Form 1095-C health insurance information for federal tax return
The county has mailed you a document called Form 1095-C. This is in addition to your W-2 form. This form is proof of your health insurance coverage through the county in 2016.
Keep the form for your records; you do not attach it to your 2016 tax return.
Form 1095-C contains information that identifies:
- Your employer, which is Hennepin County
- You, the employee
- The months during the previous year (2016) that you were eligible for/were enrolled in coverage
- The lowest monthly single premium you could have paid ($13.72 for Advantage – HCMC/NorthPoint)
- The names and social security numbers of each person covered. Read instructions on how to add SSN of each covered person into APEX (PDF).