ACA - Form 1095C

What is the 1095-C form?

Form 1095-C provides information about your health insurance enrollment and when coverage was effective during a calendar year.  The 1095-C form is informational only and is not required for filing your taxes.

What changed?

In December 2024, the Paperwork Burden Reduction Act (PBRA) removed the requirement for health insurance plan sponsors (employers) to provide a 1095-C to employees.  Previously, plan sponsors (employers like PPS) and health insurance providers (for example, Kaiser and Moda) of fully insured health plans were required to send the tax form 1095 to employees for your records.  Effective December 23, 2024, PBRA removed this requirement.    

Again, the 1095 form is informational only and is not required for filing your taxes.

Can I get a 1095-C for 2025?

Yes.  If you prefer to receive your 2025 1095-C, please choose from the options below and follow the directions to request a copy.

If you do not take action, you will not receive a Form 1095-C for 2025.

Receive an electronic copy:  

To receive an electronic copy of your 2025 1095-C form, you must provide your consent through www.mytaxform.com by January 30th, 2026.  Your form will be available for download beginning February 2nd, 2026. 

Use Employer Code: 10999 

1. Please ensure your popup blocker is turned off

2. First time users click 'Register Now' and follow the prompts

3. Existing users can login or select 'Forgot User ID' and/or 'Forgot your Password' and follow the prompts

4. You will be required to enter personal information to verify your identity

5. If you are locked out during this process, email benefits@pps.net to request a mytaxform reset.  

5. Once you successfully log in, new users will be prompted to create a personalized user ID and password 

6. Once logged in, click here for step by step instructions to consent to online delivery   

Request a paper 1095-C form:

·  Email your request to benefits@pps.net; or

·  Mail your request to Human Resources - Benefits 501 N Dixon Street Suite 200 Portland, OR 97227; or

·  Call HR Benefits at 503-916-6464 M-F from 9am-4pm