Wayne State University

Aim Higher

News and Announcements

Information on the Affordable Care Act (ACA)

February 24, 2017

Affordable Care Act (ACA) IRS Form – Coming Soon!

By March 3, 2017, Wayne State University will have mailed your ACA IRS tax form (Form 1095-C) to your address of record. You will receive this form if you meet one of the following:

  • You were employed full-time for one or more months during 2016
  • You were not employed full-time but you were enrolled in one of our self-funded medical plans (BCBSM or DMC Care Plans) for one or more months during 2016

The form provides information about the medical coverage offered to you by Wayne State University. It will also include information about any dependents enrolled for coverage under our plan.

You may receive multiple forms depending on what coverage you had in 2016. See the chart below for more information. You will not have to file the Forms with your 2016 tax return; however, you should retain them with your other tax records.

What is the Form 1095-C?

The Affordable Care Act requires that insurers and employers sponsoring health plans provide a statement each year to eligible employees that describes the medical coverage available to them. Form 1095-C was created for employers by the IRS for this purpose. Everyone who is eligible for company sponsored health coverage will receive a Form, even if coverage was waived.

When and how will I get it?

The Form 1095-C will be mailed to your home address on file by March 3, 2017.
You do not need the Form 1095-C in order to file your tax return; however, you should retain the Form in a file for reference once it is received. Wayne State University is also required to send the IRS copies of all Forms issued.

What will the ACA Form be used for?

You will need verification that you (and any dependents) had minimum essential coverage for each month of the year. If you and/or your dependents did not have coverage, you may qualify for an exemption. Otherwise, you will have to pay a penalty.
The IRS will also use this Form to ensure that Wayne State University has complied with the employer shared responsibility rules of the Affordable Care Act, and to determine whether individuals who apply for Marketplace coverage are eligible for premium tax credits.

What information is on the Form?

A screenshot of Form 1095-C is found on the following page. It is divided into three parts:

  • Part I, Employee and Employer Information. Includes your specific information, as well as details about the Company.
  • Part II, Employee Offer and Coverage. Includes information about the coverage offered to you, your spouse and dependents for each month of 2016. This section may also list the lowest monthly premium that you could have elected for the self-only health benefits offered to you.
  • Part III, Covered Individuals (if applicable). Lists each person covered on your plan, as well as the month(s) in which they had coverage.

Will each of my covered dependents receive a Form?

No. Employers are only required to send the Form to employees (and to certain other covered participants).

Who is required to have health coverage under the individual shared responsibility provision of the Affordable Care Act?

In general, all U.S. citizens living in the U.S. are required to have minimum essential coverage. Other individuals may be required to have coverage as well. For more information about having coverage and avoiding the tax penalty, please see the IRS website at https://www.irs.gov/Affordable-Care-Act/Individuals-and-Families/Questions-and-Answers-on-the-Individual-Shared-Responsibility-Provision.

Where do I go if I have questions?

Visit www.healthcare.gov or www.irs.gov, talk to your tax advisor, or contact the Wayne State Benefits & Wellness department at (313) 577-3000 or askhr@wayne.edu.

You May Receive Multiple Forms

  • Form 1095-A will be sent to individuals who enrolled in health insurance through the Health Insurance Marketplace in 2016.
  • Form 1095-B will be sent to individuals who enrolled for health coverage through an employer-sponsored, fully-insured plan; a union-based plan; or certain other plans (including Medicare or Medicaid) for at least a day in 2016.
  • Form 1095-C will be sent to individuals who were considered “full-time” for at least a part of 2016, or were covered for at least a day in 2016, under an employer-sponsored self-insured plan.

This information is based on general information at the time it was prepared. It should not be relied upon to provide either legal or tax advice. This information cannot be used by any taxpayer to avoid tax penalties. You should consult with your tax and/or legal advisor for advice that is appropriate to your specific circumstance.