 1095-C from UC. If you are a full-time employee enrolled in UC Care, you should only receive Form 1095-C, from UC.

For more information, please see Questions and Answers about Health Care Information Forms for Individuals (Forms 1095-A, 1095-B, and 1095-C) on irs.gov

Updated availability information by location

UC Berkeley and UC Davis

You will receive a separate 1095 form from At Your Service Online and UCPath (due to the timing of your location’s transition to UCPath).

2019 At Your Service Online locations

Lawrence Berkeley Lab, UC Hastings, UC Irvine, UC Santa Cruz, UC San Diego, UCSF

Online access is now available for those who requested it (not available for LBNL employees). Printed copies should be delivered by U.S. mail the week of Feb. 24, 2020.

2019 UCPath locations

ASUCLA, UCLA, UCLA Medical Center, UC Merced, UC Office of the President, UC Riverside, UC Santa Barbara

Printed copies should be delivered by U.S. mail the week of Feb.24, 2020. Online access is not available through UCPath.

Reprints and corrections

To allow time for delivery from the United States Postal Service, please wait until March 13 before requesting a reprint of your 1095 form. If your 1095 is incorrect, you can submit a request with the corrected information. UC will generate a corrected 1095 to retain for your records.

To request a copy or correction to your 1095 in UCPath, scroll down to the Forms Library and click on “Records” to complete a Benefits record request. If you do not use UCPath, contact your local payroll or benefits office. Retirees can contact RASC customer service to request reprints and corrections.

If you were a member of Health Net, Kaiser or Western Health Advantage, reach out to your health plan for reprints or corrections to Form 1095-B.



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