For the Employee
As part of the ACA legislation, the University is required to provide full-time employees with a 1095-C tax form on or before January 31st for the previous calendar year as proof of the health coverage offered to the employee and their family (if applicable) during that year. These forms are now available on Employee Self Service under the Payroll Section under View Year-End Tax Information.
Tax form 1095-C contains information about health coverage offered to the employee. One form is provided for all individuals covered by the employees plan, so the employee may need to provide copies to dependents. Do not discard the 1095-C form, but retain this for your tax records.
For the Non-Employee (Retirees and Students)
The University also provides health coverage to non-employees such as students and retirees.
As part of the ACA legislation, the University is required to provide non-employees with a 1095-B tax form on or before January 31st for the previous calendar year as proof of their health coverage meeting ACA minimal essential coverage requirements provided during that year. This does not include student athlete's secondary coverage.
Tax form 1095-B contains information about health insurance. One form is provided for all individuals covered by their plan, so the individual may need to provide copies to dependents. Do not discard the 1095-B form, but retain this for your tax records.
For the University
As the employer, the University is required to file all issued 1095-C and 1095-B forms with the IRS by March 31st for the previous calendar year.
Eligibility for Health Insurance
The University's health plans meet the Affordable Care Act's requirement of essential coverage and affordability for employees.
The Affordable Care Act (ACA) requires large employers to offer health insurance coverage to substantially all (at least 95%) of their full-time employees. The University offers health insurance to regular employees working half-time or more, and their eligibility will not change.
ACA regulations require the University also offer health insurance to all temporary, part-time and variable hour employees, including student employees, who meet the ACA eligibility requirements. The ACA eligibility requirements define a full-time employee as working an average of 30 or more hours per week within a measurement period.
Active faculty and staff, including students, temporaries, and part-time, who are not currently benefit eligible, but who work an average of 30 hours or more per week during the measurement period, will receive an offer for a health insurance plan based on their employment status including coverage for dependents if needed - paid either in full or partially by the employing department, if coverage is elected (ACA coverage does not include dental insurance). The University's contribution to this cost will be charged to the employing department, and will not be covered by the Fringe Benefit Pool System. The employee will be billed on a monthly basis for their share, if any, of the premium.
The 30 working hours will be determined by the using a standard measurable period of October 1 through September 30 of each year for ongoing employee. See chart below.
Standard Measurement Period and Stability Period for Eligibility for Health Insurance Coverage
|Year||Standard Measurement Period for Eligibility||Standard Stability Period|
|2016||October 1, 2014-September 30, 2015||January 1, 2016-December 31, 2016|
|2017||October 1, 2015-September 30, 2016||January 1, 2017-December 31, 2017|
|2018||October 1, 2016 - September 30, 2017||January 1, 2018-December 31, 2018|
New temporary and part-time hires will have an initial measurement period of 11 months beginning the first of the month following the date of hire.
Each week (and only the weeks) in which the individual worked will be included in the average calculation. E.g. - If a person only works 10 weeks out of the entire measurement period, the average hours worked during those 10 weeks would be what was used to determine eligibility. The average hours calculation does not include Federal Work Study Program hours, non-FMLA leaves without pay, or bona file volunteer hours.
Average hours worked per week for faculty who are not classified as Clinical or Research faculty include 1 hour of prep time for each credit hour that is taught plus 2.0 hours of office time for a total of 4 hours (calculated up to a maximum of 40 hours per week). A faculty member teaching 10 credit hours in an applicable semester would have a 40 hour average for the weeks of the semester.
If an employee is terminated during the measurable year and is rehired during the 26 weeks following the termination, then the prior employment time will be included for counting purposes or for eligibility for insurance coverage. Breaks longer than 26 weeks will result in the person being treated as a new hire.
Each year stands alone. An employee could qualify one year and not the next year based upon the average of the hours worked. If an employee that had coverage did not qualify in a measurement period, their eligibility for coverage would end the following January 1st.
If an employee becomes eligible for insurance due to the standard measurement period and elects coverage, the insurance will commence the 1st of January following the measurable period.
If a newly hired temporary employee becomes eligible for insurance due to their initial measurement period, coverage will be offered and if elected, coverage will begin on their 13th month of employment.