Loyola University Chicago

Human Resources

Form 1095-C

In 2016, the IRS' Form 1095-C document debuted to accompany the W-2 form used to file your taxes. The Affordable Care Act (ACA) requires large employers (i.e. Loyola University Chicago) with 50 or more full-time employees to offer health insurance to their employees. The Form 1095-C document allows the Internal Revenue Service (IRS) to confirm University compliance with the coverage and affordability provisions of the ACA and assist University employees in preparing for the 2016 tax return filing season.

  • The University will provide the Form 1095-C document to employees and file copies with the IRS

 

There are three parts to the Form 1095-C document:

  • Employee and Employer Information -  reports information about you and your employer
  • Employee Offer and Coverage - reports information about the coverage offered to you by your employer, the affordability of the coverage offered, and the reason why you were or were not offered coverage by your employer
  • Covered Individuals - reports information about the dependents covered under your self-insured health plan‌

Form 1095-C

Only active employees may elect to receive the Form 1095-C document online. The electronic option allows you to receive and save / print your 1095-C document from Employee Self-Service and then send the online form with your tax return.
  • Federal regulations require employees give their consent to receive their Form-1095-C document in an electronic format
  • Active faculty and staff can log in to Employee Self-Service to give consent by February 1, 2017
  • Make sure you are on a Loyola network computer or are accessing the Loyola network via a Loyola Secure Access (LSA) connection
  • Using any web browser, follow the following link to open the Employee Self Service web page: https://lawson.luc.edu/. Log in using your Loyola UVID and password
  • Under Bookmarks, click on Employee Self Service -> Pay -> W-2/1095-C - > under the under My Delivery Settings, click on the Authorization Required link under 1095-Cs
  • Continue through the instructions to consent to receive your 1095-C form in electronic format
  • Once electronic consent is given, it carries forward each year and does not need to be repeated
  • The 1095-C will be available on Employee Self Service in an IRS-approved PDF no later than March 2, 2017
  • In mid-February watch for an email notification alerting you that 1095-C's are available in Employee Self-Service
Helpful Documents
  • We have created a helpful guide with detailed instructions on how to opt-in to electronically receive Form 1095-C
  • If you need to print a copy of your Form 1095-C document, please review our helpful print guide
There are multiple benefits to receiving an electronic Form 1095-C:
  • Earlier access to the Form 1095-C.
  • No possibility an employee's Form 1095-C might be lost, stolen, delayed or misplaced by the U.S. mail service or by the employee, once received.
  • Access is available at the same easy-to-use, secure employee self-service web site at which an employee can access his/her wages and paycheck information.
  • Access can be attained even if the employee is not presently at his/her residence, for example, working at our Rome center or participating in a University study abroad program.

The 2016 Form 1095-C document will be distributed to employees no later than March 2, 2017.

Electronic Option:

Only active employees may elect to receive the Form 1095-C document online. The electronic option allows you to receive and print your 1095-C document from Employee Self-Service and then send the form with your tax return.

  • Faculty and staff can log in to Employee Self-Service to give consent by February 1, 2017
  • Once consent is given, your 1095-C form will be available on Employee Self Service in an IRS-approved PDF no later than March 2, 2017
  • In mid-February watch for an email notification alerting you that 1095-C's are available in Employee Self-Service

Mail Option:

  • If an employee does not consent to the electronic option, the Form 1095 - C document will be mailed to the current address on record no later than March 2, 2017
  • As a reminder, current active employees can update their address on file with Human Resources through Employee Self-Service
  • Employees who have separated from the University will receive a paper copy of their Form 1095-C in the mail to the address on file with Human Resources
  • It is not necessary for current active employees to request a duplicate of their 1095-C form from Human Resources.  Access to the current year 1095-C form,  as well as all subsequent years (2015-present) are available through Employee Self-Service as long as the employee is actively employed by Loyola University Chicago. Opting in to receive your 1095-C electronically will give you immediate access to the 2016 1095-C.  Additional information regarding the electronic 1095-C may be found here.
  • Employees who have separated from Loyola University Chicago will have to request duplicate 1095-C forms from Human Resources at benefits@luc.edu.  Please complete and return the below request form.
An employee may withdraw consent by entering Employee Self Service and navigating to Bookmarks ->Employee Self Service->Pay->1095-C->My Delivery Settings, and changing the Web Delivery option to “No” and submitting the change. The withdrawal of consent does not apply to a Form 1095-C that was furnished electronically before the withdrawal of consent made in  Employee Self-Service. 
If you worked at more than one employer, and carried health care coverage with them, you will receive separate Form 1095 - C document's.
The Internal Revenue Service (IRS) can provide additional information about the Form 1095-C document.