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Form 1095-C for Georgia: What You Should Know

Please review the 1095-C tax form that you originally received (form 1094-C). • You may have received a 1095-C tax form for your UGA employer. • Once you have completed and filed the correct form for your employer, that form will be taken off the list of forms that need to be filed with your income tax return. You will not need to enter the taxpayer identification number (TIN) on the 1095-C form. To obtain a 1095-C form from the UGA Tax Office: • Call • Or email • For more information, please consult your tax advisor. Employer Shared Responsibility Provision • Form 1095-C is based on the employer sharing responsibility provision (Sections 5000A and 5000B of the  Internal Revenue Code). • The employer and the employee share responsibility for any healthcare coverage for which the employee's income exceeds 100 percent of the Federal poverty guidelines. • To be eligible for shared responsibility payments for employees covered by a qualified organization that is a governmental entity, the qualified organization must provide coverage to the employees  at least through 2023 (Form 1095-C). • You may obtain a copy of the federal Form 1095-C by visiting the Social Security Administration, • If the qualified organization is a government health organization that is eligible for employer shared responsibility payments (not a charitable organization, such as the Red Cross), it is required to file that same Form 1095-C. • If the qualified organization does not file a Form 1095-C with the state, the state will send you the Form 1095-C that is required by law. Explanation of Form 1095-C In general, Form 1095-C is used to collect from your employer a share of the cost of qualifying insurance plans offered to eligible people.

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