In the coming weeks, UC employees and retirees will receive 1095-B and/or 1095-C forms verifying their health coverage for 2020.
Printed copies will be mailed from UCPath by Jan. 31, 2021. Online access is not available through UCPath.
Employees at locations that transitioned to UCPath during 2020 — UC San Diego, UC San Diego Health, UCSF, UCSF Heath, UC Hastings and Lawrence Berkeley National Lab (LBNL) — may receive multiple 1095 forms to reflect different payroll systems:
- For LBNL: ADP has mailed 1095-Cs to employees reflecting the time prior to UCPath conversion. No electronic copies will be available on AYSO for the 2020 tax year.
- Other employees who transitioned from AYSO in 2020 and elected to receive electronic copies of 1095 forms will have access to them through AYSO.
- Other employees who transitioned from AYSO in 2020 and elected to receive mailed copies should receive them over the next few weeks (USPS delays notwithstanding).
Please note: The Affordable Care Act (ACA) and certain jurisdictions require employers and/or health plans to send you these forms regarding your health insurance status, but you do not need to submit copies of any 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 Kaiser or UC Blue & Gold (Health Net) plan in 2020 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 2020. 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 UC Blue & Gold, 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.
1099-HC
The 1099-HC form is a Massachusetts tax document which provides proof of health insurance coverage for Massachusetts residents. Employees and Retirees who are Massachusetts residents and have health insurance from UC will receive a 1099-HC form.
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 or 1099-HC form. If your forms are incorrect, you can submit a request with the corrected information. UC will generate a corrected 1095 or 1099-HC to retain for your records.
To request a copy or correction in UCPath, scroll down to the Forms Library and click on “Records” to complete a Benefits record request. For retirees, duplicate copies of 1095 and 1099-HC forms will be available on UCRAYS in mid-February.
If you were a member of Health Net or Kaiser in 2020, reach out to your health plan for reprints or corrections to Form 1095-B.