Page 7 - 2019 CommScope AE
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The Affordable Care Act
We are committed to keeping you informed about how Federal Income Tax Filing*
healthcare legislation may affect you and your family.
In March of 2015, healthcare reform imposed the In early 2019, around the time you will receive your
individual mandate requiring all U.S. citizens to have Form W-2, you may receive one or more tax forms
medical insurance. related to medical insurance you were offered in
Effective January 1, 2019 the individual mandate the 2018 plan year. Please see the following for
penalty previously imposed for not purchasing health explanations of these documents.
insurance under the Individual Mandate is no longer in Form 1095-B for Non-CommScope Coverage
effect. If you receive this form, it is because:
Individuals and families have the option to In 2018, you were an employee who received health
coverage from an employer-provided, fully-insured plan or
purchase medical coverage on their own through a union-based plan
Healthcare.gov or their State Health Insurance Or
Marketplace. Should you chose to explore the In 2018, you were a non-employee (for example, a COBRA
Marketplace options, you will need to make the recipient) who received health coverage from an employer-
based, self-insured plan
decision on your own regarding individual coverage You will enter the information contained on this form on your
that is not afiliated with CommScope. federal tax return for 2018 to demonstrate you satisied the
ACA’s obligation to have health insurance.
To receive more details on the health insurance
plans available from the national Health Insurance Form 1095-C Includes CommScope coverage
Marketplace, please visit www. healthcare.gov . If you receive this form, it is because:
You were considered “full time” for ACA purposes for at
least part of 2018
Or
You were covered under a type of employer-sponsored
health insurance plan called a “self-insured plan”
Form 1095-C, Parts I and II
If you are considered full-time for ACA purposes for at least
part of 2018, these two parts of Form 1095-C will be completed
on your behalf, regardless of the type of health plan under
which you are covered, or whether you had any coverage at all.
You do not need to do anything with this information.
Form 1095-C, Part III
If your health insurance is provided through an employer-
sponsored, self-insured plan, Part III will be completed on your
behalf.
If it is completed, you can use this information to prepare your
federal tax return for 2018 to demonstrate you satisied the
The IRS will receive copies of any Forms 1095-B or ACA’s obligation to have medical insurance.
1095-C provided to you so they can verify the health * IRS regulations subject to change at any time
insurance information you report on your tax return.
7
We are committed to keeping you informed about how Federal Income Tax Filing*
healthcare legislation may affect you and your family.
In March of 2015, healthcare reform imposed the In early 2019, around the time you will receive your
individual mandate requiring all U.S. citizens to have Form W-2, you may receive one or more tax forms
medical insurance. related to medical insurance you were offered in
Effective January 1, 2019 the individual mandate the 2018 plan year. Please see the following for
penalty previously imposed for not purchasing health explanations of these documents.
insurance under the Individual Mandate is no longer in Form 1095-B for Non-CommScope Coverage
effect. If you receive this form, it is because:
Individuals and families have the option to In 2018, you were an employee who received health
coverage from an employer-provided, fully-insured plan or
purchase medical coverage on their own through a union-based plan
Healthcare.gov or their State Health Insurance Or
Marketplace. Should you chose to explore the In 2018, you were a non-employee (for example, a COBRA
Marketplace options, you will need to make the recipient) who received health coverage from an employer-
based, self-insured plan
decision on your own regarding individual coverage You will enter the information contained on this form on your
that is not afiliated with CommScope. federal tax return for 2018 to demonstrate you satisied the
ACA’s obligation to have health insurance.
To receive more details on the health insurance
plans available from the national Health Insurance Form 1095-C Includes CommScope coverage
Marketplace, please visit www. healthcare.gov . If you receive this form, it is because:
You were considered “full time” for ACA purposes for at
least part of 2018
Or
You were covered under a type of employer-sponsored
health insurance plan called a “self-insured plan”
Form 1095-C, Parts I and II
If you are considered full-time for ACA purposes for at least
part of 2018, these two parts of Form 1095-C will be completed
on your behalf, regardless of the type of health plan under
which you are covered, or whether you had any coverage at all.
You do not need to do anything with this information.
Form 1095-C, Part III
If your health insurance is provided through an employer-
sponsored, self-insured plan, Part III will be completed on your
behalf.
If it is completed, you can use this information to prepare your
federal tax return for 2018 to demonstrate you satisied the
The IRS will receive copies of any Forms 1095-B or ACA’s obligation to have medical insurance.
1095-C provided to you so they can verify the health * IRS regulations subject to change at any time
insurance information you report on your tax return.
7