health coverage tax form 1095

Your Form 1095 will be automatically sent to you in January of each year - either by mail or online - according to the delivery preference in effect on December 31 of the previous year. If you want to change how your Form 1095 is delivered, you can update your preference at any time prior to December 31. Here's how to choose your delivery preference:

• Login to the BenefitConnect website.
• Scroll down to Helpful Links on the home page and choose View Health Tax Form 1095.
• The first time you access the Form 1095 tool, you will need to register with an email and password of your choice. After the first login is complete, you will be automatically connected to the tool and your forms thereafter; a password is not required when accessing the forms from BenefitConnect.
• From the Form 1095 home page, click on your email address in the upper right corner of the screen, then choose Settings.
• There is an option to change your Form 1095 delivery settings from this screen.

Your Form 1095 will be automatically mailed to you by January 31 each year, unless you select electronic delivery on the BenefitConnect website. 

• If you want to receive your Form 1095 electronically, you must select the electronic delivery preference prior to December 31.
• If you signed up for electronic delivery of your Form 1095 by the previous December 31, you will be notified by email to view your form on the BenefitConnect website as soon as it's available each January.
• If you have not selected electronic delivery prior to the previous December 31, your Form 1095 will be mailed to your mailing address (or alternate mailing address, if designated) prior to January 31.
• If you select electronic delivery after December 31, this delivery preference will be applied to your next year's Form 1095 and all applicable forms thereafter, unless you change your delivery preference again.

You will receive a 1095-C from Chevron if:

• You were an employee eligible to enroll in Chevron medical coverage on any day in the prior tax year, whether or not you chose to enroll.
• Even if you are currently on COBRA or are a retiree, if you were an employee eligible to enroll in Chevron medical coverage on any day in the prior tax year, you will still receive a Form 1095-C.

You will receive a 1095-B from Chevron if:

• If you were on COBRA or a retiree (or eligible dependent) for the entire tax year and enrolled in one of Chevron’s self-insured medical plans (Medical PPO, High Deductible Health Plan, High Deductible Health Plan Basic). 

You will receive a 1095-B directly from your insurance carrier if:

• You were enrolled in one of Chevron’s fully-insured plans (Medical HMO, Global Choice Plan, International Healthcare Assistance Plan) for even one day of the prior tax year.

If you are enrolled in Medicare, the appropriate reporting will be done by Medicare.

You might see references to fully insured or self-insured plans. These terms reference how your medical plan is financed by an employer. Chevron offers both fully insured and self-insured plans. The IRS requires different Form 1095s depending on what kind of plan you are in.

For your information, these are currently Chevron's self-insured plans:

• Medical PPO Plan
• High Deductible Health Plan (HDHP)
• High Deductible Health Plan Basic (HDHP Basic)

These are Chevron's fully insured plans:

• All Medical HMO Plans
• Global Choice Plan (U.S.-Payroll Expatriates)
• Global Choice Plan (Expatriates in the U.S.)
• International Healthcare Assistance Plan (IHAP)

The IRS has issued guidance that you do not have to wait for either Form 1095-B or 1095-C to file your inpidual income tax return. You can use other forms of documentation, in lieu of the Form 1095 information, to prepare your tax return. Other forms of documentation that would provide proof of your medical coverage include:

• Your medical ID card.
• Explanation of Benefits (EOB) from your medical plan.
• Chevron pay statements reflecting medical plan deductions. You can view and print your pay statements online. Your pay statement shows the monthly deduction taken for Chevron medical coverage as well as the year-to-date total for medical coverage. Note that medical contributions are taken in advance, so to see your tax year medical year-to-date total, go to the pay statement from the next-to-last pay period in the tax year (not the last pay period).
• Your form W-2 shows the value of your Chevron medical coverage. You can also access your W-2 online from the U.S. HR website on the Chevron intranet.
• Other statements indicating that you, or a member of your family, had health care coverage.

You do not need to send the IRS proof of your medical coverage. However, you should keep any documentation with your other tax records. This includes records of your family’s Chevron (or other employer-provided) coverage, premiums paid, and type of coverage. You are encouraged to consult a tax professional if you have questions about your U.S. tax return.

If you were enrolled for the entire tax year in any of Chevron’s active employee medical plans or medical plans for retirees not eligible for Medicare, then you had what the IRS considers minimum essential coverage for each month of the year. You can simply check the appropriate box indicating your medical coverage situation when you file your federal income tax return. No further action is required of you. However, consider consulting a tax professional or review other tax resources for further instructions if any of the following situations applied to you in during the tax year:

• If you waived or did not have Chevron medical coverage for all or part of the year.
• If you chose to enroll in medical coverage through another employer.
• If you enrolled in medical coverage through the Health Insurance Marketplace.
• If you believe you are exempt from the shared responsibility payment.