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1095-C Notice

What is Form 1095-C?

Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, is an IRS tax form that provides information about the health coverage offered to you by your employer. Under the Affordable Care Act (ACA), applicable large employers are required to provide this form to all full-time employees.

The form includes details about the health insurance coverage that was offered or provided to you during the prior calendar year, including the months you were covered and the cost of the lowest-cost plan available to you.

When and How Will I Receive It?

Your Form 1095-C will be mailed to you no later than March 1st of each year for the prior tax year. It will be sent to the address on file with Dominion Outsourcing. If your address has changed, please contact our HR department as soon as possible to ensure timely delivery.

You may also receive an electronic copy if you have opted into electronic delivery through our employee portal.

What Should I Do With It?

Keep this form with your tax records. You will need it when filing your federal income tax return. The information on this form may be used to determine your eligibility for the premium tax credit if you purchased coverage through the Health Insurance Marketplace.

While you do not need to attach this form to your tax return, you should retain it as proof of your employer-sponsored health coverage.

Questions or Corrections?

If you have questions about your Form 1095-C, need to request a correction, or did not receive your form, please contact us:

Our HR team is available Monday through Friday, 9:00 AM to 5:00 PM EST, to assist you with any questions regarding your tax forms or health coverage information.