If your employer offered affordable coverage, you generally cannot receive Marketplace premium tax credits

Affordable means the employee-only premium is less than approximately 9.12% of household income (percentage adjusts annually)

Part C of the 1095-C (if filled in) means your employer self-insures and confirms your months of coverage

Tax-Related Healtheasy

Employer-Provided Health Insurance Offer and Coverage

Form 1095-C · Large employers (50+ FTE)

Reports health coverage offered by employer. Sent to employees by March 2. May be used to determine PTC eligibility.

Form Details

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Where to Submit This Form

📬

Provided by your employer if they have 50+ full-time employees

This is an informational form — you do not submit it.

Filing Deadline

Employers must provide this by March 2. Retain for your tax records.

Required Attachments

📎 No submission required — retain for your records

Processing Time

N/A — informational form only.

What Happens Next

Use Form 1095-C to verify whether your employer offered qualifying, affordable health coverage. This information may affect your eligibility for Marketplace premium tax credits.

Tips for This Form

✓ If your employer offered affordable coverage, you generally cannot receive Marketplace premium tax credits
✓ Affordable means the employee-only premium is less than approximately 9.12% of household income (percentage adjusts annually)
✓ Part C of the 1095-C (if filled in) means your employer self-insures and confirms your months of coverage
✓ If you believe the information is incorrect, contact your employer's HR department

More Tax-Related Health Forms

Premium Tax Credit (PTC)

Form 8962 · Internal Revenue Service

Reconciles advance premium tax credit (APTC) payments with actual PTC eligibility based on final income. Required if you or a family member received APTC through the Marketplace. Failure to file blocks future APTC.

Health Insurance Marketplace Statement

Form 1095-A · Health Insurance Marketplace

Shows months of Marketplace coverage, premiums, and APTC paid. Sent to enrollees by mid-February. Used to complete Form 8962.

Health Coverage (1095-B)

Form 1095-B · Health insurance companies / Medicaid agencies

Shows who was covered and which months. Sent by insurers and Medicaid agencies. Not filed with tax return but should be kept as a record of coverage.

Health Savings Accounts (HSA)

Form 8889 · Internal Revenue Service

Reports HSA contributions and distributions. Must be filed if you had any HSA activity during the year. Part 1 covers contributions (potential tax deduction).

FSA Enrollment Form

Employer-specific · Employer / FSA administrator

Election to participate in a Flexible Spending Account during open enrollment. Specifies annual pre-tax contribution amount. Use-it-or-lose-it rules apply (with possible carryover or grace period).

FSA / HSA Reimbursement Claim

Administrator-specific · FSA/HSA administrator

Request for reimbursement of qualified medical expenses from FSA or HSA. Requires documentation of expenses (receipts, EOBs).

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the Large employers (50+ FTE) or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.