Advanced Benefits (US)

ACA 1095-C Statement (US)

Using the ACA 1095C Statement Self-Service Page

The Instructions for Self Service 1095C Statement self-service page appears when employees click the ACA 1095C Statement link in their Employee Self-Service responsibility.

As an employee, you can:

The following sections explain the contents of the ACA 1095C Statement page.

Providing Consent to Receive the ACA 1095-C Statement Electronically

The initial 1095-C Statement page provides information about the process to obtain the 1095-C statement electronically. The instructions are related to providing the consent, revoking consent, and the procedure for obtaining a paper copy after giving consent to receive electronically.

Before getting access to the 1095-C statement, employees must explicitly elect to receive the form electronically.

  1. If you want to receive the 1095-C statement electronically, then select the Consent check box and click Save to record your consent. When you click Save, the Search Archive Data page appears.

  2. Click Revoke, if you want to withdraw your consent to receive the 1095-C statement electronically and save your changes.

The application stores a history of consents and withdrawals with the date on which the action is performed. On termination, a person's consent is canceled so that they can receive the statement as a paper copy as an ex-employee.

Viewing the ACA 1095-C Statement

After confirming consent and clicking Next, if there are no 1095-C statements, then the application displays a message that are no statements that are available for viewing. If 1095-C statements are available, then the Search Archive Data page appears.

In the Search Archive Data page, to find the 1095-C statement that you need to view, search using one or more of the following criteria:

If there is more than one version available for that reporting year and GRE, then an additional search drop-down is available to select the version number. The search defaults to the latest version.

You can view the following details of the 1095-C electronic form:

Click View Latest PDF to view your 1095-C statement using the seeded laser-cut template for the applicable reporting year. You can print or download the 1095-C statement.

The page also displays a link that you can click to access the instructions for the year for which you are viewing the form.

Configuring the ACA 1095C Statement Self-Service Pages

This topic provides information on configuring the ACA 1095C Statement Self-Service pages.

Menu and Function Names

This module can be accessed from the following menus and functions:

User Menu Name Function Name
Employee Self Service ACA 1095C Statement

Workflow

Not applicable

Configurable Tips and Instructions

You can configure tips and instructions in the following pages:

Configurable FlexFields

Not applicable

Configurable Profile Options

Not applicable