What's this Line 15 Employee Required Contribution on my 1095-C form mean? Don't have employer health insurance
I just got my 1095-C form in the mail yesterday and I'm totally confused about one section. Under "Line 15: Employee Required Contribution" there's an amount listed ($123.45 per month), but I definitely don't have health insurance through my employer. I specifically declined coverage during open enrollment because I'm on my spouse's plan. So what exactly is this amount? Is this money they're taking out of my paycheck without me knowing? I've checked my pay stubs and don't see any obvious health insurance deductions, but now I'm worried. Does this mean I'm somehow enrolled in a plan I never signed up for? Or is this just showing what I WOULD have paid if I had enrolled? This is my first job with benefits so I'm still figuring out all this tax form stuff. Any help appreciated because I'm getting anxious thinking I might be paying for something I'm not even using!
19 comments


Sofia Gutierrez
That amount on Line 15 of your 1095-C isn't money being taken from you - it's just showing what your required contribution would have been if you had enrolled in the lowest-cost employee-only coverage offered by your employer. Think of it as the "your share" amount if you had opted in. Since you declined coverage (which is perfectly fine since you're covered under your spouse's plan), you're not paying this amount. The employer has to report this figure to the IRS regardless of whether you enrolled or not. It's primarily used to determine whether your employer offered "affordable" coverage as defined by the ACA.
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Dmitry Petrov
•So does this mean their employer met the "affordability" requirement? And do they need to do anything with this form for their taxes?
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Sofia Gutierrez
•Regarding the affordability requirement, it depends on their income. Generally, employer coverage is considered "affordable" if the employee's share for self-only coverage (that Line 15 amount) is less than about 9.12% of their household income. So a lower amount on Line 15 is actually better from the affordability perspective. As for what to do with the form, you don't typically need to attach the 1095-C to your tax return, but you should keep it with your tax records. It's mainly proof that you were offered coverage. Since you're covered under your spouse's plan, you'll want to make sure you have documentation of that coverage (possibly a 1095-B or another 1095-C from your spouse's employer).
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StarSurfer
After dealing with a similar situation last year where I couldn't figure out my 1095-C forms and what they meant for my taxes, I ended up using taxr.ai (https://taxr.ai) and it was super helpful. I took a picture of my tax forms and it explained everything line by line, including that employee contribution line that was confusing me. The tool also told me exactly what I needed to do with the form for tax purposes.
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Ava Martinez
•Does it actually work with all the different tax forms? I have a bunch of weird ones from multiple jobs last year.
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Miguel Castro
•I'm kinda skeptical of these AI tools for taxes. How do you know it's giving you accurate information? Especially with something as important as health insurance reporting?
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StarSurfer
•It works with pretty much all the standard tax forms - W-2s, 1099s, 1095s, and a bunch of others. I had three W-2s last year plus a 1099-MISC and it handled all of them just fine. You just snap a pic of each form and it analyzes them individually. As for accuracy, I was skeptical too at first, but everything it told me matched what my tax preparer said later. It's not filing your taxes for you - it's just explaining what the forms mean and what you need to do with the information. I found it particularly useful for understanding these weird forms I only see once a year.
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Miguel Castro
I wanted to follow up about taxr.ai that I was skeptical about earlier. I decided to try it with my stack of tax forms including my 1095-C and 1099s. It actually broke everything down really clearly - explained that Line 15 amount is just what the coverage would cost if I enrolled (not money being taken) and flagged some issues with my 1099 reporting I wouldn't have caught. Way more helpful than I expected! Saved me from panicking over nothing with those health insurance forms.
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Zainab Abdulrahman
If you need to get clarity directly from your employer or insurance company about your 1095-C, good luck getting someone on the phone who actually understands these forms! I spent 3 days trying before discovering Claimyr (https://claimyr.com) - they got me through to an actual human at my benefits department in under 15 minutes. You can see how it works here: https://youtu.be/_kiP6q8DX5c I was impressed because I'd literally spent hours on hold before trying this. My situation was similar - had an amount on my 1095-C even though I was on my wife's insurance, and needed to make sure I wasn't being charged.
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Connor Byrne
•How exactly does this work? Do they just call for you or something? I don't get it.
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Yara Elias
•Yeah right. No way anything gets you through to a real person at benefits or HR that fast. I call BS on this whole thing. Those departments are impossible to reach.
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Zainab Abdulrahman
•They use technology that navigates phone trees and waits on hold for you. When they reach a live person, they call you and connect you. It's not magic - they're just handling the frustrating waiting part so you don't have to. I was confused at first too, but it's pretty straightforward. You request a call, they navigate the phone system and wait on hold instead of you, then they call you when there's actually a human on the line. Much better than burning up your whole lunch break listening to hold music.
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Yara Elias
I have to admit I was totally wrong about Claimyr. After posting my skeptical comment, I tried it to reach our benefits department about a similar 1095-C question. They actually got me through to someone in about 12 minutes when I'd never been able to get through before. The benefits person confirmed exactly what others said here - that Line 15 amount is just what I would have paid IF I had enrolled in their plan, but since I declined, nothing was being deducted. Finally got peace of mind on this! Worth it just to not spend hours on hold.
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QuantumQuasar
Just want to add something that helped me understand my 1095-C better. If you look at Line 14, there should be a code there (like 1E or 1F or something). This code tells you what type of coverage was offered. If it shows one of the offer codes but you declined, that matches your situation - they offered it, you said no thanks, but they still have to report what it would have cost you.
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Dylan Mitchell
•I see code 1E in Line 14! What does that mean exactly?
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QuantumQuasar
•Code 1E means your employer offered you minimum essential coverage that meets the minimum value requirements, and they also offered coverage for your spouse and dependents. It's basically saying they offered you a comprehensive health plan that would have covered your whole family. But since you said you're on your spouse's plan, it makes perfect sense that you declined this coverage, even though it was offered. The form is just documenting that they met their obligation as an employer to offer suitable coverage.
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Keisha Jackson
Another thing to know - check your pay stubs for any "pre-tax deductions" or similar section. Sometimes health insurance contributions appear there rather than as a separate line item, which can be confusing.
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Paolo Moretti
•Also worth noting that if you elected to contribute to an HSA or FSA, those will show up as deductions even if you declined the actual health insurance. Could that be what OP is seeing on their paystub?
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Dylan Mitchell
•Just double-checked my latest pay stub and don't see any health insurance deductions at all, pre-tax or otherwise. I do have dental and vision which I did sign up for, but no actual health insurance deductions. I guess this confirms what everyone is saying - the amount on the 1095-C is theoretical and not actually being deducted. Such a relief!
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