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<body lang="EN-US" link="#467886" vlink="#96607D" style="word-wrap:break-word">
<div class="WordSection1">
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><a name="_Hlk161057670"></a><a name="_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"><img width="197" height="75" id="Picture_x0020_4" src="cid:image001.png@01DB7634.1CB5E020" alt="A blue text on a black background
Description automatically generated"></span></span></a><span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"><o:p></o:p></span></span></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"><span style="font-size:6.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></span></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></span></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></span></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">February 3, 2025<o:p></o:p></span></span></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></span></span></p>
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="729" style="width:547.0pt;margin-left:-4.5pt;border-collapse:collapse">
<tbody>
<tr style="height:19.4pt">
<td width="103" valign="top" style="width:77.6pt;padding:0in 5.4pt 0in 5.4pt;height:19.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;line-height:normal">
<span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">To:<o:p></o:p></span></span></span></p>
</td>
<span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"></span></span>
<td width="626" valign="top" style="width:469.4pt;padding:0in 0in 0in 0in;height:19.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;line-height:normal">
<span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">Department Benefits Representatives (DBRs)<o:p></o:p></span></span></span></p>
</td>
<span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"></span></span>
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<tr style="height:19.95pt">
<td width="103" valign="top" style="width:77.6pt;padding:0in 5.4pt 0in 5.4pt;height:19.95pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;line-height:normal">
<span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">From:<o:p></o:p></span></span></span></p>
</td>
<span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"></span></span>
<td width="626" valign="top" style="width:469.4pt;padding:0in 0in 0in 0in;height:19.95pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;line-height:normal">
<span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">Central HR Benefits Office on behalf of UC Office of the President<o:p></o:p></span></span></span></p>
</td>
<span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"></span></span>
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<td width="103" valign="top" style="width:77.6pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:22.55pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;line-height:normal">
<span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">Re:<o:p></o:p></span></span></span></p>
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<span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"></span></span>
<td width="626" valign="top" style="width:469.4pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 0in 0in 0in;height:22.55pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:0in;line-height:normal">
<span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">Availability of Annual 1095 Health Coverage Forms<o:p></o:p></span></span></span></p>
</td>
<span style="mso-bookmark:_Hlk161058449"><span style="mso-bookmark:_Hlk161057670"></span></span>
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</table>
<span style="mso-bookmark:_Hlk161057670"></span><span style="mso-bookmark:_Hlk161058449"></span>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">DBRs, please share this information via your internal listserv.
<b><u>Do not reply to this mail.</u></b> Please send a separate email with questions to
</span><a href="mailto:benefits@ucr.edu"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">benefits@ucr.edu</span></a><span style="font-size:11.0pt;font-family:"Arial",sans-serif">.</span><span style="font-size:11.0pt"><o:p></o:p></span></p>
<p class="MsoNormal"><u><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif"><o:p><span style="text-decoration:none"> </span></o:p></span></u></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">In accordance with requirements of the Affordable Care Act (ACA) and various reporting requirements of other jurisdictions, University
of California employees will receive 1095-B and/or 1095-C forms verifying their health coverage for 2024. The forms are informational, for records only and not filed with tax returns.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><span style="font-size:11.0pt;font-family:"Arial",sans-serif">General Reminders regarding 1095-Cs and 1095-Bs</span></b><span style="font-size:11.0pt;font-family:"Arial",sans-serif">:<o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l8 level1 lfo2">
<span style="font-size:11.0pt;font-family:"Arial",sans-serif">Employees defined as full-time under the ACA (those who work 75% time or more) will receive the 1095-C from UC. Parts I and II of the 1095-C will be populated for all employees; only those enrolled
in UC’s self-insured plans (CORE, UC Health Savings Plan, UC Care, the Residents & Fellows benefits program) will have Part III populated.<o:p></o:p></span></li><li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l8 level1 lfo2">
<span style="font-size:11.0pt;font-family:"Arial",sans-serif">Employees defined as not full-time under the ACA who are plan members of UC’s self-insured plans (CORE, UC Health Savings Plan, UC Care, and the Residents & Fellows benefits) will receive Form 1095-B.<o:p></o:p></span></li></ul>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">All plan members of UC’s fully insured plans (UC Blue & Gold HMO through Health Net and Kaiser Permanente HMO) will receive Form
1095-B directly from the medical plan. <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><span style="font-size:11.0pt;font-family:"Arial",sans-serif">Below is the current status (as of January 31, 2025) for Form 1095s issued by UC:</span></b><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><span style="font-size:11.0pt;font-family:"Arial",sans-serif">2024 Active Employees:</span></b><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l10 level1 lfo3">
<span style="font-size:11.0pt;font-family:"Arial",sans-serif">Employees who opted-in for electronic distribution of 1095s before January 1, 2025, will not receive a paper copy of the 1095. UCPath will email employees who opted-in for electronic delivery when
1095 form(s) are available for download. If there is no request for electronic delivery, members should expect to receive the 1095 forms over the next few weeks, depending on the timing of US Postal Service (USPS) delivery. Except for Residents & Fellows Benefits
members, all employees may now access a duplicate copy of their 1095 forms through UCPath. Please note that Form 1095s from 2024 and 2023 are also available on UCPath. Previous years are not available electronically, but may be requested for printing and mailing.<o:p></o:p></span></li><li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l10 level1 lfo3">
<b><span style="font-size:11.0pt;font-family:"Arial",sans-serif">Former employees:</span></b><span style="font-size:11.0pt;font-family:"Arial",sans-serif"> Former employees will have access to an electronic duplicate copy of the Form 1095, reflecting eligibility
and/or enrollment in UC-sponsored medical plans prior to separation.<o:p></o:p></span></li></ul>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><span style="font-size:11.0pt;font-family:"Arial",sans-serif">Other Jurisdiction Reporting</span></b><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l9 level1 lfo8">
<span style="font-size:11.0pt;font-family:"Arial",sans-serif">In addition to filing with the IRS, UC is required to submit a separate filing to California, Massachusetts, New Jersey, District of Columbia, and Rhode Island, verifying their residents’ health
insurance status. Residents of Massachusetts will receive a Form 1099-HC. Residents of the other jurisdictions do not receive any additional forms.<o:p></o:p></span></li></ul>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">Requests for duplicate copies:<o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<ul style="margin-top:0in" type="circle">
<li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l2 level2 lfo10">
<span style="font-size:11.0pt;font-family:"Arial",sans-serif">Duplicate copies of 1095s are available on UCPath as of January 31, 2025. For employees requesting a mailed duplicate copy of their 1095, those will be available as of March 1, 2025.<o:p></o:p></span></li></ul>
</ul>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">Employees with general questions about the 1095 forms should be referred to the IRS website at <a href="https://www.irs.gov/affordable-care-act/questions-and-answers-about-health-care-information-forms-for-individuals" title="https://www.irs.gov/affordable-care-act/questions-and-answers-about-health-care-information-forms-for-individuals">https://www.irs.gov/affordable-care-act/questions-and-answers-about-health-care-information-forms-for-individuals</a><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:11.0pt;font-family:"Arial",sans-serif">Related Links<o:p></o:p></span></p>
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<span style="font-size:11.0pt;font-family:"Arial",sans-serif"><a href="https://ucnet.universityofcalifornia.edu/news/2024/01/your-tax-forms-for-2023.html" title="https://ucnet.universityofcalifornia.edu/news/2024/01/your-tax-forms-for-2023.html">FAQ: IRS Form
1095</a><o:p></o:p></span></li></ul>
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