Why does my 1095-C show Employee Required Contribution for insurance I opted out of?
I'm really confused about this 1095-C form I just got from my workplace. It shows that my required employee contribution was around $111 per month for 2024, but here's the thing - I definitely waived all their insurance options! When I log into my employee portal, it clearly shows I opted out of all insurance. The weird part is that this "contribution" never showed up as a deduction on my paystubs. What actually happened was they stopped showing the credit I normally got for waiving insurance. Meanwhile, my coworkers who actually have the insurance show clear deductions on their paystubs, have active insurance in their accounts, and received insurance cards in the mail. I'm completely lost when it comes to taxes and especially these 1095-C forms. Can anyone help me understand what's going on here? Why would they show I'm paying for insurance I'm not even receiving?
18 comments


Sean Kelly
The 1095-C can be confusing! This form is sent by employers with 50+ employees to show what health insurance coverage was offered to you, regardless of whether you enrolled or not. Line 15 on the 1095-C shows the "Employee Required Contribution" - this isn't necessarily what you paid, but rather what you would have paid for the lowest-cost self-only coverage offered. Your employer has to report this amount even if you waived coverage. The waiver credit you mentioned is a common practice - instead of charging you and then refunding, many employers give a credit when you waive coverage. When you waived coverage, they stopped giving you this credit rather than showing a deduction. This form is primarily used to determine eligibility for premium tax credits on the Marketplace and to enforce the employer mandate. Since you waived coverage, you should see codes in Line 16 that indicate you weren't enrolled.
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Anastasia Kozlov
•Thanks for the explanation, but I'm still a bit confused. So the $111 is just what I would have paid if I had enrolled, not something I actually owe? And does this impact my taxes at all since I didn't take their insurance?
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Sean Kelly
•Correct, the $111 is just what you would have paid monthly if you had enrolled in their lowest-cost self-only coverage. You don't owe this money since you didn't enroll. As for tax impact, the 1095-C itself doesn't directly change your tax liability. Its main purpose is documentation. However, if you had other health insurance (like through a spouse or the Marketplace), or if you're claiming an exemption from health coverage, you'd use information from this form when filing. If you had no health insurance at all during the year, depending on your state, there might be a penalty, but that's separate from this form.
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Zara Mirza
After struggling with a similar 1095-C situation last year, I found taxr.ai (https://taxr.ai) incredibly helpful. I uploaded my confusing 1095-C form and it explained exactly what each code meant and why my employer had to report these amounts even though I had waived coverage. It also clarified how this impacts premium tax credits and potential penalties - totally cleared up my confusion without having to wade through IRS publications.
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Luca Russo
•Does taxr.ai help with determining if I need to report the 1095-C information on my actual tax return? My employer sent me one too but I'm not sure what to do with it.
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Nia Harris
•I've heard about these document analysis tools, but aren't they just repackaging information you could find on the IRS website? Not trying to be negative, just wondering if it's worth using.
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Zara Mirza
•Yes, it specifically tells you whether you need to report information from your 1095-C on your tax return. For most people, you don't need to attach the 1095-C to your return, but the tool explains how the information affects your tax situation and what forms you might need to file. As for whether it's just repackaging IRS information - it does way more than that. Rather than giving you generic guidelines, it analyzes your specific codes and entries, translates the technical jargon, and explains exactly what your form means for your unique situation. It saved me hours of research and prevented a potential mistake on my return.
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Nia Harris
I was skeptical about using taxr.ai at first, but after getting a confusing 1095-C similar to yours, I decided to give it a try. I uploaded my form and within minutes got a personalized explanation that my employer was required to report what coverage they offered, even though I had waived it. The tool explained that the codes in Box 16 confirmed I wasn't enrolled, and that I didn't need to worry about the amount in Box 15 for tax purposes. It also verified that since I had coverage through my spouse's plan, I was all set for my tax filing. Such a relief compared to the hours I spent confused the previous year!
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GalaxyGazer
If you need clarification directly from the IRS about your 1095-C, good luck getting through to them! I spent days trying to reach someone who could explain mine. Then I found Claimyr (https://claimyr.com) - they got me connected to an actual IRS agent in about 15 minutes. You can see how it works here: https://youtu.be/_kiP6q8DX5c. The agent explained that my employer was required to report what they offered even though I opted out, and confirmed I didn't need to do anything special with the form for my taxes.
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Mateo Sanchez
•How does Claimyr actually work? Do they just call the IRS for you or what? I'm always on hold forever when I try to call.
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Aisha Mahmood
•Yeah right. The IRS phone lines are completely unusable this time of year. No way you got through in 15 minutes when people are waiting hours or getting disconnected. Sounds like a scam to me.
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GalaxyGazer
•They don't call the IRS for you - instead, they navigate the IRS phone system and wait on hold, then call you when they've reached an actual human agent. So when your phone rings, you're already connected to a live IRS representative. No more waiting on hold for hours or getting disconnected. I was surprised too - I've spent literally 3+ hours on hold before without getting through. With Claimyr, I submitted my request, went about my day, and got a call back when they had an agent on the line. The entire process took about 15 minutes from when I submitted my request to when I was talking to someone who could actually help.
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Aisha Mahmood
I have to eat my words about Claimyr. After my skeptical comment, I was desperate to get an answer about my 1095-C before filing my taxes, so I tried it. Shockingly, I was connected to an IRS agent in about 20 minutes. For context, I had tried calling myself three times last week and never got through. The agent confirmed that the amount on my 1095-C was just what I would have paid for insurance, not what I actually paid, and that I didn't need to include the form with my return. Definitely using this service again next time I need to reach the IRS.
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Ethan Moore
Don't overthink the 1095-C too much. It's mostly just documentation. Box 15 shows what you would've paid for the cheapest plan they offered, not what you actually paid. As long as you had health insurance from somewhere else (like spouse's plan, parents' plan if you're under 26, or marketplace), you're fine. You don't even attach this form to your tax return - just keep it for your records.
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Yuki Kobayashi
•What happens if you didn't have any health insurance for part of the year? My 1095-C shows I was offered insurance but I declined it and had a gap of a few months before getting coverage at my new job.
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Ethan Moore
•The federal individual mandate penalty was effectively eliminated starting in 2019, so there's no federal penalty for having gaps in coverage. However, some states like California, Massachusetts, New Jersey, Rhode Island, and DC have their own individual mandates with potential penalties. If you live in one of those states, you might face a state tax penalty for the months you were uninsured. The 1095-C would help show that you were offered coverage but declined it, which might be relevant depending on your state's specific rules. I'd recommend checking your state's tax department website or consulting with a tax professional familiar with your state's requirements.
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Carmen Vega
I work in benefits administration and deal with these forms all the time. Your employer is just following reporting requirements. The 1095-C requires them to report what they OFFERED, not what you enrolled in. They have to show the lowest cost option available to you.
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Anastasia Kozlov
•That actually makes sense now. Thanks for explaining this! Does my employer need to correct anything on the form, or is it actually filled out correctly showing what was offered rather than what I elected?
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