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This version of the form is not currently in use and is provided for reference only. Download this version of
IRS Form 1095-C
for the current year.
IRS Form 1095-C Employer-Provided Health Insurance Offer and Coverage
What Is IRS Form 1095-C?
This is a tax form that was released by the Internal Revenue Service (IRS) - a subdivision of the U.S. Department of the Treasury. Check the official IRS-issued instructions before completing and submitting the form.
FAQ
Q: What is IRS Form 1095-C?
A: IRS Form 1095-C is a tax form that provides information about the health insurance coverage offered by an employer.
Q: Who receives IRS Form 1095-C?
A: Employees who were eligible for employer-provided health insurance coverage during the tax year receive IRS Form 1095-C.
Q: What information does IRS Form 1095-C contain?
A: IRS Form 1095-C contains information about the health insurance coverage offered by an employer, including the months in which coverage was available and the employee's share of the monthly premium.
Q: Why do I need IRS Form 1095-C?
A: You may need IRS Form 1095-C to complete your federal income tax return, as it provides information about your health insurance coverage.
Q: How do I get IRS Form 1095-C?
A: Your employer is responsible for providing you with IRS Form 1095-C. They should either mail it to you or make it available to you electronically.
Q: What do I do with IRS Form 1095-C?
A: Keep IRS Form 1095-C with your tax records. You do not need to submit it with your tax return, but you may need the information it contains to complete your return correctly.
Form Details:
- A 3-page form available for download in PDF;
- This form cannot be used to file taxes for the current year. Choose a more recent version to file for the current tax year;
- Editable, printable, and free;
- Fill out the form in our online filing application.
Download a fillable version of IRS Form 1095-C through the link below or browse more documents in our library of IRS Forms.
Download IRS Form 1095-C Employer-Provided Health Insurance Offer and Coverage
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