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About the Form 1095-C

Full time employees of the Commonwealth of Massachusetts, including institutions of higher education, the Massachusetts Bay Transit Authority (MBTA), or Massachusetts School Building Authority (MSBA) who work an average of 30 or more hours per week must be provided a Form 1095-C. This is a requirement of the Affordable Care Act.

Electronic Forms 1095-C are now available in HR/CMS Employee Self-Service Time and Attendance. Employees can view this by selecting “Benefit Details”, then “View Form 1095-C”.

Paper Forms 1095-C will be postmarked by March 1, 2024, and mailed to the employee’s home address.

Forms 1095-B and 1095-C should be kept with tax records. Do not submit them to the IRS or Massachusetts Department of Revenue.

VIEW FORM 1095-C INSTRUCTIONS

If you have questions about your Form 1095-C (the offer of health insurance coverage) issued by the Commonwealth of Massachusetts (including institutions of higher education), the MBTA, or MSBA, call your human resources department.

If you have any questions about a Form 1095-B (offer of health insurance coverage) from the GIC, please see the Form 1095-B Frequently Asked Questions. You can also visit the IRS website.

View Your Form 1095-C in HR/CMS Self-Service

Go Paperless!

State employees can suppress their paper Form W-2 and Form 1095-C through HR/CMS Employee Self-Service Time and Attendance.

Going paperless helps employees get their forms faster, and is more secure. In addition, this saves the Commonwealth money and is environmentally friendly. View instructions on Mass.gov.

OPEN HR/CMS EMPLOYEE SELF-SERVICE

Frequently Asked Questions

Why am I receiving a health care tax statement (Form 1095-C)?

Full time employees of the Commonwealth of Massachusetts, including institutions of higher education, the Massachusetts Bay Transit Authority (MBTA), or Massachusetts School Building Authority (MSBA) who work an average of 30 or more hours per week must be provided this form. This is a requirement of the Affordable Care Act.

Why am I receiving Form 1095-C now, after I have already filed my taxes?

The IRS requires that Form 1095-C be postmarked by March 1, 2024.

You do not need to wait until you receive the Form 1095-C to file your taxes, and you should not submit the Form 1095-C with your tax return. The Commonwealth of Massachusetts provides this information to the IRS.

You should retain the Form 1095-C with other important tax records.

What should I do with Form 1095-C?

You or your tax preparer will need to refer to this information when filing your federal tax return. Do not include this form with your filing to the IRS.

What other forms may I receive? And how are they different?

  • Form 1095-B details the months of health insurance coverage that you, your spouse and/or any eligible dependents had for each month. Form 1095-B is generally provided by the insurance carrier and gives details about the health insurance coverage you elected, including who in your family was covered.
    This form is available upon request from the Group Insurance Commission (GIC) or by mailing a request to: GIC, PO Box 556, Randolph, MA 02368.
    Note: If you were a full-time employee and changed health plans during the year to or from a non-GIC employer, you may receive multiple Forms 1095-B.
  • Form 1095-A provides information as to any Marketplace coverage you had (if applicable), and any Premium Tax Credits you received. If applicable, this form would be provided by the Marketplace Exchange.

Why did I receive more than one Form 1095-C?

If you worked at more than one agency, municipality, or company, you may receive a Form 1095-C from each employer – for example, if you changed jobs during the year and were enrolled in coverage with both employers.

Note: If you work more than one job at the Commonwealth of Massachusetts (including working for one or more agencies or institutions of higher education), you will receive one Form 1095-C that will be inclusive of all your jobs within the Commonwealth. The MBTA and MBSA are considered separate employers.

What information is included on the Form 1095-C?

There are three parts to the form:

  • Part I – Employee and Employer Information reports information about you and your employer, the Commonwealth of Massachusetts.
  • Part II – Employee Offer and Coverage reports information about the coverage offered to you by your employer, the affordability of the coverage offered, and the reason you were or were not offered coverage by your employer.
  • Part III – Covered Individuals will be blank. This information will be reported on the Form 1095-B.

Who should I contact if I have questions regarding the Form 1095-C that I received?

If you have questions about your Form 1095-C issued by the Commonwealth of Massachusetts, call your human resources department.

If you have any questions about the Form 1095-B (offer of health insurance coverage) from the GIC, please see the Form 1095-B FAQs at mass.gov. You can also visit the IRS website.

Related Content

Visit HR/CMS Self-Service

Log into HR/CMS Self-Service to view Forms 1095-C

VISIT HR/CMS

Form 1095-B

The Form 1095-B (Offer of Health Insurance Coverage) will no longer be automatically mailed by the Group Insurance Commission (GIC). For more information please visit see the GIC's page.

VISIT MASS.GOV

Form W-2

View information on the Form W-2 for Commonwealth employees

VISIT PAGE