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Statement of Coverage & Subsidies

IRS – 1095 B
#Confirmation of Employer,
Medi-Cal  & Non Covered CA Minimum Essential Coverage Coverage 

The 1095 B  shows proof that you had coverage from your employer’s health plan.  While there is no longer a Federal Mandate Penalty there is a penalty  for California.   The California FTB Franchise Tax Board is in charge of working out all the rules and procedures.   We’ll have to wait and see.

• 1095 B IRS Website
• FAQ’s 

More 

• Form 1095-B, Health Coverage
  • Individuals who had health coverage for themselves or their family members that is not reported on Form 1095-A from Covered CA or Form 1095-C from Large Employers and Self Insured Plans
    • Insurance companies outside Covered CA
    • Government agencies such as Medicare or Medi Cal 
      • Medicare doesn’t issue 1095 unless you ask.  You don’t need it to file taxes  ^Medicare.Gov *
    • Employers who provide certain kinds of health coverage, which is sometimes referred to as “self-insured coverage,” but are not required to send Form 1095-C.
    • Health Coverage Providers –
  • Use Form 1095-B for information on whether you and your family members had health coverage that satisfies the individual shared responsibility provision (Mandate Penalty).
    • If there are months when you or your family members did not have coverage, determine if you qualify for an exemption or must make an individual shared responsibility payment mandate penalty prior to 2019.

     

    You don’t need to wait for your Form 1095- B to file your tax return. Do not attach Form 1095-B to your tax return – keep it with your tax records. Contact the issuer if you have questions about your Form 1095-B.  Source   HCTT-2016-81   IRS bulletin dated 12.21.2016

Visit our Employer Website & Get Quotes

• Medi Cal 1095 B
• FAQ’s   CA Department of Health Care Services
• The Form 1095-B is an Internal Revenue Service (IRS) document that many, but not all, people who have Medi-Cal will receive. The Department of Health Care Services (DHCS) only sends Form 1095-B to people who had Medi-Cal benefits that met certain requirements, known as “minimum essential coverage,” at least one month during the tax year.  READ MORE and the Rest of the FAQ’s 
• Form 1095-C, Employer-Provided Health Insurance Offer and Coverage
• May request Social Security #‘s
• Minimum Essential Coverage
• Health Net Explanation
• Other Pages in this section
  • Forms that Employers must provide to employees
  • Questions and Answers on Information Reporting by Health Coverage Providers (Section 6055) IRS Website
  • Our Webpage on 6055 & 6056 Reporting Requirements

FAQ’s
From Health Net

• What is Form 1095-B: Health Coverage?
• Why do I need Form 1095-B?
• When will I receive Form 1095-B?
• What do I need to do with Form 1095-B?
• Do I need to include my Form 1095-B when I file my taxes?
• How does the IRS know that I had minimum essential coverage in 2019?
• Does having Form 1095-B mean I won’t have a tax penalty?
• Where can I learn more about this law and my responsibility?
• How do I get another copy of my Form 1095-B?
• What should I do if the information on my Form 1095-B is incorrect?
• What if I have questions about the information on my Form 1095-B?

What is form 1095 C Proof of Coverage from a #Large Employer?

Form 1095-C   is provided by a large employer to employees so they can prove they had coverage for the year and not get fined in CA for not having coverage, or so they can get coverage from Covered CA – no extra charge to use a broker, click on button below to get quotes and subsidy calculation,  if no coverage is provide.

Form 1095-C provides information about the health coverage offered by your employer and, in some cases, about whether you enrolled in this coverage.   Use Form 1095-C to help determine your eligibility for the premium tax credit.

• If you enrolled in a health plan in Covered CA,  you may need the information in Part II of Form 1095-C to help determine your eligibility for the premium tax credit.
•  If you did not enroll in a health plan in the Marketplace, the information in Part II of your Form 1095-C is not relevant to you.

Use Form 1095-C for information on whether you or any family members enrolled in certain kinds of coverage offered by your employer – sometimes referred to as “self-insured coverage”.

• If Form 1095-C shows coverage for you and everyone in your family for the entire year, check the full-year coverage box on your tax return.
• If there are months when you or your family members did not have coverage, determine if you qualify for an exemption or must make an individual shared responsibility payment – tax penalty.

You don’t need to wait for your Form 1095- C to file your tax return. Do not attach Form 1095-C to your tax return – keep it with your tax records. Contact the issuer if you have questions about your Form 1095-B.

Understanding Form 1095-C,

Employer-Provided Health Insurance Offer and Coverage

Employers with 50 or more full-time employees, including full-time equivalent employees, in the previous year use Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, to report the information required about offers of health coverage and enrollment in health coverage for their employees.  Form 1095-C is used to report information about each employee. Employers that offer employer-sponsored self-insured coverage also use Form 1095-C to report information to the IRS and to employees about individuals who have minimum essential coverage under the employer plan and therefore are not liable for the individual shared responsibility payment for the months that they are covered under the plan. An employer must furnish a Form 1095-C to each of its full-time employees by January 31 of the year following the year to which the Form 1095-C relates. Employers will meet the requirement to furnish Form 1095-C to an employee if the form is properly addressed and mailed on or before the due date. If the regular due date falls on a Saturday, Sunday, or legal holiday, employers may file by the next business day. The Form 1095-C that employers send may include only the last four digits of the employee’s social security number, replacing the first five digits with asterisks or Xs. Forms 1095-C must be sent on paper by mail or hand delivered, unless the employee consents to receive the statement in an electronic format. The consent ensures that the employee can access the electronic statement. If mailed, the statement must be sent to the employee’s last known permanent address, or if no permanent address is known, to the employee’s temporary address. Individuals who worked for multiple employers that are required to file Form 1095-C may receive a Form 1095-C from each employer.

• VIDEO Lecture on filling out 1095 C