IRS Form 1095 Guidance

As in prior years, per Notice 2019-63, the Internal Revenue Service (IRS) has extended the deadline for certain employers to provide to their employees the 2019 1095-B and 1095-C forms, as applicable, from January 31, 2020, to March 2, 2020. You may refer directly to Notice 2019-63 for additional information.

State Agencies, State Health Benefit Plan (SHBP) Retirees, COBRA and State Extended Coverage (SEC) Participants

Individuals will receive their form 1095s from the state of Georgia if in 2019 they:

  1. Were employed with a state agency; and/or

  2. Were SHBP retirees* (including surviving spouses and/or surviving dependents) enrolled in a commercial plan option (i.e., a SHBP Non-Medicare Advantage plan option), and/or

  3. Were enrolled in SHBP COBRA* and SEC plan options.   

    Questions About 1095s?

    If you were employed with a State Agency, DFACS, or TCSG or a Retiree, Survivor, SEC or COBRA participant and have questions regarding form 1095s received from the state of Georgia, please contact:

     Ernst & Young's Inquiry Services (855) 314-4222

State agencies include the following:

  • Agencies that use TeamWorks HR and TeamWorks Payroll and SHBP

  • Division of Family and Children Services

  • Technical College System of Georgia (and Technical Schools)     

Note:  Members who were SHBP retirees enrolled in a commercial plan option (i.e., a SHBP Non-Medicare Advantage plan option), or were enrolled in SHBP COBRA or SEC plan options, will have the Georgia Department of Community Health listed as their employer on their form 1095C.

Boards of Education Employees, Non-State Entities and Any State Agencies not listed above

Members who were active employees in 2019 and were employed with the following entities in 2019 will receive their form 1095s from their employer. If you have any questions regarding form 1095s you received or should receive from your employer, please contact your human resources department.

  • Boards of Education

  • Charter Schools

  • Regional Educational Service Agencies (not participating in State Accounting Office Teamworks)

  • Community Service Boards (not participating in State Accounting Office Teamworks)

  • County Public Health Offices (not participating in State Accounting Office Teamworks)

  • Contract Employers (e.g., Federally Qualified Health Centers, Critical Access Hospitals and other entities participating in SHBP via contract)

Members Enrolled in Kaiser Permanente

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Active employees who in 2019 were enrolled in the Kaiser Permanente (KP) Health Health Maintenance Organization Plan Option will receive their form 1095s from KP. If you have any questions regarding form 1095s you received or should receive from KP, please contact SHBP Member Services (1-800-610-1863) and select the applicable option for KP.

Members Enrolled in Medicare Advantage Plan Options

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Members who in 2019 were enrolled in an Anthem Blue Cross and Blue Shield (Anthem) Medicare Advantage Plan Option or UnitedHealthcare Medicare Advantage Plan Option should contact SHBP Member Services (1-800-610-1863) and select the applicable option for Anthem or United Healthcare for information regarding their form 1095.

Additional Information for Members

Members may receive multiple form 1095s if, during the 2019 tax year, they were employed with multiple entities and/or covered by multiple plan options during 2019 (e.g., a member who was actively employed from January 1 – May 31 and then retired prior to age 65 effective June 1 will receive their form 1095 from their employer for January 1 – June 30 for active member coverage and DCH from July 1 – December 31 for retiree coverage). 

You may also visit the IRS Website for more general information about form 1095s. 

Note for SHBP Participating Employers: The information provided above is for applicable SHBP members only and is not intended as guidance for participating employers, therefore, participating employers should discuss the applicability of Notice 2019-63 with their legal counsel.  Additionally, the above is not intended to convey or constitute legal advice and SHBP cannot provide legal advice on whether Notice 2019-63 is applicable to your organization.