ºìÐÓ¶ÌÊÓƵ

As part of the Patient Protection and Affordable Care Act (ACA) employers are required to provide information to employees regarding healthcare coverage. Most employers offer health insurance coverage to full-time employees and their dependents. Due to the new requirements, those employers must send an annual statement, during tax season, to all employees eligible for coverage describing the insurance available to them. The Internal Revenue Service (IRS) created Form 1095-C to serve as that statement.

1095-C Frequently asked questions (FAQ)

1095-C Communication

Retrieve your 1095-C Online

Tax form 1095-C is now available for viewing on Mytaxform.com. Your form will also be mailed to your primary address on file with ºìÐÓ¶ÌÊÓƵ State. If you wish to retrieve your 1095-C through Mytaxform.com, the instructions below will provide you the information you need to complete the process. Please also view the tutorials below for additional assistance.

How to log in:

• Please go to

• Enter the 5-digit Employer Code 51541

• Enter your User ID which is your Social Security Number

• Enter your PIN:

  • If you have never logged into the system, you will need to enter your Default PIN which will be the first 4 digits of the employer code (5154) plus the last four digits of your social security number. You will then be prompted to enroll in the Authentication program. This step is designed to ensure secure access to your 1095-C information. Please view How to Log In (PDF) for further details.

Now that you've logged in, you can:

• Get your Electronic 1095-C in just 2 simple steps:
  PDF documents and videos will walk you through the steps in the process. They provide screenshots of the steps to assist you in making the correct selections. Please note the form used in the pictures are not actual 1095-C forms and your 1095-C will not have the appearance of the form in the picture.

  1. How to Consent to Receive a 1095-C Online (PDF)

  2. How to get Your Original 1095-C Online (PDF)

• Obtain a Reissued 1095-C Statement if yours is misplaced:

  How to get a Reprint of Your 1095-C (PDF)

If you have questions about the process, call Human Resources at 270.809.2146 or email mclark23@murraystate.edu.