In the coming weeks, all UCOP employees will receive 1095-B and/or 1095-C forms verifying their health coverage for 2020.

Printed copies will be mailed from UCPath by Jan. 31, 2021. Online access is not available through UCPath.

Please note: The Affordable Care Act (ACA) and certain jurisdictions require employers and/or health plans to send you these forms regarding your health insurance status, but you do not need to submit copies of any form when you file your taxes. The form is for your information and records only.

What is IRS Form 1095?

IRS Form 1095 is intended to give you information about your medical coverage, who was covered and when. You may receive more than one form, however, which can be confusing. Here’s an overview of the three versions of IRS Form 1095 so you’ll know what to look for, and why you may receive each form.

Form 1095-A

This version of Form 1095 is sent by the Health Insurance Marketplace (Covered California, for California residents) to individuals who enrolled in coverage there.

Form 1095-B

This version of Form 1095 is sent by health insurance providers to individuals they cover. Employees enrolled in UC’s Kaiser or UC Blue & Gold (Health Net) plan in 2020 receive this form from their plans.

Form 1095-C

This version of Form 1095 is sent by employers. UC sends this form to UC employees if they:

• Are considered full-time by ACA standards (those who work 75 percent time or more) or
• Are enrolled in UC’s self-insured plans (CORE, UC Care and UC Health Savings Plan)

Which 1095 form/s will I receive?

If you are a full-time employee enrolled in UC Blue & Gold or Kaiser, you should receive Form 1095-B from Health Net or Kaiser and Form 1095-C from UC. If you are a full-time employee enrolled in CORE, UC Care or the UC Health Savings Plan, you should only receive Form 1095-C from UC.

For more information, please see Questions and Answers about Health Care Information Forms for Individuals (Forms 1095-A, 1095-B, and 1095-C) on irs.gov.

Massachusetts residents: Look out for 1099-HC

If you are a Massachusetts resident and have health insurance from UC, you will also receive a 1099-HC form — a Massachusetts tax document which provides proof of health insurance coverage for Massachusetts residents.

Reprints and corrections

To allow time for delivery from the United States Postal Service, please wait until March 13 before requesting a reprint of 1095 or 1099-HC forms. If your forms are incorrect, you can submit a request with the corrected information. UC will generate a corrected 1095 or 1099-HC to retain for your records.

To request a copy or correction in UCPath, scroll down to the Forms Library and click on “Records” to complete a Benefits record request.

If you were a member of Health Net or Kaiser in 2020, reach out to your health plan for reprints or corrections to Form 1095-B.

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