The Form 1095-C confirms that the Catholic Diocese of Jackson offered full-time employees healthcare coverage during the previous year, and if so, whether you had coverage under your employer’s plan.
You will receive Form 1095-C as part of the requirements under the Affordable Care Act (ACA).
The ACA created two new mandates:
The purpose of Form 1095-C is to verify the months in which you and your dependents were offered or covered by your employer’s healthcare plan, which satisfies the individual coverage requirement.
Form 1095-C is an official document that employers are required to submit to the IRS each year. You also receive a copy.
You should receive your previous year’s 1095-C the beginning of February (around the same time that your annual W-2 arrives).
Like your W-2, your 1095-C contains information that will be collected when you file your tax return. Be sure to store the form in a safe place where you can locate it when you are ready to do your taxes.
If you have not received your 1095-C by the end of February, contact the Benefits Office to request a copy. If you recently moved and did not update your address with HR in time, it might have been sent to your previous address. Keeping your contact information up-to-date will help prevent delivery issues.
Contact [email protected]
Plan Year July 1, 2021 – June 30, 2022
To file a claim or replace card, please call customer service or login to their website: www.blueshieldca.com
To file a claim or replace card, please call customer service or login to their website: https://www.deltadental.com/
FSA Medical and Dependent Care Plans:
Prudential Insurance (Life Claim 1-800-524-0542) (Disability Claim 1-800-842-1718)
Allstate Cancer (Claims 1-800-348-4489)
Some of the statutes and regulations enforced by the U.S. Department of Labor require that notices be provided to employees and/or posted in the workplace. Free electronic copies of the required posters and some of the posters are available by clicking the links below.
Visit the websites for the U.S. Department of Labor and the Mississippi Department of Employment Security for posters available in languages other than English, and for other posters that may not be listed below:
We have a NEW email address to send information and forms to the Payroll and Benefits Offices:
The Family and Medical Leave Act (FMLA) provides eligible employees up to 12 workweeks of unpaid leave a year, and requires group health benefits to be maintained during the leave as if employees continued to work instead of taking leave. Employees are also entitled to return to their same or an equivalent job at the end of their FMLA leave.
For additional information regarding FMLA, visit the United States Department of Labor website.
Click this link to download FMLA forms.