Form 1095

If you were eligible for and enrolled in health benefits in 2021, the university will provide you with a required tax document in early 2022. Form 1095 reports information about your health care coverage as required by the Affordable Care Act. The option to consent to receive an electronic PDF copy of your 2021 Form 1095 instead of an identical mailed copy will be available in Wolverine Access through Jan. 5, 2022.

If you do not consent to receive an electronic copy by Jan. 5, 2022, the university will mail your 1095 to your current address on file by Jan. 31, 2022.

If you were a part-time eligible employee who waived health care coverage, you will not receive a 1095 from the university. 

Your one-time consent continues each year unless you choose to withdraw it. Previous consent also may be withdrawn by U-M due to changes in your employment status.

Please note: Tax information is based on the university’s current understanding and is provided for general informational purposes only. The University of Michigan does not provide tax advice. Questions or concerns should be addressed to a qualified tax adviser.