1095-C Form Information

Form 1095-C for the 2023 Benefit Plan Year were mailed to employees by 3/1/2024.  A copy of the 2023 1095-C Form is available in employee online.

• Form 1095-C provides information about the District offered health insurance coverage and whether you were enrolled in District health coverage during the 2023 plan year. While the information on the form may assist in preparing your individual income tax return, it is not required to be filed with your taxes.  
• Form 1095-B will be sent to you directly by your health insurance carrier (i.e. Kaiser, Anthem, Blue Shield, etc.). This form provides information on which months during 2023, both you and any dependents were enrolled in health coverage. Please contact the insurance carrier directly, if you have not received this form.