In the coming weeks, UC employees and retirees will receive 1095-B and/or 1095-C forms verifying their health coverage for 2018. Though the IRS has extended their deadline for employers until March 4, 2019, UC is working to provide 1095 forms by the original Jan. 31, 2019 deadline. If you manage your benefits through At Your Service Online and you requested online access, you may view your form online by Jan. 31. Otherwise, your 1095 form is scheduled to be mailed to your home on or around Jan. 31. Please allow about 7-10 days from the mailing date for delivery of your 1095 form.

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, UC 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 2018 or
  • Had Medicare Part A coverage for part (but not all) of 2018

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 irs.gov

Reprints 

To allow time for delivery from the United States Postal Service, please wait until Feb. 14 before requesting a reprint of your 1095-C form. To request a copy 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. 

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.