While you do not need to attach a 1095-C to your tax return, 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 to you by Penn and information for each of your family members enrolled under your Penn benefits plan.

The 1095-C form will be mailed and available online beginning the third week in February. 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 have questions about your form, contact the Penn Employee Solution Center at 215-898-7372 or hcmsolutioncenter@upenn.edu for assistance.

—Division of Human Resources