TO:      RCUH Employees Who Have Worked 50% Full-Time Equivalency or More and Have Enrolled in Health Coverage During the 2017 Calendar Year

RCUH Employees Who Have Worked 75% Full-Time Equivalency or More and Have Been Offered Health Coverage During the 2017 Calendar Year

FROM: RCUH Human Resources

As part of our compliance with the Patient Protection and Affordable Care Act Law (PPACA), the RCUH is required to provide you with IRS Form 1095-C. This form will provide you with important information about the health insurance coverage that was offered to you during the 2017 calendar year.

All employees who met the eligibility criteria above will receive a paper Form 1095-C. This form will be mailed to your current mailing address on record as of January 25, 2018 in Mid-February.

We will provide another update when the forms are mailed.

 Employees who previously submitted consent for an electronic IRS Form 1095-C:

You will not be able to view your 2017 Form 1095-C on the RCUH Employee Self-Service (ESS) system. You will receive a paper copy via postal mail to your mailing address on record in ESS as of January 25, 2018. The paper Form 1095-C will be mailed out in Mid-February. If you do not receive your form at that time, please contact RCUH Information Systems ([email protected]) for assistance.

You may view your 2015 and 2016 Form 1095-C (if applicable) on Employee Self-Service at www.rcuh.com: Employee Self-Service > enter User ID and Password > Employee Self-Service tab > Benefits > View 1095-C Form > Tax Form.

 For more information, please refer to the Questions and Answers about Health Care Information Forms for Individuals on the IRS website.

If you have any questions about your IRS Form 1095-C or the ACA, please contact [email protected]. If you have difficulties logging in to Employee Self-Service, please contact [email protected]