IRS Form 1095-C

Save paper and help us go green by consenting to receive your 1095-C form online. To make this change, log into HR Self Service and follow this path: Main Menu - Self-Service - Benefits - 1095-C Consent.

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 2018. 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. While this information is no longer required when filing one’s taxes, it 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 2018, including eligible employees who declined to participate in the medical coverage.

Employees may choose to receive their form online through HR Self Service or have it mailed to their home address recorded with the University.

Accessing Your 1095-C Online

If you consented to receive 1095-C for this year online by March 1, you can access your form online. To access your 1095-C online you will need the following:

  • Duo two-factor authentication. If you have not yet set up Duo, click here for instructions.
  • Your HR-PIN number. If you do not know your HR-PIN number, click here to reset it. (This step requires Duo.)
  • Ensure that your web browser's pop-up blockers are turned off.

Next, follow these steps:

  1. Access HR Self Service
  2. Log in using your University credentials
  3. Authenticate with Duo
  4. From the Main Menu dropdown, navigate through Self-Service>Benefits>View Form 1095-C.
  5. Enter your HR-PIN.
  6. Click "Tax Form."

Consenting to Receive Form 1095-C Online

Save paper and help us go green by consenting to receive your form 1095-C form online. If you haven’t already, you may consent to receive your form 1095-C online by logging into HR Self Service and following this path: Main Menu>Self-Service>Benefits>1095-C Consent.

Prefer Form 1095-C Is Mailed

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 my.clemson.edu.

The Office of Human Resources has compiled 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 www.irs.gov or www.healthcare.gov.

Frequently Asked Questions

General Information

Clemson University will issue a new tax form known as Form 1095-C. The Form 1095-C is required under the Affordable Care Act (ACA). It contains information about medical coverage offered to you and your dependents by Clemson University.

Clemson University will send a Form 1095-C to employees who were eligible to participate in state health insurance benefits during any period of 2018 (including insurance-eligible employees who declined participation in the medical coverage).

The S.C. Public Employee Benefit Authority will mail a similar form to individuals who were not employed by the University but who were eligible for health benefits in 2018 (including retirees, COBRA subscribers, and survivors).

You may choose to receive your form online through HR Self Service or have it mailed to your home address recorded with the University.

Consenting to Receive Form 1095-C Online:
You may consent to receive your 1095-C form online by logging into HR Self Service and following this path: Main Menu>Self-Service>Benefits>1095-C Consent.

Prefer Form 1095-C Is Mailed
To ensure the form is received promptly in the mail, please confirm that your home address on record with the University is accurate by viewing your current information online at my.clemson.edu

Clemson University is required to send the form to individuals who met the eligibility criteria under the ACA and were offered state health insurance coverage by Clemson University in 2018.

If you worked for more than one employer during 2018 and were offered coverage with both employers, you may receive a Form 1095-C from each employer.

No. You will only receive a Form 1095-C regarding your state medical insurance.

If you were not offered state health insurance coverage through your employment at Clemson University anytime in 2018, you will not be sent a Form 1095-C in 2018.

Also, if you were only covered as a dependent of a family member and were not the primary subscriber, you will not receive a Form 1095-C. Individuals covered as a dependent under a family members insurance will need to ask the family member for a copy of their Form 1095-C, which will include coverage information on all covered family members.

Per IRS requirements, employees can expect their 2018 form no later than March 4, 2019.

Yes. You may consent to receive your 1095-C form online by logging into HR Self Service and following this path: Main Menu>Self-Service>Benefits>1095-C Consent.

No. The University will only provide a Form 1095-C to individuals who were eligible for health benefits in 2018 due to their employment with Clemson University. However, covered family members enrollment information will be included in part III of your Form 1095-C.

As required by federal law, a copy of your form will be sent to the IRS.

While these three forms are similar, Clemson University is required by the IRS to provide you with the Form 1095-C

Please consult with a qualified tax advisor if you have questions about filing your tax return.

No. Employees' W-2's will be available in January as usual, electronically through HR Self-Service or by mail.

The information included on your W-2, Box 12, code DD only states the total cost of the employer-sponsored state health insurance you actually enrolled in during a single calendar year. It does not show the months in which you enrolled in coverage or describe the coverage that was offered to you by the University. Form 1095-C shows information on a monthly basis and includes information about the coverage offered to you.

Please consult with a qualified tax advisor if you have questions about filing your tax return.

Form 1095-C Details

Please consult with your tax advisor if you have questions about filing your tax return. Clemson University recommends that you retain the Form 1095-C in your personal records in case you need to demonstrate proof of health coverage enrollment or respond to future IRS inquiries.

There are three parts to the form:
  • Part I includes information about you and your employer.
  • Part II includes information about the coverage your employer offered to you and your dependent(s).
  • Part III includes information about individuals enrolled in coverage.
  • View a blank 1095-C

The IRS has provided employers with very specific rules and descriptions to indicate the type, level, and coverage you and your dependents were offered each month. These codes indicate things like whether the coverage offered minimum essential coverage and whether the coverage was affordable. There are many different codes, and each combination will be unique to an individual’s personal situation.

Line 15 of Form 1095-C shows how much you would have paid per month for single coverage under the least expensive health plan available to you through your employment with Clemson in 2018. The IRS requires the University to report this information to demonstrate the affordability of your health plan options. It will not reflect your actual monthly premiums in 2018 if you chose a higher-cost plan or covered dependents.

Please consult with your tax advisor if you have questions about how the information reported on the 1095-C will impact your federal tax return and taxes.

Yes. The State Health Plan: Standard Plan and the State Health Plan: Savings plan both meet the federal definition of minimum essential coverage.

Yes. The State Health Plan: Standard Plan and the State Health Plan: Savings plan both meet the federal definition of minimum value

.

Yes. The State Health Plan: Standard Plan and the State Health Plan: Savings plan have both been deemed affordable by the federal definition.

Assistance with Form 1095-C

If you think information on your Form 1095-C is incorrect, please contact the Office of Human Resources online through ASK-HR or by phone at (864) 656-2000.

Contact the Office of Human Resources online through ASK-HR or by phone at (864) 656-2000 to request an additional copy. An administrative fee of ten dollars will be charged for duplicate forms.

Contact a tax advisor for questions about how the new tax form will impact you. You may also visit www.irs.gov or www.healthcare.gov.

DISCLAIMER: This tax information is provided for general information purposes only. Clemson University does not provide tax advice. Please consult with your tax advisor regarding any questions or concerns.