Employee Form 1095 FAQ’s
Q: Why did I get this 1095 form?
A: Your Employer is an Applicable Large Employer (ALE) who must show proof that they offered their full-time and part-time employees (who are eligible for benefits under the Affordable Care Act) minimum value coverage that is affordable.
Q: What do I do with this 1095 form?
A: You will need to file it along with your W2 for your tax returns
Q: What is on the 1095 form?
A: The 1095 form contains three sections:
· Section 1-shows information about you the employee and your employer
· Section 2 – shows if coverage was offered or purchased, the type of coverage that was purchased, and the monthly employee cost of the lowest-cost plan that was offered to you.
· Section 3-shows information on your covered dependents that are under your plan (this is not required unless your employer is Self-Insured)
Q: What is an Applicable Large Employer?
A: It is an employer that has 50 or more full-time employees or full-time equivalents employees.
Q: What is considered to be full-time?
A: Full-time employee is defined as an employee reasonably expected to work at least 30 hours a week or 120 hours a month.
Q: Why did I receive the 1095 if I am a part time employee?
A: Although you may be traditionally considered Part-Time (the ACA refers to this as a Variable Hour), you are considered to be a Full-Time Equivalent employee based on you averaging 30 hours of work per week or more. The Average hours are determined in a Look-Back Measurement Window, which can be a 3, 6, 9, or 12 month period that is chosen by your employer.
Q: What are the codes on the 1095 form (Example 1A, 1B, etc.)?
A: For further information on the codes see the back of Form 1095 for the instructions.
Q: My 1095 form says I was offered coverage but I was not, or I do not believe I averaged 30 hours a week or more
A: Your classification as a FTE employee is based on your Payroll History and hours processed in payroll. If you have any questions regarding your Payroll History or Benefit Offerings, please see your employer.
Q: How will the Form 1095 impact my taxes if I declined coverage?
A: If you do not have coverage and do not qualify for an exemption, you may be subject to a tax penalty when you file your tax returns.
Q: I work for multiple employers, why did I only get one 1095 form?
A: Not all employers are considered to be Applicable Large Employers (ALE) and therefore, are not required to issue their employees 1095s.