Affordable Care Act

Form 1095-C

Received a Form 1095-C After You Filed? Here’s What To Do…

March 15, 2017 : Mike Slack - The Tax Institute

Form 1095 is a form required by the Affordable Care Act and contains information about your health insurance eligibility and coverage for the year. Form 1095 form serves as your “proof of health insurance” for the IRS. There are three different versions of this form, but today we’re going to focus on Form 1095-C, which is issued by large employers who have what are referred to as self-insured plans. These employers are required to issue employees the form if they were eligible (not necessarily enrolled) for medical coverage through the employer at some time during the year.

This year employers are not required to provide the 2016 Form 1095-C to their employees until March 2, 2017. However, the IRS began accepting individual tax returns on January 23, 2016.

So, what should you do if you receive your Form 1095-C after you have already sent your return to the IRS?

The answer for most people is: probably nothing. As stated, the form only serves as your proof of insurance. When it comes to filing your return you’ll probably know whether you had insurance during the previous year, and you can rely on that personal knowledge without needing the form in hand at the time of filing. Furthermore, professional tax preparers are allowed to rely upon your statements as to your health coverage.

That being said, when you receive a Form 1095-C after you already filed, you should make sure the coverage reported matches what is shown on the return you filed. You may be required to file an amended tax return if there are discrepancies between the Form 1095-C and what you reported on your return.

This same treatment would apply to individuals who receive Form 1095-B from their insurance provider. However, individuals who receive Form 1095-A from an insurance marketplace are should wait until they receive that form before they file their tax return.

Head here for more questions on health insurance and taxes.

Mike Slack - The Tax Institute

Mike Slack - The Tax Institute

The Tax Institute

Mike Slack, JD, EA, is a senior tax research analyst at The Tax Institute. Mike leads research teams focused on business and investment tax issues.

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