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Affordable Care Act Verification Form Mailed

July 1, 2016

Dear Faculty and Staff,

You soon will receive a form and letter from System Administration regarding the federal Affordable Care Act (ACA).

Watch your mailbox for Form 1095-C, which will be mailed to your preferred address. Form 1095-C states that the System has offered to eligible employees health care benefits that meet ACA standards for coverage and affordability, and that the System has reported its offering to the IRS.

The IRS clearly states that the form is not required by employees for filing income tax returns - employees can keep the form with other tax document records.

Earlier this year, you received a similar verification (Form 1095-B) from United Healthcare, if you are enrolled in their plan. This form also is for record keeping.

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: Fri 01 July 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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