News
Kickstart 2025 Stress-free: Q5 Exclusive – 50% Off Annual Plans with Code Q5SPECIAL
Learn more

Form 1095-C (2023)

Show form versions
Rate

(4.5 / 5) 58 votes
Show form versions

Get your Form 1095-C (2023) in 3 easy steps

  • 01 Fill and edit template Fill Form 1095-C (2023)
  • 02 Sign it online Sign Form 1095-C (2023)
  • 03 Export or print immediately Export Form 1095-C (2023)

What Is Form 1095-C?

Some people are wondering what is a 1095-C tax form since not everyone uses the document on the work. This form is also known as Employer-Provided Health Insurance Offer and Coverage. It was released by the Department of the Treasury Internal Revenue Service. You don’t need to attach this form to the tax return to avoid misunderstanding. It is filed separately.

The form is an official agreement between the employee and employer on the specific Health Insurance coverage. You can use form 1095-C for the employees for a whole year or by month. This information must be revealed in advance in the document.

The employee also receives this document in case the employer is the Applicable Large Employer which is the subject of the Affordable Care Act and shares its provisions. It contains information on the coverage of health insurance that was offered on the job. It can also cover the spouse and dependents.

What Do I Need the Form 1095-C For?

  • The 1095-C form is used by employers who are part of the Affordable Care Act program as the Applicable Large Employer subjects and have to share the provision responsibility with the government. In this case, they have to offer their employee's health insurance coverage up to the payments they can provide. They can choose the coverage based on the health issues of the employee;
  • The employee needs the form to receive health insurance from their employer and make sure it covers their basic needs. The employer must be a part of the program. If you are wondering about health insurance coverage, you have to find out everything in advance.

How to Fill Out Form 1095-C?

After you find out what is a 1095 C form used for, you can enter the form on PDFLiner and begin to fill it out. The document has to be filled by the employer only, not by the employee. However, when the document is ready you need to send it to an employee as well.

Use this smart editor to complete IRS form 1095 C online. You don’t have to print it to fill it. All you need is access to the PDFLiner and an Internet connection. You may later send the complete blank to the IRS and to the employee via email. If you want to send it the old-fashioned way, print the form and use regular mail. Include the following information in the IRS form 1095-C:

  1. Complete part 1 of the document with the information about an employee, including name, address, SSN, and ZIP code. Near this section there is a table dedicated to the Applicable Large Employer member, which you need to fill in with your personal information;
  2. Write down the coverage offered for the health insurance you can offer to employees in section 2. Describe it month by month or annually. Find the money equivalent you can provide to the insurance;
  3. Fill part 3 with the information on the covered individuals in this insurance, including their names, SSN, DOB;
  4. Put the tick in the boxes near the covered months. If you prefer to cover all year for the employee and covered individuals, it must be mentioned in the first column.

Organizations That Work With Form 1095-C

  • Department of Health and Human Services;
  • Department of the Treasury Internal Revenue Service.

Form Versions

2020 Form 1095-C for 2020 Fill Out Form
2021 Form 1095-C for 2021 Fill Out Form
2022 Form 1095-C for 2022 Fill Out Form

Form 1095-C Popular Questions

  • How to get 1095 C form online?

    There are two most popular ways of getting this form to your device. You can find the blank on the official website of the IRS. There is a search that allows you to find the instructions and the form. However, since it is not an editor, you need to print the form and fill it out.

    You may also search for the third-party editor to complete the form. The other option is to use PDFLiner. This is an already-made editor that contains a huge library of different forms. You will easily find the one you need. Pick it, click on it, and you will be able to use the editor’s tools to complete it.

  • What to do with 1095 C form?

    It depends on whether you are an employee or an employer. If you are employed and work in a company that offers health insurance coverage, all you need is to wait for the employer to send you this document. It provides detailed information on the amount of money you can use while attending the medical office.

    If you are an employer you have to provide the information on the employee to whom you want to grant health care insurance. The form must be sent to the IRS as well as to the employee. To do this, you need to be a member of the Applicable Large Employers organization.

Fillable online Form 1095-C (2023)
Rate
(4.5 / 5) 58 votes
Please, wait...
We use unpersonalized cookies to keep our site working and collect statistics for marketing purposes. By continuing to use this site, you consent to this policy. Learn more
Accept