IRS FORM 1095-C FOR TAX YEAR 2017 MAILED ON 02/13/2017

TO:      RCUH Employees Who Have Worked 50% Full-Time Equivalency or More and Have Enrolled in Health Coverage During the 2017 Calendar Year

RCUH Employees Who Have Worked 75% Full-Time Equivalency or More and Have Been Offered Health Coverage During the 2017 Calendar Year

RCUH is required to provide employees with IRS Form 1095-C to comply with the Patient Protection and Affordable Care Act Law (PPACA). This form will provide you with important information about the health insurance coverage that was offered to you during the 2017 calendar year.

All employees who met the eligibility criteria above, including those who previously submitted consent for an electronic copy, will receive a paper Form 1095-C,. This form was mailed on February 13, 2018 to your mailing address on record as of January 25, 2018.

Please contact RCUH Information Systems ([email protected]) for assistance if you do not receive your form within a week from this date.

Employees who previously submitted consent for an electronic IRS Form 1095-C may view their 2015 and 2016 Form 1095-C (if applicable) on Employee Self-Service at www.rcuh.com:Employee Self-Service > enter User ID and Password > Employee Self-Service tab > Benefits > View 1095-C Form > Tax Form.

For more information, please refer to the Questions and Answers about Health Care Information Forms for Individuals on the IRS website.

If you have any questions about your IRS Form 1095-C or the Affordable Care Act (ACA), please contact [email protected]. If you have difficulties logging in to Employee Self-Service, please contact [email protected].