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K-State Research and Extension
123 Umberger Hall
Manhattan, KS 66506-3401
785-532-5820
extadmin@ksu.edu

January 19, 2016

State of Kansas Employees Will Need Form 1095-C When Filing Taxes

Submitted by Human Capital Services

Form 1095-C, employer-provided health insurance offer and coverage form is available.

Who receives a 1095-C form:

Employees eligible for health insurance coverage, including those who decline to participate in the State of Kansas health insurance plan, should receive a 1095-C form for tax filing purposes. The form identifies:

The employee and the employer
Which months in 2015 the employee was eligible for coverage
Minimum monthly premium under the plan

1095-C forms for State of Kansas employees are available to print through the State of Kansas Membership Administration Portal (MAP). K-State employees are able to sign into MAP with their eID and password through HRIS > Employee Self Service> Benefits > Health Insurance Enrollment. When logged into MAP, the 1095-C form is located on the Forms tab on the Account Overview page, under "Tax Forms."

The 1095-C forms will also be mailed directly to the employee's mailing address listed in MAP. To view the mailing address, go to "Contact Information" on the Member and Family page tab.

Employees should keep this form with other tax-related documents. It is similar to a W-2 or 1099 form, and will be needed when preparing their 2015 taxes or when providing data to a tax professional.

Questions? Contact benefits @ benefits@k-state.edu or view our FAQs.

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