SUBJECT:

IRS 1095-B and 1095-C Forms

As a reminder, beginning with tax year 2015, a new IRS Form 1095 was
required by the Affordable Care Act (ACA).

You may receive one or more copies of these forms for your records;
however, you are not required to include the forms with your tax return.

1095-B (Health Coverage): You will receive this form from your insurance
plan regarding the minimum benefits that you or your dependents were
eligible to receive.

1095-C: (Employer Provided Health Insurance Offer of Coverage): This
form has relevant information regarding coverage offered to you for your
dependents whether or not you took advantage of the offer. Information
regarding the availability of the IRS Form 1095 for 2018 is available on
UCnet (https://go.ucsd.edu/2NJAmyb). Please note that the IRS has
extended their deadline for employers until March 4, 2019.

The 1095-C and W-2 forms for 2018 are available online via AYSO, even if
you did not request to receive your forms electronically. Printed forms
will also be mailed to the home addresses of those faculty and staff who
did not request to receive their forms electronically.

Please contact your insurance plan directly if you have any questions
regarding the 1095-B Form. Their telephone number is listed on the form.
Any questions regarding the 1095-C Form should be directed to (858)
534-2816 for Campus employees and (619) 543-3200 for UCSD Health
employees (Health System and Health Sciences). UCnet provides more
detailed information including frequently asked questions (FAQs). You
may also contact the IRS for more information about both forms at
https://www.irs.gov

Officer Nancy E. Resnick Chief Human Resources Human Resources Janet L. Kamerman Chief Human Resources Officer Health Human Resources