Get the up-to-date 1095 c 2016 form-2024 now

Show details

4.4 out of 5

362 votes

OMB No* 1545-2251 Applicable Large Employer Member Employer 4 City or town VOID Employer-Provided Health Insurance Offer and Coverage Mar Apr May June July Aug Sept Oct Nov Dec 16 Section 4980H Safe Harbor and Other Relief enter code if applicable Covered Individuals If Employer provided self-insured coverage check the box and enter the information for each individual enrolled in coverage including the employee. a Name of covered individual s b SSN or other TIN c DOB If SSN or other TIN is not ...

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to modify 1095 c 2016 form online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making changes to your paperwork requires only a few simple clicks. Make these fast steps to modify the PDF 1095 c 2016 form online free of charge:

Sign up and log in to your account. Sign in to the editor using your credentials or click Create free account to test the tool’s capabilities.
Add the 1095 c 2016 form for editing. Click on the New Document option above, then drag and drop the document to the upload area, import it from the cloud, or using a link.
Change your file. Make any changes needed: add text and images to your 1095 c 2016 form, highlight important details, erase sections of content and replace them with new ones, and insert symbols, checkmarks, and areas for filling out.
Complete redacting the form. Save the updated document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is super user-friendly and efficient. Try it now!

See more 1095 c 2016 form versions

We've got more versions of the 1095 c 2016 form form. Select the right 1095 c 2016 form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (40 Votes)
2020	4.4 Satisfied (85 Votes)
2019	3.9 Satisfied (39 Votes)
2014	4 Satisfied (44 Votes)
2015	4.3 Satisfied (191 Votes)
2016	4.4 Satisfied (362 Votes)
2017	4.3 Satisfied (71 Votes)
2018	4.4 Satisfied (103 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How can I get my previous 1095-C?

There's only one place where you can get a copy of your 1095 tax form: your insurance company. Contact them directly \u2014 ONLY your insurer will have access to it and can provide you with a copy.

Can I get a copy of 1095-C online?

Please note that you may only be allowed one reprint through www.mytaxform.com free of charge. If you need additional copies, www.mytaxform.com may charge for each reprint. You may also call or email the USG Shared Services Center at 1-855-214-2644 or helpdesk@ssc.usg.edu to obtain additional copies.

What is a 1095-C Tax Form used for?

Form 1095-C will indicate your name and the name of your large employer, the months during the prior calendar year when you were eligible for coverage, and the cost of the cheapest monthly premium you could have paid for coverage under your employer's health plan.

Do I have to report 1095-C on my tax return?

Do I need my Form 1095-C to file my taxes? No, you do not need to send a copy of your 1095-C to the IRS when filing your tax return. However, you should keep the form with your tax records.