NoteThis article was updated on Feb. 22, 2018, with additional information about Form 1095, corrected forms and how to request reprints. In addition, dates have been revised for the availability of Form 1095-C for some employees (see “Form 1095 availability” below).

In the coming weeks, UC employees and retirees will receive 1095-B and/or 1095-C forms verifying their health coverage for 2017. Due to some data issues, certain 2017 1095-C forms (see below) needed to be reprinted. If you receive two 1095-C forms from the same UC location, you can disregard the first one; the second form you receive has corrected information. 

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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. Members of UC’s Health Net, Kaiser and Western Health Advantage plans receive this form from their plans.

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

Retirees enrolled in Medicare plans receive this form by mail from CMS if they:

  • Are enrolled in Medicare Part A and are under the age of 65 or
  • Enrolled in Medicare Part A for the first time in 2017 or
  • Had Medicare Part A coverage for part (but not all) of 2017

Retirees in Medicare plans who do not meet any of the criteria above will not receive a 1095-B form. They may simply check the box on their tax return to indicate that they had health coverage (similar to last year). 

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 or Frequently Asked Questions on UCnet. 

Form 1095 availability

This year, again, the IRS extended the original mailing deadline for the Form 1095 from Jan. 31, 2018 to March 2, 2018. You can expect to receive your form from UC by March 2, 2018.

Below, you’ll find information about when Form 1095 will be available for different groups of employees and retirees.

Lawrence Berkeley National Laboratory (LBNL)

Paper copies of Form 1095-C were mailed by Jan. 31, 2018. No electronic copies will be available on At Your Service Online (AYSO) for the 2017 tax year.

Office of the President

Paper copies of Form 1095-C were mailed by Jan. 31, 2018. No electronic copies will be available on UCPath for the 2017 tax year. A few employees may receive an updated form due to a correction in the original reporting by March 2, 2018.

All other locations 

Electronic copies of Form 1095-C will be available on AYSO — even for those who did not elect electronic delivery — by March 2, 2018. (Employees at UC Merced, UC Riverside and Associated Students UCLA, the three locations that transitioned to UCPath in 2018, can view their 2017 1095-C statements on AYSO). 

Paper copies will be mailed to anyone who did not elect electronic delivery by March 2, 2018. 

Non-Medicare retirees and COBRA members in UC Care and Core

Paper copies of Form 1095-B are expected to mail by March 2, 2018.

Electronic copies will be available on AYSO only for UC non-Medicare retirees who elected electronic delivery.

Medicare retirees

At this time, it is unknown when CMS will release mailings to those Medicare retirees who should receive a printed 1095-B form.


If you need a reprint of a form provided by UC, contact your local payroll or benefits office. If you’re a member of Health Net, Kaiser or Western Health Advantage, reach out to your health plan for reprints of Form 1095-B.