Healthcare Tax Form - 1095-C

Disclosure Notice

The annual 1095-C may be received electronically or via U.S. mail to the employee's home address on file with BGSU. An employee who consents to receiving their Form 1095-C electronically will not receive a paper copy of the 1095-C. If an employee does not consent, they will continue to receive a paper copy of the 1095-C. Once an employee has signed up, the consent is valid for all subsequent years unless the employee chooses to withdraw consent.

An employee who chooses to receive their Form 1095-C electronically can also receive a paper copy of the 1095-C by contacting the Human Resources department in writing. This may be done via email to: benefits@bgsu.edu or U.S. Mail to: Office of Human Resources, Bowling Green State University, 1851 N. Research Dr., Bowling Green, OH, 43403. Request for a paper copy does not withdraw the employee's consent for electronic delivery of future 1095-C statements.

An employee may withdraw their consent at any time through the online MyTaxForm system. If consent is withdrawn, it will only be effective for any Form 1095-C's not yet issued.

The University will not provide the Form 1095-C electronically to an individual who has is no longer actively employed with Bowling Green State University. These individuals will receive paper copies via U.S. mail.

Employees may continue to make any personal information changes (i.e. address changes) as needed through the MyBGSU self service portal.

The hardware and software requirements needed to access, print and retain Form 1095-C electronically include an internet connection, web browser, and Adobe Acrobat reader.

Should you have questions or need assistance with your 1095-C, please contact the Office of Human Resources at benefits@bgsu.edu or 419-372-8421.