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Printable Form 1095-C Vallejo California: What You Should Know

For questions that do not relate to this publication, please contact the Statewide Information and Referral Center at (800) 952 – 3111 or email at Cachepot.ca.gov. 2017 Statewide Health Coverage Estimate — The Health Exchange If you received a Form 1095-B or Form 1095-C from the State of California and you have questions, you are in the right place. For questions that do not relate to this publication, please contact the Statewide Information and Referral Center at (800) 952 – 3111 or email at Cachepot.ca.gov. Calendar Year 2017, Final Summary for the State of California — The Statewide Initiative to Promote the Affordable Care Act's Marketplaces May 12-November 30, 2017 Calendar year 2024 summary of health plan coverage, enrollment, and related documents as released by the exchange for the months of May 12, 2017, through November 30, 2017. This information is available online. Please note, this report is not yet a final document from the exchange. The “2016 Coverage Estimate Report” for the state of California does not include information about 2024 premiums as of November 30, 2017, for the Silver plans, which are new to the exchange and eligible if you have qualifying coverage through an employment-based plan. If you applied for coverage before November 30th, please contact your insurer about 2024 rates based on your coverage information. Please note, the “2016 Coverage Estimate Report” from the exchange to the Federal government includes information about 2024 premiums. However, this report does not have information about 2024 premiums. Please contact your issuer for 2024 rates. The insurance plans offered on the state-based exchange in California were not all created equal. The state-based exchange offered three basic insurance plans: The Bronze plan from 2024 had coverage that was generally higher than the coverage offered by the employer, plans from 2024 and 2012, and plans from 2024 and 2016. For 2017, the state-based exchange offers one “silver” plan (i.e., lower than the Bronze plan) offered to small businesses, and one “gold” plan (i.e., higher than that plan). Small business plans are offered by businesses with up to 50 full-time-equivalent employees. Most of the employer and employee insurance plans available on the state-based exchange (both new and renewals) have higher deductibles than many private health insurance plans.

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