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K-State Today

January 15, 2016

Form 1095-C employer-provided health insurance offer and coverage

Submitted by Human Capital Services

Form 1095-C employer-provided health insurance offer and coverage form is available.

Who receives a 1095-C form?

Employees eligible for health insurance coverage, including those who decline to participate in the state of Kansas health insurance plan, should receive a 1095-C form for tax filing purposes. The form identifies:

  • The employee and the employer
  • Which months in 2015 the employee was eligible for coverage
  • Minimum monthly premium under the plan

1095-C forms for state of Kansas employees are available to print through the state of Kansas Membership Administration Portal. K-State employees are able to sign into Membership Administration Portal with their eID and password through HRIS > Employee Self Service > Benefits > Health Insurance Enrollment. When logged into Membership Administration Portal, the 1095-C form is located on the "Forms" tab on the Account Overview page under "Tax Forms."  

The 1095-C forms also will be mailed directly to the employee's mailing address listed in Membership Administration Portal. To view the mailing address, go to "Contact Information" on the "Member and Family" page tab.

Employees should keep this form with other tax-related documents. It is similar to a W-2 or 1099 form, and will be needed when preparing 2015 taxes or when providing data to a tax professional.

Questions? Contact benefits@k-state.edu or view our FAQ.