health tax form 1095

Your Form 1095 will be automatically sent to you in January of each year from HealthFx - 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.
• Choose the Health Tax Form 1095 tile or Helpful Linkon the home page.
• If you receive a HealthFx registration or password update prompt, follow the instructions on the screen.
• From the HealthFx home screen, click your email address from the top navigation to update your settings.

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

• 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 from HealthFx to view your form on the HealthFx portal as soon as it is available each year. You can access the HealthFx portal directly from the BenefitConnect website.
• 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 individual income tax return. You generally do not need to send the IRS proof of your medical coverage or your Form 1095. However, you should keep any documentation and your Form 1095 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 Chevron's 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.