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Form 1095-C, Employer-Provided Health Insurance Offer and Coverage
What is Form 1095-C?
Form 1095-C is Employer-Provided Health Insurance Offer and Coverage from the IRS.
An Applicable Large Employer (ALE) Member must file it for each employee who was its full-time employee for any month of the calendar year, excluding months in a Limited Non-Assessment Period.
An ALE Member with a self-insured health plan also completes it for any employee who enrolls in that coverage, whether or not the employee was full-time.
It reports information about each employee to the IRS.
How the IRS accepts Form 1095-C
Form 1094-C transmits Forms 1095-C to the IRS.
ACA information returns can be submitted through the IRS AIR system; check the IRS instructions to see whether you must file electronically.
The recipient copy says not to attach it to the tax return; the IRS form page provides instructions and the latest information.
The IRS form page lists the linked form under “Current revision”.
Form Versions
2025
Form 1095-C (2025)
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Fillable online Form 1095-C