IRS Form 1095-C is Now Available via Employee Self-Service

The Form 1095-C is now available electronically via Self-Service.

Form 1095-C

Form 1095-C allows the Internal Revenue Service (IRS) to confirm Chapman’s compliance with the coverage and affordability provisions of the Affordable Care Act (ACA) and assists Chapman employees in preparing for their 2023 tax return filing. Every employee of Chapman University who is eligible to participate in medical insurance benefits should receive Form 1095-C, including those who declined coverage.


The ACA requires many employers to provide each medical insurance benefits-eligible employee with Form 1095. Employers are also obligated to report to the IRS that the medical insurance benefit coverage meets ACA affordability requirements. IRS Form 1095 is issued annually for the prior tax year. It is intended to give you information about your medical insurance benefit, who was covered, and when. You may receive more than one form which can be confusing. Here’s an overview of the three versions of the IRS Form 1095 for 2023 so you’ll know what to look for, and why you may receive each form.

Form 1095-A

This is issued by the Health Insurance Marketplace (e.g. Covered California, for California residents) to individuals who were enrolled in coverage during calendar year 2023.

Form 1095-B

This is issued by the medical insurance carrier. Employees enrolled in the Kaiser or Cigna plans in 2023 receive this form directly from the carrier.

Form 1095-C

This is issued by the employer. Chapman sends this form to employees if they are considered full-time benefits eligible by ACA standards (those who work 75 percent time or more) for the 2023 calendar year.

As an example, if you are a full-time Chapman employee enrolled in Kaiser, you should receive Form 1095-B from Kaiser, and Form 1095-C from Chapman.

You can download the 2023 Form 1095-C via Employee Self-Service > My Benefits. Please select the Affordable Care Act button, and click View Form 1095-C. If you did not elect to receive an electronic version, Chapman will mail a physical copy to the address on file in Employee Self-Service. To review and/or update your mailing address, please visit Employee Self-Service > My Personal Information. If you would like to opt in for an electronic version of Form 1095-C for 2023, visit Employee Self Service > My Benefits and select Form 1095-C Consent.

Please retain a copy of the form(s) you receive with the documents you used to prepare your 2023 tax return. More detailed information about the form and its use can be found on the back side of Form 1095.  Form 1095 does not need to be included (or attached) to your personal 1040 Tax Form filed with the IRS. For more information, please see Questions and Answers about Health Care Information Forms for Individuals (Forms 1095-A, 1095-B, and 1095-C) on

Reprints and Corrections

To allow time for delivery from the United States Postal Service, please wait one week before requesting a reprint of your 1095 form. If your forms are incorrect or you have questions, please email our Benefits team at

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