In the coming weeks, UC employees and retirees will receive 1095-B and/or 1095-C forms verifying their health coverage for 2021.
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 1095-B and/or 1095-C form when you file your taxes. The form is for your information and records only.
When (and how) you can expect your 1095 forms
Active employees in UC health plans
All forms will be sent via paper copy — no electronic copies will be available for the 2021 tax year. Employees should expect to receive their 1095 forms over the next few weeks, depending on the timing of US Postal Service (USPS) delivery.
Retirees in UC non-Medicare plans
UC Care, CORE and UC Health Savings Plan
In previous years, all non-Medicare retirees received a paper copy of their 1095-B form. This year, all tax documents, including the 1095-B form, will be available in UC Retirement At Your Service (UCRAYS) and will be available for download during the week of January 24. If you opted-in for electronic distribution of all tax documents, you will not receive a paper copy of your 1095-B form.
If you opted out of electronic distribution of your tax documents, your 1095-B form will be mailed to your home address. Forms have been mailed out and will be received over the next few weeks, depending on the timing of USPS delivery.
Kaiser Permanente and UC Blue & Gold HMO
You will receive a paper form directly from your health insurance carrier (Kaiser or Health Net).
Retirees in UC Medicare plans
The Centers for Medicare and Medicaid Services (CMS) is the responsible entity for issuing 1095 forms for all individuals on Medicare, including UC retirees enrolled in UC-sponsored Medicare plans or in Medicare plans through Via Benefits.
If you had Medicare Part A coverage for part of 2021, you will have a 1095-B form mailed directly to you from CMS. At this time, it is unknown when the mailings are expected to be released.
If you had Medicare Part A coverage for all of 2021, you will not receive 1095-B forms from CMS.
COBRA members
UC Care, CORE and UC Health Savings Plan
You will be sent a paper copy of your 1095 form. No electronic copies will be available for the 2021 tax year. You should expect to receive their 1095s over the next few weeks, depending on the timing of USPS delivery.
Kaiser Permanente and UC Blue & Gold HMO
You will receive a paper form directly from your health insurance carrier (Kaiser or Health Net).
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 2021 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 2021. 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 Feb. 14, 2022, before requesting a reprint of your 1095 form or 1099-HC form. If your forms are incorrect, you can submit a request beginning Feb. 21, 2022, 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 are available on UCRAYS.
If you were a member of Health Net or Kaiser in 2021, reach out to your health plan for reprints or corrections to Form 1095-B.