HR Partners

1095-C Forms Announcement

News from February 18, 2021

You do not need the 1095-C form to file or to attach to your taxes. However the Affordable Care Act (ACA) requires Penn to send these forms to certain benefits-eligible faculty and staff members.

The 1095-C forms were mailed on 2/16 from Equifax and are now available online. Go to the My Pay section of the secure U@Penn portal at www.upenn.edu/u@penn then select “My 1095-C form.”

Questions about your form? Contact either:

• Penn Employee Solution Center at hcmsolutioncenter@upenn.edu or 215-898-7372
• HR Benefits 1095-C Box at aca@hr.upenn.edu or 215-898-6465

The 1095-C form includes information about the health insurance coverage offered to you by Penn as well as information for each of your family members enrolled under your Penn benefits plan.