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Affordable Care Act (ACA)

Form 1095-C

Starting in 2016 (for the 2015 tax year), Duquesne University is required by the Patient Protection and Affordable Care Act (PPACA) to provide Form 1095-C "Employer Provided Health Insurance Offer and Coverage" to employees who are eligible for medical benefits. This form is a new annual tax document in addition to your W-2 and other tax statements.

Form 1095-C reports information about the medical coverage offered to you and, if applicable, your family. Originally, the forms were required to arrive February 1, 2016. In late December, however, the IRS extended the reporting deadline for employers to March 31, 2016.

The Office of Human Resources will send Form 1095-C to all medical benefits eligible individuals by this new deadline of March 31, 2016 for the 2015 calendar year. If you prefer to receive the 1095-C electronically in the same manner that you receive your W-2, you will need to access DORI Self Service and provide consent. Step by step instructions on how to provide consent to receive the form electronically are provided below in the FAQs.

The IRS has clarified that:
• Individuals do not have to delay filing their income tax returns because they have not yet received Form 1095-C.
• Individuals will not need to file an amended return once they receive the 1095-C from the University.

Frequently Asked Questions

I have questions about my Form 1095-C. Whom should I contact?

If you need to correct or request a reprint of your Form 1095-C, contact Human Resources at 412.396.2255 or hrservices@duq.edu. If you have a question about filing your taxes or how to use Form 1095-C to complete your tax return, please consult with a qualified tax advisor.

What is Form 1095-C and why do I need one?

The Patient Protection and Affordable Care Act (PPACA) is a federal law that requires almost everyone in the United States to have medical coverage. Starting in 2016 (for the 2015 tax year), most people will have to report to the federal government that they, along with their tax dependents, had medical insurance coverage during the previous year. Form 1095-C is a tax form you will receive from the University as proof that you and your tax dependents were offered the required medical coverage. You should keep your Form 1095-C with all your tax records as supporting documentation.

Who will receive Form 1095-C?

The University will mail Form 1095-C to every individual who was eligible for medical benefits at any time in 2015. Even if you declined to enroll with the University medical plan, you will still receive Form 1095-C. Employees will have the option to consent to an electronic version using DORI self-service; watch for DUDaily announcement regarding the availability of the electronic consent.

How do I consent to receive my 1095-C form electronically?

Log on to DORI Self Service Banner and select Employee then Tax Forms then Electronic Regulatory Consent. Click the box next to the option 'Consent to receive 1095-C electronically' and then click submit.

What types of information are on 1095-C?

There are three primary sections to the form:

Part I - Employee and Employer Information - Information about the Employee and Duquesne University

Part II - Employee Offer and Coverage -

  • Line 14 - Offer of Coverage Code - Information about the type of coverage offered
  • Line 15 - Employee Share of Cost - Indicates the amount you would have paid per month for single coverage under the least expensive medical plan available to you in 2015, which may not be the plan in which you chose to enroll. The University's lowest cost premiums offered are for the High-Deductible Insurance Plan. The amount reported on Line 15 may not be the actual amount you pay. For example, if you enroll in the UPMC Insurance Plan with Family coverage, the amount that will be reported here will still be the Employee-Only cost for the High-Deductible Insurance Plan, because that is the lowest cost plan offered by the University.
  • Line 16 - Section 4980H Safe Harbor Codes - Codes to indicate, by month, if you were enrolled in coverage or reason why you were not. For example, someone who is newly hired during the year might not be enrolled in the months preceding his/her benefits eligibility date.

Part III - Covered Individuals - This is a list of all covered individuals based on the level of coverage you have selected, along with their social security numbers or dates of birth and the months they were covered. This section will be blank for those who have waived insurance coverage.

Will I need to submit my 1095-C with my tax return?

No, the IRS advised that the form is not to be included with your return, it is to be retained for your records.
In late December, the IRS extended the reporting deadline for employers to March 31, 2016.
The IRS has clarified that:

  • Individuals do not have to delay filing their income tax returns because they have not yet received Form 1095-C.
  • Individuals will not need to file an amended return once they receive the 1095-C from the University.

Please consult a qualified tax advisor if you have additional questions about filing your tax return.

I didn't receive a Form 1095-C. Whom should I contact?

You will only receive a Form 1095-C from the University if you were eligible for medical benefits in 2015. If you believe you should have received a Form 1095-C but did not, please contact Human Resources at 412.396.2255 or hrservices@duq.edu.

Will the dependents I cover on my medical plan each receive their own Form 1095-C?

No. The University will only provide a Form 1095-C to employees who are eligible for medical benefits in 2015. Although the form includes information about covered dependents, you may need to provide a copy to any covered family member for their tax records. If you have a question about filing your taxes or how to use Form 1095-C to complete your tax return, please consult with a qualified tax advisor.

Why don't the dollar amounts shown on Form 1095-C match what I paid for my medical benefits in 2015?

Line 15 of Form 1095-C indicates the amount you would have paid per month for single coverage under the least expensive medical plan available to you in 2015. The IRS requires the University to report this information to demonstrate the affordability of your medical plan options. It will not reflect your actual monthly premium in 2015 if you chose a higher-cost plan or covered any dependents.

Does Form 1095-C replace my W-2?

No. Form 1095-C is a new tax form that does not replace your W-2 or any other tax documents. For additional information, visit https://www.irs.gov/Affordable-Care-Act or consult with a qualified tax advisor.

Where can I find additional information regarding the tax changes under the Affordable Care Act?

Visit irs.gov/Affordable-Care-Act/Individuals-and-Families.