Last updated on Mar 9, 2016
Get the free Request for Re-Issued 1095-C Form
We are not affiliated with any brand or entity on this form
Why pdfFiller is the best tool for your documents and forms
End-to-end document management
From editing and signing to collaboration and tracking, pdfFiller has everything you need to get your documents done quickly and efficiently.
Accessible from anywhere
pdfFiller is fully cloud-based. This means you can edit, sign, and share documents from anywhere using your computer, smartphone, or tablet.
Secure and compliant
pdfFiller lets you securely manage documents following global laws like ESIGN, CCPA, and GDPR. It's also HIPAA and SOC 2 compliant.
What is 1095-C Reissue Request
The Request for Re-Issued 1095-C Form is an employment document used by Auburn University employees to obtain a reissue of their health insurance coverage statement for tax purposes.
pdfFiller scores top ratings on review platforms
Who needs 1095-C Reissue Request?
Explore how professionals across industries use pdfFiller.
Comprehensive Guide to 1095-C Reissue Request
What is the Request for Re-Issued 1095-C Form?
The Request for Re-Issued 1095-C Form is an essential document for employees at Auburn University, designed to allow them to request a reissue of their Employer-Provided Health Insurance Offer and Coverage Insurance form, commonly known as Form 1095-C. This form serves as proof of health insurance coverage and plays a crucial role in tax reporting for employees, ensuring that they meet the Affordable Care Act (ACA) requirements. Employees need this form to accurately report their health coverage status during tax filing.
Purpose and Benefits of the 1095-C Reissue Request Form
There are several reasons why employees may need to request a reissued Form 1095-C:
-
The original form may have been lost or damaged.
-
Employees may discover errors that necessitate a correction.
-
Changes in employment status could require updated documentation.
Not having the reissued form can lead to complications during tax season. The benefits of receiving an accurate Form 1095-C include ensuring compliance with tax reporting obligations and simplifying the filing process for employees, thereby avoiding potential penalties.
Who Needs the Request for Re-Issued 1095-C Form?
This form is specifically aimed at Auburn University employees who need a replacement for their original Form 1095-C. Eligibility criteria include current employees who have worked during a tax year and have not received their form or require corrections. Employees under certain conditions, such as those who have changed their health insurance provider, also qualify to request a reissue.
Key Features of the Request for Re-Issued 1095-C Form
The Request for Re-Issued 1095-C Form contains several important components:
-
Employee's name and Banner ID.
-
Current mailing address to ensure proper delivery.
-
Daytime phone number for any necessary follow-ups.
-
Signature line to confirm authenticity.
Accurate completion of these fields is critical for effective processing, and the submission methods must be correctly followed to avoid delays.
How to Fill Out the Request for Re-Issued 1095-C Form (Step-by-Step)
To successfully complete the Request for Re-Issued 1095-C Form, follow these steps:
-
Enter your full name as it appears in university records.
-
Provide your Banner ID for identification purposes.
-
Fill in your current mailing address to receive the reissued form.
-
Input your daytime phone number for clarification or questions.
-
Sign the form to validate your request.
It is essential to double-check all entries for accuracy to ensure the timely processing of your request.
Submission Methods and Delivery of the 1095-C Reissue Request
Employees can submit their completed Request for Re-Issued 1095-C Form in several ways:
-
Mail the form to the designated office.
-
Deliver the form in person.
When submitting in person, it's important to bring a valid picture ID. Additionally, employees should be aware of any specific rules regarding submission within Alabama to ensure compliance.
What Happens After You Submit the 1095-C Reissue Request Form?
Once the form is submitted, employees can expect a processing timeline. Typically, the request will be handled promptly; however, employees can track the status of their request through designated university channels. Outcomes may vary, including approval and receipt of the updated form or rejection, prompting further action from the employee.
Security and Compliance in Handling Your 1095-C Form
Security is paramount when handling the Request for Re-Issued 1095-C Form. Measures are in place to protect sensitive employee information during processing. Compliance with standards such as GDPR and HIPAA ensures that privacy is upheld throughout the documentation process. Employees are advised to use verified platforms when submitting their requests to maintain data security.
Using pdfFiller for Your Request for Re-Issued 1095-C Form
pdfFiller offers valuable features to assist with the Request for Re-Issued 1095-C Form, including:
-
eSigning capabilities for quick approval.
-
Cloud storage for easy access to your documents.
-
Form templates to streamline the filling process.
Utilizing pdfFiller simplifies the process, making it more secure and user-friendly for all employees.
Examples and Resources for the 1095-C Reissue Request Form
For those needing additional guidance, examples of completed forms are available for reference. Moreover, employees can find various resources to enhance understanding of health insurance forms and their requirements, including links to relevant pdfFiller sections for further assistance.
How to fill out the 1095-C Reissue Request
-
1.To start, access pdfFiller and log in or create an account. Search for 'Request for Re-Issued 1095-C Form' in the template library.
-
2.Once you find the form, click 'Open' to begin. Familiarize yourself with the layout to find all relevant fields easily.
-
3.Before filling out the form, gather necessary information such as your full name, Banner ID, current mailing address, daytime phone number, and employment status.
-
4.Begin to fill in the form by entering your 'EMPLOYEE NAME' in the designated field. Ensure the name matches what appears on official records.
-
5.Next, input your 'BANNER ID' in the appropriate space. This ID is essential for identification in Auburn University's system.
-
6.Continue by providing your 'CURRENT MAILING ADDRESS.' Double-check for accuracy to avoid issues with form delivery.
-
7.Fill in your 'DAYTIME PHONE NUMBER' to allow for any necessary contact regarding the request.
-
8.Now, confirm your 'CURRENT EMPLOYMENT STATUS' by selecting the appropriate option or writing it if a description is required.
-
9.Ensure you sign the form in the designated area. A valid signature is crucial for processing your request.
-
10.After completing all fields, review the form for errors or missing information. If necessary, return to edit any sections.
-
11.Save your work frequently by clicking 'Save' in pdfFiller to prevent data loss.
-
12.Once satisfied with the completed form, download it as a PDF for your records or click 'Submit' to send it directly to the HR department.
-
13.If you prefer a physical copy, print the form. Remember to carry a picture ID if you plan to submit it in person.
Who is eligible to request a reissued 1095-C form?
Employees of Auburn University who need a replacement for their original 1095-C form are eligible to request it.
What is the deadline for submitting the Request for Re-Issued 1095-C Form?
It is recommended to submit the request as soon as possible, especially before tax season, to ensure you receive the document in time for filing.
How do I submit the completed Request for Re-Issued 1095-C Form?
You can submit the completed form either by mailing it to the HR department or delivering it in person, accompanied by a picture ID.
Are there any supporting documents required with this request?
Typically, no additional documents are required, but having your original 1095-C handy may help expedite the process.
What are common mistakes to avoid when filling out the form?
Ensure accuracy in your personal information and double-check that your signature is in place to avoid delays in processing your request.
How long does it take to process the request for a reissued form?
Processing times can vary; however, it usually takes a few weeks, depending on the volume of requests HR receives.
What should I do if I do not receive my reissued 1095-C form?
If you haven't received your reissued form within a reasonable timeframe, contact the Human Resources department for follow-up.
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.