What is 1095-C for dummies?
Asked by: Ashton Runte | Last update: May 8, 2025Score: 4.7/5 (36 votes)
What is a 1095-C form and what do I do with it?
Applicable large employers – generally those with 50 or more full-time employees, including full-time equivalent employees. Form 1095-C provides information about the health coverage offered by your employer and, in some cases, about whether you enrolled in this coverage.
Do I really need my 1095-C to file taxes?
No. Individuals do not need a copy of their 1095-B or 1095-C when filing tax returns. However, you should keep the form with your tax records.
Does a 1095-C make me get a refund?
No, the 1095-C form just proves that you had health coverage. It would not affect your refund as long as you answered the Health Insurance questions accurately. You don't need your form 1095-C to file your tax return. TurboTax will ask you questions about your health coverage but your form 1095-C isn't needed.
What happens if I don't report my 1095-C?
Employers who fail to meet filing or furnishing deadlines or report incorrect information on an informational return may be subject to IRS penalties. For forms due in 2025, failure to file an informational return such as the 1095-C can result in a penalty of $330 per form, capped at $3,987,000.
IRS Form 1095-C walkthrough (Employer-Provided Health Insurance Offer and Coverage)
What is the penalty for not filing a 1095c?
Penalties for Not Filing Forms 1094/1095-C
As of 2022, the fee is $280 for each unfiled or incorrect form. These penalties can be applied twice to the same return. For example, if you don't provide your employee with a 1095-C and you fail to provide the IRS with a copy, you will incur a total penalty of $560.
Why isn't TurboTax asking for my 1095-C?
by TurboTax• 13077• Updated 2 weeks ago
No. Forms 1095-B and 1095-C are for your records only, as the IRS doesn't need any details from them. We'll ask a few questions about your health care coverage after you finish entering your deductions and credits in TurboTax.
Does a 1095-C mean I owe money?
Much like the Form W-2 is used to determine whether or not you owe taxes, the IRS will use the information reported from your Form 1095-C to determine whether you (or your employer) may have to pay a fine for failing to comply with the Affordable Care Act.
How can I avoid paying back my premium tax credit?
Report any changes in your income during the year to the Marketplace, so your credit can be adjusted and you can avoid any significant repayments at the end of the year.
Does a 1095-C increase tax return?
For most people, the 1095-C doesn't affect how they file taxes. It only comes into play if an employee enrolls on a health insurance marketplace with a tax credit. It's used to determine if coverage offered met the minimum requirements. If not, the employer might have to pay a penalty.
Is 1095-C optional?
Yes, a Form 1095-C must be filed for (and furnished to) every full-time employee, including a full-time employee who has coverage under TRICARE or a VA health program.
What happens if I don't put my 1095 on my taxes?
Form 1095-B is not required to file your state or federal taxes and you may self‑attest to your health coverage without it. You should get a Form 1095-B in the mail by January 31 following the reported tax year.
Where do I enter 1095-C in TurboTax?
You do not have to enter a 1095-C in TurboTax. You will answer the question in the Health Insurance section that you had health insurance all year and keep a copy of the 1095-C with your tax records. The insurance company will provide the IRS with the needed information.
Why do I owe taxes for health insurance?
Owe taxes if you used more of the premium tax credit than you qualified for in 2024. You'll have to report the excess amount on your 2024 tax return by filing Form 8962, Premium Tax Credit (PDF, 115 KB). Find instructions for Form 8962 (PDF, 348 KB).
Is a 1095-C the same as a W2?
You will receive your Form 1095‐C separately from the W‐2 form. The Form1095‐C will be sent to your home address, it will have a UNH return address, and will be a pressure sealed document labeled “Important Tax Documents”.
How does the premium tax credit affect my tax return?
Claiming a net PTC will lower the amount of tax you owe or increase your refund to the extent it is more than the amount of tax you owe. See the Coronavirus tax relief section on this page for information specific to tax year 2020.
What is the highest income to qualify for ACA?
In 2025, you'll typically be eligible for ACA subsidies if you earn between $15,060 and $60,240 as a single person. A family of four is eligible with a household income between $31,200 and $124,800.
What disqualifies you from the premium tax credit?
For tax years other than 2021 and 2022, if your household income on your tax return is more than 400 percent of the federal poverty line for your family size, you are not allowed a premium tax credit and will have to repay all of the advance credit payments made on behalf of you and your tax family members.
Why is there a dollar amount on my 1095-C?
A11: The dollar amount on line 15 of your Form 1095-C represents the lowest cost that an employee pays for employee-only health coverage that we offer under our plan that also provides minimum value. This may or may not be the coverage you are actually enrolled in.
What happens if 1095-C is wrong?
If correcting information on a Form 1095-C that was previously filed with the IRS, file a fully completed Form 1095-C including the correct information and enter an “X” in the “CORRECTED” checkbox. File a Form 1094-C (do not mark the “CORRECTED” checkbox on Form 1094-C) with corrected Form(s) 1095-C.
What is the penalty for not filing 1095-C?
$280: Failure to provide a correct 1095-C to the employee.
Do I need to do anything with a 1095-C?
No, you do not need to send a copy of your Form 1095-B or Form 1095-C to the IRS when filing you tax return, but you should keep the applicable Form with your other tax records.
What if I forgot to add 1095-C to my tax return?
In addition to filing your W-2, the IRS requires reporting of health insurance coverage information for the 2022 federal income tax reporting year. While it is not necessary to include the Form 1095-C with your tax return, you'll need to include your insurance information on your tax return.
Does 1095-C go to IRS?
Form 1095-C is used to report information about each employee to the IRS and to the employee. Forms 1094-C and 1095-C are used in determining whether an ALE Member owes a payment under the employer shared responsibility provisions under section 4980H.