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Affordable Care Act Benefits Expansion

Form 1095-C

About the Affordable Care Act

The Patient Protection and Affordable Care Act, commonly called the Affordable Care Act (ACA), is a United States federal statute signed into law on March 23, 2010. The goal of the ACA is to make health care more affordable, accessible and of a higher quality. This includes those who were previously uninsured, and those who had insurance that didn’t provide them adequate coverage and security.
Please Note: Part-time and full-time benefits eligible employees are not impacted by the ACA benefits expansion.

The Affordable Care Act & Form 1095-C

The Affordable Care Act requires certain employers to offer health insurance coverage to full-time employees and their dependents. Further, those employers must send an annual statement to all employees eligible for coverage describing the insurance available to them. The Internal Revenue Service (IRS) created Form 1095-C to serve as that statement.
To comply with the new ACA requirements, the District has made several changes to our benefits program, including providing employees with a 1095-C form. The 1095-C includes information regarding the offering and enrollment of employees in the District’s health insurance plans.
To provide easy and quick access to the 1095-C, employees will be able to consent in PeopleSoft to electronically receive the 1095-C, similar to the process for receiving electronic W-2s. Employees, who do not consent to receive an electronic 1095-C, will have a paper copy mailed to the address listed in PeopleSoft in mid to late January.

Health Benefits for Temporary Employees

Health insurance benefits will be extended to certain employees in temporary appointments and their dependents under the DC Employee Health Benefits Program (DCEHB) during the annual Open Enrollment period. Eligible employees will have an opportunity to select a health maintenance organization (HMO) health benefits plan, as provided in this instruction. This coverage does not extend to dental or vision care insurance.

Eligibility for Temporary Benefits

District government employees serving in temporary appointments may be eligible to participate in an HMO plan only under the DCEHB if he or she meets the following eligibility requirements:
  • Be an employee of the District government who is serving in a temporary appointment (i.e., full-time, when actually employed)
  • Worked 90 or more days within the last 12 months
  • Received compensation for an average of 30 hours a week or 120 hours a month

Frequently Asked Questions

What is this form?

Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, is a tax form that reports your health care coverage month by month from the previous calendar year.

Who is sending it to me, when, and how?

If eligible, DC Government will send one to you either by mail or in person; if you have elected to electronically receive form 1095-C, you may download it through PeopleSoft when it becomes available. You should receive it sometime in March 2018.

Why are you sending it to me?

The 1095 forms will show that you and your family members either did or did not have health coverage during each month of the past year. Because of the Affordable Care Act, every person must obtain health insurance or pay a penalty to the IRS.

What am I supposed to do with this form?

Keep it for your tax records. You do not need this form in order to file your taxes, but when you do file, you’ll have to tell the IRS whether or not you had health insurance for each month of the year. Form 1095-C shows if you had health insurance through your employer. Since you don’t actually need this form to file your taxes, you don’t have to wait to receive it if you already know what months you did or didn’t have health insurance. When you do get the form, keep it with your other tax information in case you should need it in the future to help prove you had health insurance.