Affordable Care Act

Information about Forms 1095-B and 1095-C

This information only applies to employees at David Douglas School District. If you are employed or have medical coverage outside of the District, then you will need to contact that employer or provider for information about additional Forms 1095-B and 1095-C.

Due to the complexities with navigating and understanding the Affordable Care Act (ACA) requirements, we want to simplify information about Forms 1095-B and 1095-C that you may receive. The ACA requires qualified medical carriers and employers to distribute Forms 1095-B and 1095-C to qualified individuals. Our district and medical carriers are required to distribute these Forms to qualified individuals. Depending on the requirements you meet under the ACA (Questions 3 & 4 talk about the requirements), you will receive both, one or neither of Forms 1095-B and 1095-C.  Forms 1095-B and 1095-C will be distributed to you around the same time you receive your W-2’s or shortly thereafter.

Information from Forms 1095-B and 1095-C may be referenced when filing your Federal tax return each year. The Forms can help determine if you’re eligible for a premium tax credit or whether you may have to pay a fine for failing to comply with the ACA.

You do not need to wait to receive your Forms 1095-B & 1095-C before filing your return. These Forms are for you to save with your other tax records.


You do not need the 1095-C to do your taxes. Please see the guidance from the IRS confirming that you do not need the 1095-C to file your taxes: IRS Communication

Exchange Notice:

Key parts of the Affordable Care Act, also known as the health care reform law, went into effect January 1, 2014. When this happened, there became available a new way to buy health insurance: the Health Insurance Marketplace (the “Marketplace”). In order to assist you as you evaluate options for you and your family, this notice provides some basic information about the Marketplace and, if applicable, the employment-based health coverage available to you through David Douglas School District.

Helpful Links:

If you have any questions please contact Benefits Coordinator, Stefanie Edenburn (