1095-C Tax Form

2016 IRS 1095-C Form

The State of Kansas is required to provide the 1095-C Form to all employees who were eligible for coverage in the State Employee Health Plan (SEHP) for one or more months of the calendar year.  This form is provided to all eligible employees, even those who declined or waived SEHP coverage for the tax year.  The 1095-C Form is similar to W-2 or 1099 Forms that you will need to retain for your tax records and the preparation of your tax return.  More information on the 1095-C Form may be found on IRS website.

Your 1095-C Form is available in the State of Kansas Membership Administration Portal, MAP.  This portal is used by employees to make SEHP open enrollment elections and to request mid-year changes.  You will use your KU online ID and password to sign in to MAP.  Once logged in, the 1095-C Form is located under the “Forms” tab, under “Tax Forms.”  The SEHP stated they also will mail this form to the primary member covered under the SEHP at that member’s preferred mailing address which is located in the “Member & Family” tab in MAP.  

If you have any questions regarding the 1095-C form, please send an email to SEHPMembership@kdheks.gov