Subject: ADP Totalsource: Form 1095-C
From: <[email-masked]>
To: <[email-masked]>
Date: Sun, 20 Dec 2015 05:53:12 -0500

Dear Employee,

No later than February 1, 2016, you will be sent a Form 1095-C from your employer in the mail. This form contains

information related tothe health coverage your employer offered you during the 2015 calendar year. The IRS

does not currently require taxpayers to submit documentation of health coverage with their tax returns.

However gathering and maintaining documentation will help return preparation at tax time.

Beginning in 2014, taxpayers must indicate if they had qualifying health care coverage for the entire year. Some

taxpayers may file an exemption from the requirement to have health care coverage. Taxpayers who do not have

qualifying health care coverage and who do not qualify for an exemption may need to make an individual shared

responsibility payment when they file their tax returns. Additionally, some taxpayers who enrolled in coverage through

the Marketplace may qualify for a premium tax credit and must file a tax return to claim the credit and/or to

reconcile any advance payments made on their behalf in 2015.

You should contact a tax advisor if you have any questions regarding your tax return and the information provided on

the Form 1095-C.

Sincerely,

ADP TotalSource

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