In addition to the standard W-2 form, employees also receive the federal tax form called a 1095-C. Duke provides this form annually as part of the requirements of the Affordable Care Act.

What does the dollar amount on Line 15 of my 1095-C represent?

The dollar amount is the lowest cost monthly premium for individual coverage for the calendar year being reported. For most faculty and staff, this amount is the employee portion of the premium for Duke Basic.

I’ve lost my 1095-C. How do I get another one?

Call the HRIC at (919) 684-5600 and another copy will be sent to you.

I didn’t receive my 1095-C or think a correction is needed. Who do I call?

Call the HRIC at (919) 684-5600. We will research and if applicable expedite sending you a corrected 1095-C for your records.

Why are these forms important?

On your annual tax return, you will be required to indicate if you and your dependents had qualifying medical coverage. The purpose of the 1095-C form is to document whether the employer offered health insurance coverage and whether the employee and any eligible dependents were enrolled in coverage during the calendar year.

What information does the form contain?

The 1095-C has three parts: Part I includes specific information about the employee and the employer such as the employee’s name, Social Security number, Employer Identification Number (EIN); Part II includes which months the employer offered medical coverage and the lowest cost plan available; and Part III lists the people covered under the employee’s health insurance.

Who receives the 1095-C?

Employers must provide the annual 1095-C form to all full-time and part-time employees who were eligible or enrolled in health insurance coverage, former employees who were enrolled in coverage, and retirees who enrolled for Duke’s health insurance during the calendar year.

When will I receive my 1095-C?

Duke Human Resources will send the 1095-C form to the home addresses of faculty and staff no later than March 4. The IRS does not require individuals to mail in the form with their annual income tax return, but you should retain the 1095-C form with your other important tax records.

What if I plan to file before I receive my 1095-C?

You do not need to wait until you receive the 1095-C form to file your taxes. The IRS guidelines allow for taxes to be filed using other information provided by the employer. You should retain the form with your tax records.

What do I need to do?

Similar to last year, the IRS is asking individuals to check a box on their income tax return if they had health insurance coverage during the prior year.

If an employee or dependent did not have coverage for all 12 months, the IRS may require completion of an additional tax form. In this case, the form can be completed using information from the 1095-C or information from the personalized open enrollment materials such as the confirmation statement.

Is the 1095-C available online?

At this time, forms are not available online. A hardcopy form will be mailed to your home address on record.

Who can I contact with questions?

Employees with questions about coverage can call Duke Human Resources at 919-684-5600 or contact their personal tax preparer for more information.