1095-C forms for 2023 will be mailed from Equifax at the end of January and available online beginning February 1.

You do not need to attach a 1095-C to your tax return. However, the Affordable Care Act (ACA) requires that Penn send the 1095-C tax form to certain benefits-eligible faculty and staff members. This form includes information about the health insurance coverage offered by Penn and information for each family member enrolled under your Penn benefits plan.

To access the form online, go to the My Pay section of the secure U@Penn portal at www.upenn.edu/u@penn, then select “My 1095-C form.”

If you have questions about your form, contact:

• Penn Employee Solution Center at solutioncenter@upenn.edu or (215) 898-7372.
• 1095-C Benefits HR Box at aca@hr.upenn.edu or (215) 898-6465.