Important Health Coverage Tax Documents
Effective 2025, the State will no longer mail 1095-C tax forms and you must request a copy of the form. Call INSPD Benefits at 1-877-248-0007 or email 1095Requests@spd.IN.gov. You can also mail the request to:
Indiana State Personnel Department
Benefits Division: 1095-C form request
402 West Washington St. Room W161
Indianapolis, IN 46204
Include your first and last name, PeopleSoft ID, and a phone number or email address where you can be reached. If you do not know your PeopleSoft ID, please provide the last 4 digits of your SSN. You may request the 1095-C form be emailed or mailed to your address on file in PeopleSoft. Additional information may be requested prior to mailing or emailing the 1095-C form. You do not need the 1095-C form to file your federal taxes.
Forms will be provided by January 31, 2026, or 30 days after the request; whichever is later. More information can be found here: www.irs.gov/affordable-care-act/questions-and-answers-about-health-care-information-forms-for-individuals
Frequently Asked Questions
1. What is Form 1095-C?
Form 1095-C is required by the federal Affordable Care Act (ACA). The ACA requires large employers to report to the IRS on the health coverage, if any, offered to their full-time employees. Form 1095-C provides both you and the IRS with information about the health insurance coverage offered to you and, if applicable, your family.
2. How will I get my Form 1095-C?
The State will no longer mail 1095-C tax forms. You may request a copy of the form by contacting the Benefits Hotline at 1-877-248-0007 or 1095Requests@spd.IN.gov. Include your name, PeopleSoft ID number, a phone number or email address where you can be reached and state that you want a copy of the Form 1095-C. You will be mailed the 1095-C tax document or emailed; whichever is preferred.
3. When will I get my Form 1095-C?
The State will provide the 1095-C within 30 days of your request or by January 31; whichever is later.
4. Will my covered spouse and/or dependents receive their own Form 1095-C?
No. We will not provide a separate form to others covered on your plan, even those who do not reside with you. As the recipient of the form, you should provide a copy to any of these individuals if they request it for their records.
5. Is Form 1095-C available electronically in Self Service?
No, not for 2025.
6. Who else receives a copy of my Form 1095-C?
A copy of your form will be sent to the IRS as required by law.
7. What should I do if I think the form I received has an error?
You may want to review information about IRS Form 1095-C.
If you still think that there may be an error, contact State Personnel at 1-877-248-0007 or email SPDBenefits@spd.in.gov. We will need your name, PeopleSoft ID number if you are an active employee, confirmation of your mailing address, and a phone number or email address where you can be reached. Please explain what information you think is wrong and why. We will research the issue and contact you.
8. Why doesn’t the amount on Form 1095-C, line 15 match what I actually pay for the coverage?
Line 15 displays the employee’s share of the monthly premium for single coverage offered through the lowest cost state employee plan. This is required even if it does not match what you actually pay. For example, if you have family coverage the amount displayed on Line 15 will still be the employee share of the cost of single coverage and not the employee share of the cost of family coverage.
9. Why isn’t the COBRA offer on my form?
Generally, an offer of COBRA continuation coverage due to termination of employment is not reported as an offer of coverage on Part II of Form 1095-C, unless you actually enrolled in the COBRA coverage. Enrollment in COBRA is shown in Part III of the form.
10. Does the State’s health coverage meet the federal definition of “minimum essential coverage?”
Yes, all plans offered by the State Personnel Department provide minimum essential coverage.
11. Is the State’s health coverage “minimum value” according to the federal definition?
Yes, the State’s plan meets the minimum value standard. This means that it’s designed to pay at least 60 percent of the total cost of medical services.
12. Is the State’s health coverage “affordable” under the federal definition?
Yes, the State Personnel Department offers affordable coverage as defined by the Affordable Care Act (ACA).
13. Will I get a Form 1095-C for my dental and vision coverage?
No, you will not receive a form for stand-alone dental or vision coverage.
14. Where can I find more information about Form 1095-C?
The IRS website provides information about these forms as well as the Form’s instructions.
15. Will social security numbers (SSN) be included on this form?
Yes. As required by law, your Form 1095-C will include SSNs. We will truncate the SSN (meaning the first five numbers will not be displayed) on the form we send to you. By law, we are required to send the IRS a copy of your form that displays the full SSN for both you and any other individual included on your coverage.
16. Are there other versions of this form?
Yes, there are three versions:
- Form 1095-A is provided for coverage purchases through insurance exchanges.
- Form 1095-B is provided to enrollees by insurance providers such as insurance companies and by the public programs such as Medicaid and Medicare.
- Form 1095-C is completed by large employers and employers with self-insured health coverage.
You may receive one of these other forms if you were offered coverage through another entity.
