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Affordable Care Act

Incorrect Affordable Care Act Form 1095 attention

February 5, 2019
Due to a programming error by a third party vendor, centralized payroll employees and/or retirees with covered individuals enrolled in the State of Iowa health insurance plan may have received an incorrect Affordable Care Act (ACA) Form 1095 for calendar year 2018. The affected forms may indicate an incorrect middle initial for covered individuals. Please note the months of coverage are correct, as well as all other information on the Form.

Form 1095 for employees covered under a single plan are correct.

Corrected forms will be mailed on February 7, 2019 to all affected employees. Please allow ample time to receive the form as it will be mailed by the vendor from outside the state of Iowa.

Please note this does not affect employees of the Iowa Department of Transportation.

Questions? Contact the State of Iowa ACA Team 


The Patient Protection and Affordable Care Act (ACA) was enacted by Congress in 2010. Per the ACA Legislation, employers and insurance carriers must provide employees and insureds with Internal Revenue Service (IRS) Forms providing information on health insurance offers and coverage. These Forms indicate that health insurance was made available. Only one Form will be provided for all individuals covered by your plan. You may make additional copies if needed for a spouse or dependents.

ACA Compliance for State of Iowa Employees, Retirees, and COBRA-Covered Former Employees

  Active State of Iowa Employees

  • All State of Iowa health care plans meet the "minimum essential coverage requirement" under the ACA.
  • All Centralized Payroll and DOT Employees subject to ACA-reporting requirements will receive Form 1095-C and/or 1095-B if offered and/or enrolled in a State-sponsored Wellmark  (Blue Cross Blue Shield of Iowa) health insurance plan.

  Retired/COBRA-Covered Former Employees

  • All Centralized Payroll and DOT Retirees/COBRA-Covered Former Employees who are subject to ACA-reporting requirements will receive Form 1095-C and/or 1095-B if offered and/or enrolled in a State-sponsored Wellmark (Blue Cross Blue Shield of Iowa) health insurance plan.

  Individual Mandate/Potential Penalties 

  • The Individual Mandate provision of the ACA requires most Americans to maintain health insurance that meets "minimum essential coverage" requirements.
  • Those who fail to provide proof of qualifying health care coverage and do not comply with the mandate (and are not otherwise exempt) will be required to make a "shared responsibility payment" to the IRS with their individual tax returns.

Not sure which Form you should receive? See the State of Iowa's ACA Reporting Matrix.


All forms will be mailed on or before the ACA deadline of March 4, 2019. Please allow ample time for mail delivery as the Forms will be mailed from outside of Iowa. 

Upon receipt, please review the Form for accuracy - including personal information such as your name, address, Social Security Number, date of birth (if included on the Form), and any dependents. If you identify an error on the Form, please submit corrections through the ACA Team button below by February 15, 2019.

Duplicates, Corrections, or Questions

To contact the ACA Team to request a duplicate Form 1095, make corrections to your Form 1095, or to ask questions related to ACA requirements, click the ACA Team button below and complete the information as requested.

   Contact the State of Iowa ACA Team

Note: This form is only for individuals of the entities below who were covered by a State of Iowa insurance policy.

  • Centralized Payroll Employees
  • Department of Transportation (DOT) Employees
  • Retirees
  • COBRA-Covered Former Employees

This form is not intended for those who work for, or retired from, an entity listed below. You must contact them directly with any corrections or questions you may have.

  • Regents Institutions
  • Community Based Corrections (CBC)
  • Iowa State Fair Board
  • Iowa Counties, Cities or School Districts
  • Medicare and/or Medicaid

Additional Information

ACA Reporting Matrix - Use this matrix to determine which Form you will receive
FAQs for Employees 
FAQs for Retirees & COBRA Covered

1095 Forms Samples

1095-C (State of Iowa)
1095-B (State of Iowa)
1095-B (Wellmark)