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About IRS Form 1095 (A, B, and C)

Last updated Thursday, February 25, 2021

IRS Form 1095 is your proof of health insurance coverage. The form is filed by whomever provided your coverage during the year (individuals do not fill these forms out themselves):

  • Form 1095-A is filed by the Health Insurance Marketplace
    • UW employees will receive their Form 1095-A from either the Health Care Authority (HCA) or directly from their health plan (see details below).
  • Form 1095-B is filed by other insurers
    • UW employees will receive their Form 1095-B from either the Health Care Authority (HCA) or directly from their health plan (see details below).
  • Form 1095-C is filed by the Health Care Authority and will be distributed in late February. See the HCA’s website for more information.

If you are an employee enrolled in a PEBB Uniform Medical Plan:
The HCA will create and mail your Form 1095 to your home address. This form indicates (by month) whether or not you had health coverage during the tax year, and will list any enrolled family members. Note that the HCA will use the UW Benefits return address for the mailing, but the document is developed and distributed by HCA.

If you are an employee enrolled in a PEBB Kaiser Permanente Plan (formerly Group Health):
You will receive your Form 1095 directly from Kaiser or Group Health insurers indicating (by month) whether or not you had health coverage in during the tax year, and listing any enrolled family members.

If you are a Graduate Appointee Insurance Plan (GAIP) participant:
You will receive your Form 1095 directly from Lifewise indicating (by month) whether or not you had health coverage during the tax year, and listing any enrolled family members.

If you are expecting to receive a Form 1095-A, you should wait to file your income tax return until you receive the form.  However, it is not necessary to wait for Forms 1095-B or 1095-C in order to file.

Individuals who wish to file for a Premium Tax Credit will need a Form 1095.

Note: If you are filing the Premium Tax Credit Form 8962, you can’t file a 1040EZ form and will need to file a traditional Form 1040 or 1040-A.

For more information about the Form 1095, please see the IRS’s Questions and Answers about Health Care Information Forms for Individuals.