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1095C Form Department of the Treasury Internal Revenue Service Part I Information OMB No. 15452251 CORRECTED about Form 1095C and its separate instructions is at www.irs.gov×form1095c Employee 600116
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How to fill out 2015 form 1095-c

How to fill out 2015 form 1095-c:
01
Obtain a copy of the 2015 form 1095-c from the Internal Revenue Service (IRS) website or through other authorized sources.
02
Enter your personal information, including your name, Social Security number, and address, in the designated fields on the form.
03
Provide information about your employer, including their name, employer identification number (EIN), and contact details.
04
Report the months in which you were considered a full-time employee by your employer. Indicate whether you were offered health coverage during those months and if you enrolled in the offered coverage.
05
In case you were not considered a full-time employee for any month, provide the details of the lowest-cost monthly premium for self-only coverage that was available to you.
06
If applicable, enter the information about your spouse and dependents who were covered under the health plan, including their names and Social Security numbers.
07
Complete any other required sections or forms associated with the 2015 form 1095-c, such as Part III for self-insured employers.
08
Review the completed form for accuracy, ensuring all information provided is correct and legible.
09
Sign and date the form before submitting it to the appropriate party, which may be your employer or the IRS, depending on the instructions provided.
Who needs 2015 form 1095-c:
01
Employers who are applicable large employers (ALEs), i.e., those who employed an average of at least 50 full-time employees, including full-time equivalents, during the previous year.
02
Employees who were considered full-time for at least one month in the previous year and were enrolled in an employer-sponsored health plan.
03
Individuals who wish to report their health coverage status to the IRS, as required under the Affordable Care Act (ACA).
04
Self-insured employers who provided health coverage to their employees.
Please note that this information is based on general guidelines and it is advisable to consult the official instructions provided by the IRS for specific details and requirements regarding the 2015 form 1095-c.
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What is form 1095-c?
Form 1095-c is a tax form used by employers to report information about employees' health insurance coverage.
Who is required to file form 1095-c?
Employers with 50 or more full-time employees are required to file form 1095-c.
How to fill out form 1095-c?
Form 1095-c must be filled out by employers with information about employees' health insurance coverage, including the months of coverage.
What is the purpose of form 1095-c?
The purpose of form 1095-c is to provide information to employees and the IRS about the employer-sponsored health insurance coverage.
What information must be reported on form 1095-c?
Form 1095-c must include information about the employer, the employee, and the health insurance coverage offered.
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