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ACA acknowledgement forms to be sent to employees

March 31, 2016

Dear Faculty and Staff, 

If you are enrolled in the Employees Retirement System health plan (United Healthcare), the federal Affordable Care Act (ACA) requires you to have two forms:

  • Form 1095-B –  previously mailed to you from United Healthcare
  • Form 1095-C –  to be mailed to you from UNT System Administration

Both forms are for record keeping only and do not need to be submitted with federal income taxes. Employees do not pay income tax on the value of provided medical coverage.

When you file tax returns, you must indicate that you have insurance, which has been verified by Form 1095-B.

Form 1095-C notifies employees that the university system has met its obligation to provide health care benefits that meet ACA standards and affordability. This form also is only for your files and need not be submitted with tax returns.

Our deadline to send Form 1095-C to employees was March 31, but this mailing has been delayed for a short time. You can expect to receive form 1095-C from UNT System Administration within the next few weeks. Remember that you do not need Form 1095-C to file your annual income taxes – it is onlyfor your personal records.

If you have questions or need additional assistance, please contact the Human Resources Records and Support Center, 1-855-878-7650.


Luis E. Lewin,

Associate Vice Chancellor for Human Resources






Posted on: Mon 04 April 2016

Owning Excellence

Faculty and staff members have roles in transforming UNT into a nationally prominent university. Share your ideas on how you can help UNT to own excellence, keep students on track and improve graduation education.

Mean Green Pride


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