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STATE OF CALIFORNIABETTY T. YES California State ControllerSTATE CONTROLLERS OFFICE PERSONNEL AND PAYROLL SERVICES DIVISION P.O. BOX 942850 SACRAMENTO, CA 942505878 DATE:March 2, 2017PERSONNEL LETTER
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How to fill out 2016 form 1095-c distribution

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How to fill out 2016 form 1095-c distribution

01
To fill out 2016 form 1095-c distribution, follow these steps:
02
Start by entering your employer's information in Part I of the form. Include the employer's name, address, and employer identification number (EIN).
03
Next, move to Part II and fill in the employee's information. Provide your full name, address, and social security number.
04
In Part III, you'll need to report the months in which you were covered under an employer-sponsored health plan. Check the appropriate boxes to indicate your coverage for each month.
05
If you had a covered family member, indicate their information in Part IV. Provide their full name, social security number, and the months they were covered under the health plan.
06
In Part V, you may need to report information about the affordability of your employer-sponsored coverage. Consult the instructions provided with the form to determine if this section applies to you.
07
After completing all the necessary sections, review the form for accuracy and make sure all required fields are filled out.
08
Sign and date the form, then distribute copies as instructed by your employer or the IRS.
09
Make sure to consult the instructions for the form and seek professional assistance if needed.

Who needs 2016 form 1095-c distribution?

01
Certain employers, called applicable large employers (ALEs), are required to distribute form 1095-c to their employees for the 2016 tax year.
02
An applicable large employer is one that employed an average of at least 50 full-time employees (including equivalents) during the prior calendar year.
03
Form 1095-c provides information about the health insurance coverage offered by the employer and is used by the IRS to verify individuals' compliance with the Affordable Care Act's employer mandate.
04
Employees who receive an employer-sponsored health plan or are eligible for such coverage may need to receive this form from their employer.
05
It is important to consult the IRS guidelines and consult a tax professional to determine if you meet the requirements for receiving form 1095-c distribution.
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Form 1095-C is a tax form used by applicable large employers to report information about health insurance coverage offered to their employees, as required by the Affordable Care Act (ACA).
Applicable large employers (ALEs) that have 50 or more full-time employees, including full-time equivalent employees, are required to file Form 1095-C.
To fill out Form 1095-C, employers must provide information about the employer, the offer of health coverage, and employee details, including months of coverage offered. It can be completed using tax software or manually based on IRS instructions.
The purpose of Form 1095-C is to inform employees about their health insurance coverage and to provide the IRS with necessary information to enforce the ACA's employer mandate.
Form 1095-C requires reporting of information such as the employer's name, address, Tax ID number, employee's details, coverage offered, and the months during which the coverage was available.
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