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Tax Form 1095-C Distribution

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UT System Administration Employees;

IRS Form 1095-C will be printed and mailed to current and former employees, retirees and other covered individuals by March 2, 2017. You are not required to wait for Form 1095-C before filing your personal income tax return.

What is Form 1095-C?

This form provides information about the university’s health insurance offer and months of coverage for employees, retirees, and other covered individuals.  The Affordable Care Act (ACA) requires most individuals to have qualifying health coverage, also referred to as minimum essential health coverage, or pay a penalty when filing their tax return. This form will assist individuals with completing their income tax return by reporting the months they and their enrolled family members had qualifying health coverage from the university during 2016.

Must I wait until I receive Form 1095-C to file my return?

No, the Internal Revenue Service states “Taxpayers do not need to wait to receive Forms 1095-B and 1095-C before filing their returns”. Like last year, you can prepare and file your personal income tax return using other information about your health insurance. Other forms of documentation that would provide proof of insurance include insurance cards, explanation of benefits forms, enrollment confirmation statements, W-2 or payroll statements reflecting health insurance deductions, and other statements indicating that you or your family members had health coverage.

Where can I obtain additional information regarding Form 1095-C?

For additional information regarding this form you may visit the Department of the Treasury Internal Revenue Service website at

Whom do I contact with questions about my health coverage?

You may email the Office of Human Resources at