Form 1095-C: What You Need to Do with this Form | Internal Revenue Service

https://www.irs.gov/affordable-care-act/individuals-and-families/form-1095-c-what-you-need-to-do-with-this-form 1/2

Form 1095-C, Employer-Provided Health Insurance Offer and Coverage Insurance,

provides you with information about the health coverage offered by your

employer. In some cases, it may also provide information about whether you

enrolled in this coverage.

Here are the answers to questions you’re asking about Form 1095-C:

Will I get a Form 1095-C?

You will receive a Form 1095-C – which is a new form this year – if you were a full

time employee working for an applicable large employer last year. An

applicable larger employer is generally an employer with 50 or more full-time

employees, including full-time equivalent employees. Even if you were not a full time employee, you will receive form 1095-C if your employer offered self-insured coverage and you or a family member enrolled in that coverage.

You might get more than one Form 1095-C if you worked for more than one

applicable large employer last year.

How do I use the information on my Form 1095-C?

This form provides you with information about the health coverage o ered by

your employer and, in some cases, about whether you enrolled in this coverage.

If you enrolled in a health plan through the Marketplace, the information in Part

II of Form 1095-C could help determine if you’re eligible for the premium tax

credit. If you did not enroll in a health plan through the Marketplace, this

information is not relevant to you.

If there is information in Part III of Form 1095-C, review this information to

determine if there are months when you or your family members did not have

coverage. If there are months you did not have coverage, you should determine

if you qualify for an exemption from the requirement to have coverage. If not,

you must make an individual shared responsibility payment.

You are not required to file a tax return solely because you received a Form

1095-C if you are otherwise not required to file a tax return.

4/2/2018 Form 1095-C: What You Need to Do with this Form | Internal Revenue Service

https://www.irs.gov/affordable-care-act/individuals-and-families/form-1095-c-what-you-need-to-do-with-this-form 2/2