Human Resources

IRS Form 1095-C

If you were eligible for state health benefits through Clemson University in 2016,
you will receive this tax document in early 2017.

The purpose of this website is to provide information on IRS Form 1095-C, a new tax form Clemson University will provide to all employees who were eligible to participate in state health insurance at any time in 2016. This form is part of Clemson University’s reporting requirements under the Affordable Care Act (ACA). Clemson University is also required to provide a copy of the Form 1095-C to the IRS.

The 1095-C, also known as the Employer-Provided Health Insurance Offer and Coverage statement, contains important information about medical coverage offered to employees and their dependents by Clemson University. Employees who receive the form will need to submit information from the 1095-C as part of their personal income tax filings for 2015. This form includes all the necessary information to allow employees (or their tax preparers) to properly complete and file their tax returns. This is important tax information and should be retained with the employee’s personal records.

A Form 1095-C will be provided to all employees who were eligible to participate in state health insurance benefits at any point during 2015, including eligible employees who declined to participate in the medical coverage.

The new form will be mailed in early 2017 to the employee’s home address recorded with the University. To ensure the form is received promptly, employees should confirm that their home address on record with the University is accurate by viewing their current information online at Beginning next year, the University hopes to make the form available electronically through HR Self-Service, as is the Form W-2.

The Office of Human Resources has compiled an informational video and some frequently asked questions, which you can find below. If you have further questions about how the 1095-C will impact you, we recommend that you contact a tax advisor and/or visit or

Video Link

Frequently Asked Questions

General Information

Form 1095-C Details

Assistance with Form 1095-C