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Health Coverage Providers ¨C

• Insurance companies outside the Marketplace
• Government agencies such as Medicare or CHIP
• Employers who provide certain kinds of health coverage, which is sometimes referred to as ¡°self-insured coverage,¡± but are not required to send Form 1095-C.

Other coverage providers

What to do with this Form

This form provides information about your 2016 health coverage.

Use Form 1095-B for information on whether you and your family members had health coverage that satisfies the individual shared responsibility provision.

• If Form 1095-B shows coverage for you and everyone in your family for the entire year, check the full-year coverage box on your tax return.
• If there are months when you or your family members did not have coverage, determine if you qualify for an exemption or must make an individual shared responsibility payment.

You don¡¯t need to wait for your Form 1095- B to file your tax return. Do not attach Form 1095-B to your tax return - keep it with your tax records. Contact the issuer if you have questions about your Form 1095-B.

What to do with this Form

Form 1095-C provides information about the health coverage offered by your employer in 2016 and, in some cases, about whether you enrolled in this coverage.

Use Form 1095-C to help determine your eligibility for the premium tax credit.

• If you enrolled in a health plan in the Marketplace, you may need the information in Part II of Form 1095-C to help determine your eligibility for the premium tax credit.
•  If you did not enroll in a health plan in the Marketplace, the information in Part II of your Form 1095-C is not relevant to you.

Use Form 1095-C for information on whether you or any family members enrolled in certain kinds of coverage offered by your employer ¨C sometimes referred to as ¡°self-insured coverage¡±.

• If Form 1095-C shows coverage for you and everyone in your family for the entire year, check the full-year coverage box on your tax return. 
• If there are months when you or your family members did not have coverage, determine if you qualify for an exemption or must make an individual shared responsibility payment.

You don¡¯t need to wait for your Form 1095- C to file your tax return. Do not attach Form 1095-C to your tax return - keep it with your tax records. Contact the issuer if you have questions about your Form 1095-B.