糖心Vlog视频

Form 1095-C

Form 1095-C Online Access

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In alignment with federal requirements* outlined in the 2025 Paperwork Reduction Act, 糖心Vlog视频 now provides Form 1095-C electronically for eligible employees, former employees, retirees, and other covered individuals.

Beginning with the 2025 tax year, paper copies of the form will be available only upon request.

Active Employees

If you are actively employed by 糖心Vlog视频 and would like an electronic copy of your 1095-C, you can access your form using the options below. Download the instructions.

  • Log in to
  • Use the Quick Links menu in the top right
  • Select Your Current 1095-C Form
  • Access, download or print your tax form

Your annual 1095-C form will be available online after January 25 each year.


  • Visit
  • Log in using your 糖心Vlog视频 credentials
  • Select Tax Forms
  • Download or print your Form 1095-C

Your annual 1095-C will be available online after January 25 each year.


Former Employees or Retirees

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If you are retired or no longer employed by 糖心Vlog视频, you can download an electronic copy of your Form 1095-C through our external portal, .

You must authenticate your identity by creating an account and logging in with a username and password. Review Option 2 of the instruction guide below:

Why You May or May Not Receive a Form 1095-C

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Form 1095-C is issued only for months in which an individual was enrolled in the UT SELECT Medical Plan, which is the 糖心Vlog视频's reportable self-insured health plan. If you were enrolled in UT SELECT for part of the year and UT CARE for part of the year, you may receive a Form 1095-C. The form will reflect only the months you are enrolled in UT SELECT. 

Enrollees in the UT CARE Medicare Advantage plan will not receive a 1095 form from Blue Cross Blue Shield or UT.  Medicare will send you a Form 1095.

If you need a replacement form, please contact Medicare at 1-800-MEDICARE (1-800-633-4227).

Need Assistance?

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If you have followed the instructions above, and still having issues, please contact askhr@uta.edu for assistance on retrieving your form.

 

*These requirements do not apply to current, former and retired employees living in California, New Jersey, Rhode Island or Washington, DC. Employees in these locations will receive a paper Form 1095-C from UT Arlington by mail unless they have opted in for electronic delivery.