Fillable 1095c 2026

1. Click ‘Get Form’ to open the fillable 1095-C in the editor.
2. Begin with Part I, where you will enter the employee's name, Social Security Number (SSN), and address details including city, state, and ZIP code.
3. In Part II, provide information about the employer. Fill in the employer's name, Employer Identification Number (EIN), and contact details.
4. Next, indicate the offer of coverage for each month in Section 14. Use the provided codes to specify the type of coverage offered.
5. For Section 15, input the employee's share of the lowest cost monthly premium for self-only minimum value coverage.
6. If applicable, check the box in Part III for covered individuals and enter their names, SSNs, dates of birth, and months of coverage.

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