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Form 1095-C: Available Soon

IRS Form 1095-C includes information about the health insurance coverage offered to you by Penn as well as information for each of your family members enrolled under your Penn benefits plan.

The 1095-C forms will be mailed and available online on or before February 28, 2018. To access your 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 receive a Form 1095-C from Penn, keep it for your records. While you do not need to attach your 1095-C to your tax return when filing, you do need to indicate on your tax return if you had qualifying health coverage. Form 1095-C provides proof of that coverage.

If you have questions about your form, call Equifax at 855-823-3728. When prompted for your employee ID number, enter your social security number.

For general information about Form 1095-C, visit www.irs.gov/form1095c or the IRS Affordable Care Act & Taxes at a Glance webpage.

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