The University of Alabama at Birmingham

Human Resources

1. What is a 1095-C form?

IRS form 1095-C is an annual employee health insurance tax statement, provided by employers to employees who are eligible for health insurance as defined by the Affordable Care Act (ACA). All employees who were eligible for health insurance as defined by ACA will receive a 1095-C regardless of whether they participated in a UAB health insurance plan.

The 1095-C is comprised of three parts:

  • Part I: Identifying information about the employee and the employer
  • Part II: Information about the employer’s offer of group health coverage
  • Part III: Information about the employer health coverage, including names, and Social Security numbers of the employee and his or her covered dependents (note only self-insured plans are required to list covered dependents)

By Francesca Collins | Modified on: Fri, 31 Jan, 2025 at 4:12 PM
The information in this article has been verified as up-to-date on the date of publication. All information is for general purposes only and not intended to address the specific circumstances of any particular individual. For specific questions or support, contact us at humanresources@uab.edu.

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