Background
As part of the ACA’s individual shared responsibility, most individuals must have qualifying health insurance coverage for the year, either through employer coverage or through the Health Insurance Marketplace such as Covered California. Individuals without minimum essential medical coverage (MEC) may be penalized for each full month the individual or his/her family member is uninsured. The penalty will be applied to Federal Income Tax Returns.
In addition, as part of the ACA employer mandate, Stanford is required to notify eligible employees and the IRS of available medical coverage. This notification is called the IRS Form 1095.
Notification of Coverage: IRS Form 1095 Coming in March
Below is a summary of the three Form 1095s that you may receive and what you should do with the form. Stanford will send eligible employees the Form 1095-C notification in March. The Form 1095-C will be sent by U.S. Mail unless you elect electronic delivery.
To update your delivery preferences, log into to new ACA 1095 Portal and elect e-delivery.
Log into ACA 1095 Portal and elect e-delivery
| 1095 Forms | Who you’ll receive it from | What to do with it |
|---|---|---|
1095-A |
Provided by the Health Insurance Marketplace if you were enrolled in a Marketplace plan during the tax year. | Use it to complete your U.S. Individual Tax Return and other forms. It is your "proof of coverage" for the ACA Individual Mandate. In 2016, you are not required to submit it to the IRS with your 2015 tax filing. The Marketplace plan will file it. |
1095-B |
Provided by non-Marketplace health plan insurers (e.g. Kaiser) if you were enrolled in a fully insured medical plan during the tax year or if you were enrolled in an employer self funded plan but were not employed by that employer in the tax year. | Use it to complete your U.S. Individual Tax Return and other forms. It is your "proof of coverage" for the ACA Individual Mandate. In 2016, you are not required to submit it to the IRS with your 2015 tax filing. The medical plan insurer will file it. |
1095-C |
Provided by your employer if you were enrolled as an employee in an employer's self-funded medical plan during the tax year or if you were a full-time employee of a large employer, regardless of whether or not you were enrolled in a medical plan. | Use it to complete your U.S. Individual Tax Return and other forms. If you were enrolled in an employer self-funded plan, it is your "proof of coverage" for the ACA Individual Mandate. Keep it with your other tax forms. In 2016, you are not required to submit it to the IRS with your 2015 tax filing. Stanford will file it. |
Please note: It is possible to receive all three forms. For example, a new employee in 2015 could receive 1095-A from any Marketplace plan that he or she was enrolled in during the tax year prior to employment, a 1095-B from Kaiser if he/she enrolled in Stanford’s Kaiser Plan and a 1095-C if he/she was a full-time Stanford employee any time during the year. An employee could also receive multiple forms if he or she had multiple employers within the same tax year. |
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