As part of our compliance with the Patient Protection and Affordable Care Act Law (PPACA), the RCUH is required to provide you with IRS Form 1095-C. This form will provide you with important information about the health insurance coverage that was offered to you during the 2015 calendar year.

Employees who submitted consent for an electronic IRS Form 1095-C:
Your 2015 Form 1095-C is now available on the RCUH Employee Self-Service system at www.rcuh.com:
Employee Self Service > User ID and password > Self Service > Benefits > View 1095-C Forms

If you have difficulties opening your .pdf form, please make sure that the pop-up blocker on your browser is off or allows our website “https://hrweb.rcuh.com.”

Employees who did NOT consent for an electronic IRS Form 1095-C:
A paper 1095-C form will be mailed to your current mailing address on record on Friday, February 26, 2016.

(a)    Worked 50% full-time equivalency or more, and enrolled in health coverage during the 2015 calendar year

OR

(b)    Worked 75% full-time equivalency or more, and were offered health coverage during the 2015 calendar year

All other employees who do not meet the above requirements will not be receiving a Form 1095-C.

For more information, please refer to the Questions and Answers about Health Care Information Forms for Individuals on the IRS website or the RCUH Form 1095-C Q&A on our website.

If you have any questions about your IRS Form 1095-C or the ACA, please contact [email protected]. If you are having difficulties logging in to ESS, please contact [email protected].