IRS FORM 1095-C FOR TAX YEAR 2016

TO:      RCUH Employees Who Have Worked 50% Full-Time Equivalency or More and Have Enrolled in Health Coverage During the 2016 Calendar Year

RCUH Employees Who Have Worked 75% Full-Time Equivalency or More and Have Been Offered Health Coverage During the 2016 Calendar Year

As part of our compliance with the Patient Protection and Affordable Care Act Law (PPACA), the RCUH is required t 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 2016 calendar year.

Employees who submitted consent for an electronic IRS Form 1095-C:

Your 2016 Form 1095-C is now available on the RCUH Employee Self-Service system at www.rcuh.com:

Employee Self-Service > User ID and Password > Benefits > View 1095-C Form > Tax Form.

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.

 Employees who submitted consent for an electronic IRS Form 1095-C:

A paper 1095-C form will be mailed to your current mailing address on record on Tuesday, January 31, 2017.

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 have difficulties logging in to Employee Self Service, please contact [email protected].