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

January 31, 2017

Form 1095-C Available for Tax Reporting Purposes

Submitted by Human Capital Services - Benefits

Form 1095-C employer-provided health insurance offer and coverage form is available. The form is being mailed by the State Employee Health Plan to employees' homes and is available to print from the Membership Administration Portal.

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 2016 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. K-State employees are able to sign into Membership Administration Portal with their eID and password through HRIS > Employee Self Service > Benefits > Health Insurance Enrollment. When logged into Membership Administration Portal, the 1095-C form is located on the "Forms" tab on the Account Overview page under "Tax Forms."

The 1095-C forms also will be mailed directly to the employee's mailing address listed in Membership Administration Portal. 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 2016 taxes or when providing data to a tax professional.

Questions? Contact your benefits team at benefits@k-state.edu or view our FAQ.