Affordable Care Act
From the IRS: What to do with form 1095-C?
In addition to your W-2, PISD has issued the 1095-C forms for the 2016 tax year. This form will show which months, if any, you were covered on a TRS-ActiveCare medical plan through PISD. You may need the information on this form when you file your tax return. If you need another copy of your form, please print a copy from the TEAMS Employee Service Center .
The 1095-C forms for the 2017 tax year will be issued by January 31, 2018.
Instructions for Selecting Electronic Delivery of 1095-C
Shared Responsibility Provision
(This is the fee for not having health insurance.)
The ACA requires you to have health insurance for yourself and your dependents. This is referred to as the "shared responsibility provision" or "individual mandate". If you do not have health insurance and you are not exempt, you may be subject to a penalty (click here for more information ). Some people are exempt from this requirement. To learn how to apply for an exemption, please click here .
Enrollment in TRS-ActiveCare satisfies the requirement to have health insurance. If you did not enroll in TRS-ActiveCare during the open enrollment period, you may only enroll later if you have a special enrollment event (such as an involuntary loss of coverage through your spouse's employer). The "individual mandate" or "shared responsibility provision" is not a special enrollment event for TRS-ActiveCare.
Health Insurance Marketplace
The Health Insurance Marketplace HealthCare.gov is available to help you find and compare private health insurance options. The Marketplace usually offers an open enrollment opportunity every Fall, for coverage to begin the following January 1.
The Health Insurance Marketplace Notice has been provided to all employees, regarding the Marketplace and how to get started. The notice contains information you can use when completing an application for coverage through the Marketplace. The Marketplace will determine if you qualify for any premium subsidies or tax credits.
Employees who are currently enrolled in a TRS-ActiveCare plan through Plano ISD, and who obtain coverage through the Health Insurance Marketplace, will be permitted to drop their TRS-ActiveCare coverage. The normal rules about changes still apply, such as needing to sign the cancellation paperwork before the coverage can be cancelled.
Important Notes: The Plano ISD's contribution only applies toward the TRS-ActiveCare premium for full-time employees, and will not be applied to coverage purchased through the Marketplace. Also, you have the option of paying your TRS-ActiveCare premium before taxes as a payroll deduction. That option is not available through the Marketplace, as those premiums are paid on an after-tax basis.
Marketplace information is available at HealthCare.gov .