1095 Forms for 2019

February 13, 2020

IRS Form 1095 is intended to provide you with information about your medical coverage. The Affordable Care Act (ACA) requires employers and/or health plans to send you these forms, but you do not need to submit a copy of either form when you file your taxes. The form is for your information and records only.

You may receive more than one IRS Form 1095, which can be confusing. Here’s an overview of the three versions:

Form 1095-A
This version of Form 1095 is sent by the Health Insurance Marketplace (Covered California, for California residents) to individuals who enrolled in coverage there.

Form 1095-B
This version of Form 1095 is sent by health insurance providers to individuals they cover. Employees enrolled in UC’s Health Net, Kaiser and Western Health Advantage plans in 2019 receive this form from their plans.

Form 1095-C
This version of Form 1095 is sent by employers. UC sends this form to UC employees if they:

  • Are considered full-time by ACA standards (those who work 75 percent time or more) or
  • Are enrolled in UC’s self-insured plans (CORE, UC Care and UC Health Savings Plan)

For example, if you are a full-time employee enrolled in a Health Net plan, you should receive Form 1095-B from Health Net, and Form 1095-C from UC. If you are a full-time employee enrolled in UC Care, you should only receive Form 1095-C, from UC.

For more information, please see Questions and Answers about Health Care Information Forms for Individuals (Forms 1095-A, 1095-B, and 1095-C) on irs.gov.

When will my 1095-C form arrive?

Like the W-2 form, UC Berkeley employees will receive two 1095-C forms for 2019. This is due to the campus transition to UCPath in March 2019. The 1095 from At Your Service Online (AYSO) covers the period before the transition to UCPath, and the 1095 from UCPath covers the remainder of the year. 

AYSO 1095-C

1095s are available now in AYSO if you elected to receive an electronic W-2. If you did not elect to receive your W-2 electronically, your 1095 form will be mailed to you via U.S. mail the week of Feb. 24, 2020.

UCPath 1095-C

UC Berkeley employees will receive printed copies via U.S. mail the week of Feb. 24, 2020. Online access is not available through UCPath.

Please note that you may receive an additional 1095-B form directly from your health care provider.

What should I do if I need a reprint or correction?

If you have not received your form and need a reprint: Please wait until March 13 to allow sufficient delivery time.

If you need a correction from UC: Visit UCPath online, scroll down to the Forms Library and click on “Records” to complete a Benefits record request. UC will generate a corrected 1095 to retain for your records.

If you need a correction from your health plan: If you were a member of Health Net, Kaiser or Western Health Advantage, reach out to your health plan for reprints or corrections to Form 1095-B.

For more benefits news and information, visit UCnet.