Youngstown State University will provide you with a new tax form, called Form 1095-C, as part of our reporting requirements under the Affordable Care Act (ACA). The Form 1095-C will contain important information about medical coverage offered to you and your dependents by Youngstown State University.

Forms 1095-C will be mailed to the home address on file for all benefits eligible employees and retirees who were eligible for a Youngstown State University Health plan at any point in 2015. The Form 1095-C containscertain information about the health care coverageoffered by Youngstown State University for you and your dependents.

The IRS clarifiedthat taxpayers did not have to wait until they receive a Form 1095-C before they file their 2015 taxes. However, it is important to keep the Form with your 2015 tax records. Please contact a tax advisor with questions related to your tax filing and the Form 1095-C.

We have created aseries of FAQ’s to provide a better understanding of the Form. For any additional questions, please contact the Benefits Office at 330-941-3748 or 330-941-1322.

What is Form 1095-C?

The IRS Form 1095-C is an annual employee health coverage tax statement, provided by employers to employees or retirees who are eligible for health care benefits. It contains certain information about the health care coverage provided by Youngstown State University.

Information from the Form 1095-C will be used to validate your compliance with the ACA’s individual shared responsibility requirement. Think of the Form as your “statement of coverage” for the IRS.

Who receives a Form 1095-C?

Employers with 50 or more full-time equivalent employees are required to send Form1095-C to (1) all employeesand COBRA participants who wereenrolled or eligible for a health insurance plan,and (2) employees who worked, on average, 30 hours per week that elected to waive coverage.

Why did I get a Form 1095-C?

If you meet the requirements described above, you will receive a Form 1095-C as part of our reporting obligation under the ACA. Form 1095-C indicates which months an individual was eligible for health insurance, regardless of whether you were enrolled in the plan. You may use the information when completing your federal tax return.

Why did I get more than one Form 1095-C?

If you worked for more than one employer, you may receive a Form 1095-C from each company/employer.

Why didn’t I get a Form 1095-C?

If you were not a benefit-eligible employee in 2015 then you will not receive a Form 1095-C. If you believe you should have received a Form 1095-C but did not, please contact Employee Benefits at 330-941-3748 or 330-941-1322.

When will I get my Form 1095-C?

You will receive your Form 1095-C for the 2015 tax year on or before March 31, 2016. You may also access your Form 1095-C electronically on Banner Self-Service.

  • In Self Service, go to Employee Menu - Tax Forms - > 1095 Employer-Provided Health Insurance Offer and Coverage Statement
  • Select Tax Year 2015 from the drop down
  • If you need to print, select the Printable 1095-C located at the bottom left corner
  • Remember SSN’s are not masked on the printable form, so be cautious.

What should I do with my Form 1095-C?

You can use information from Form 1095-C when completing your federal tax return. Please consult with your tax advisor if you have questions about filing your tax return.

What information is on the Form 1095-C?

There are three parts to the Form:

  • Part 1 reports information about you and your employer.
  • Part 2 reports information about the coverage offered to you by your employer, the affordability of the coverage offered, and other information about your coverage and/or eligibility.
  • Part 3 reports information about the individuals covered under the plan, including dependents.

Do I need my Form 1095-C and my W-2 to file my taxes?

Please consult with your tax advisor if you have questions about filing your tax return.

What if I misplace or lose my Form 1095-C and need another copy?

If you are an active employee or retire, you may access your Form 1095-C electronically on Banner Self-Service.

  • In Self Service, go to Employee Menu - Tax Forms - > 1095 Employer-Provided Health Insurance Offer and Coverage Statement
  • Select Tax Year 2015 from the drop down
  • If you need to print, select the Printable 1095-C located at the bottom left corner
  • Remember SSN’s are not masked on the printable form, so be cautious.

What if I have questions?

If you have additional questions about the information reported on your Form 1095-C, please contact Employee Benefits at 330-941-1322. A tax advisor can assist you with any questions on how this form may impact your taxes. You may also visit

DISCLAIMER: This information is provided for general information purposes only. Youngstown State University does not provide tax advice. Please consult with your tax advisor regarding any questions or concerns.