1095-C Insurance Tax Form

Service Audience:
  • New Employee
  • Current Employee
  • Supervisor
  • Faculty

Employer-Provided Health Insurance Offer and Coverage 

As part of the Patient Protection and Affordable Care Act, also known as Obamacare, employers are required to send Form 1095-C to certain employees.  It will contain detailed information about your health care coverage. In January 2022, you may receive this form.

You will receive the form if you meet either of the two conditions listed below.  

  • Were enrolled in health care coverage from UT Arlington at any point in 2021
  • Worked an average of 30 or more hours per week 

It is important to keep the form for your records since you will need it to file your taxes for 2021.  You can view the blank form here on the IRS website.

We will continue to keep you informed on this important new tax document.