The 1095-C is a tax form that we are required to issue to certain employees due to Affordable Care Act (ACA) requirements. Think of the 1095-C as a kind of W-2, but for benefits. It details your medical insurance coverage, including coverage for dependents who are covered under our medical plan, and documents the offer of coverage to certain eligible employees who did not elect coverage on the plan.
Please follow these Instructions to view your 1095-C form:
- Log in to the ADP Employee Portal.
- Navigate to “Myself.”
- Under the “Pay” column, click on “Pay & Tax Statements.”
- Under “Tax Statements,” click on “View statement” under 1095-C. This will initiate two-factor authentication to verify your identity before you can view the form.
Please review your 1095-C and email us at email@example.com if you need a correction to the form. Be sure to clearly state the problem; e.g., “My son’s name is listed incorrectly as John B. Smith; his name is John C. Smith,” or, “I was enrolled in the medical plan in 2022, but I didn’t receive a 1095-C.”
It’s important that you carefully review your 1095-C and verify that the information on the form is correct, as we send a copy of this to the IRS as part of our required reporting. You’ll want to verify the following:
- Your legal name, address, and Social Security Number;
- The full legal name and Social Security Number or date of birth for each dependent (spouse or child) you covered on the health plan;
- The months (either all or part of a year) that you and any covered dependents were enrolled on the health plan (as applicable); and
- The months you were eligible for insurance coverage, but did not enroll in the medical plan.
Who should receive a 1095-C? Anyone who was insured as an employee under our medical plan for any part of the 2022 calendar year (January 1 – December 31, 2022) should receive a 1095-C, as well as anyone who was employed with us for at least 30 hours/week and was eligible for medical coverage in 2022, regardless of whether you were actually on our medical plan.
Who will NOT receive a 1095-C? Any temporary employee who was not eligible for coverage on our medical plan during 2022 will not receive a 1095-C, nor will any part-time employee (employed less than 30 hours/week) who was not enrolled on our health plan during 2022.
A special note for “County Spouses”: If you and your spouse are on our medical plan and on the same policy, AND you are both employed by participating employers on the plan (County Government, ACPS, BRJD, CATEC), ONLY the primary policy holder’s form will reflect all of your covered family members.
If you filed your 2022 tax return prior to receiving Form 1095-C, you will not have to file an amended return once you receive your Form 1095-C; you should keep the form(s) with your tax records in case they’re needed in the future.
What should I do if I need a correction to my 1095-C? If you need a correction to your 1095-C, please email firstname.lastname@example.org. Be sure to clearly state the problem; e.g., “My son’s name is listed incorrectly as John B. Smith; his name is John C. Smith,” or, “I was enrolled in the medical plan in 2022, but I didn’t receive a 1095-C.”
What should I do if I didn’t get a 1095-C, but think I should have? Please email email@example.com.