NEW – IRS FORMS 1095-B AND 1095-C

Posted on Mar 3, 2017 in .

Questions and Answers – Internal Revenue Service Forms:

1095-B Health Coverage
1095-C Employer-Provided health Insurance Offer and Coverage

Background

2015 was the first tax year that employers and health plans were required to provide employees and participants in health plans with information on their health care coverage.

Why am I getting this form?

You are receiving this form because you were employed as a full-time employee or were enrolled in an employer self-insured plan during calendar year 2016.

What is this form and what information is included on it?

This form is used to report what medical coverage was offered to you and your family (if applicable) during calendar year 2016 and whether you and your family were enrolled.

What is the difference between 1095-B Health Coverage (1095-B) and 1095-C Employer Provided Health Insurance Offer and Coverage (1095-C)?

If you were covered under the HMSA and/or Kaiser Permanente of Hawaii (Kaiser) active employee, non-Medicare and COBRA medical plans during 2016, 1095-B will be provided directly to you by HMSA and/or Kaiser. 1095-B provides you with information on your and your dependents health care coverage by month through HMSA and/or Kaiser during 2016.

1095-C will be provided by your employer. 1095-C provides information on the health coverage offered by your employer. 1095-C is used to help determine whether you were eligible to receive a premium tax credit. You may be eligible for the premium tax credit only if you received coverage through the Hawaii Health Connector (Health Insurance Marketplace) in 2016 and met certain other income requirements and the coverage offered by your employer was unaffordable.

When will 1095-B and 1095-C be mailed to me?

HMSA and Kaiser are required by law to send the 1095-B forms to you by March 31, 2017.

HMSA has begun sending out 1095-B forms, and you will be receiving them soon. You will receive your form in the mail by Wednesday, March 15th. Please refer to the following document https://hmsa.com/Media/Default/documents/1095-b-faqs.pdf which can be found on https://hmsa.com/. For questions on the HMSA 1095-B please call 1(800) 705-9373.

Kaiser started mailing the 1095-B forms in January and will continue through the end of February. For more information on the Kaiser 1095-B please visit kp.org/proofofcoverage or call Kaiser at (808)432-5250.

Your employer will give you the 1095-C by March 31, 2017.

What should I do with the 1095-B and/or 1095-C?

You should use the information on the forms to assist you in determining if you are eligible for credits and subsidies in the Marketplace and if you had health coverage to avoid the individual mandate. You may be asked to provide your tax advisor with a copy. You do NOT need to include a copy of this form with your tax return.

This summary is for general information only and it is not intended to be, nor should it be construed to be legal or tax advice. Accordingly, you should consult your tax advisor about the individual mandate and your eligibility for credits and subsidies.